INTRODUCTION: Practice pattern variation ( @entity2286 ) is the difference in care that cannot be explained by the underlying medical condition. The aim of this study was to describe @entity2286 among Dutch gynecologists regarding treatment of @entity3577 ( @entity3577 ) and @entity322 ( @entity322 ). MATERIALS AND METHODS: @entity2286 was calculated from data of healthcare declaration codes of 2010. Data were provided by Vektis and Kiwa Carity. @entity2286 for @entity3577 and @entity322 in general was calculated per hospital and per region. Furthermore, @entity2286 for transvaginal mesh and surgical treatment of uterine descent was assessed. RESULTS: @entity2286 of surgical treatment for @entity3577 and @entity322 in general was assessed for 91 hospitals. @entity2286 for surgical treatment of uterine descent and transvaginal mesh placement was calculated for 88 hospitals. A high @entity2286 per hospital and per region was found. In some hospitals, a hysterectomy was performed in all cases of @entity3134 , while in other hospitals, uterus-preserving techniques were mostly performed. A high @entity2286 of transvaginal mesh placement was observed. CONCLUSION: In the small country of The Netherlands, we found a high @entity2286 in surgical management of @entity3577 and @entity322 with respect to the choice for surgical treatment and the type of surgery. This finding might be due to the absence of clearly defined guidelines. Studies with respect to conservative versus surgical treatment and the type of surgery are of need to establish evidence-based guidelines.

Practice pattern variation in surgical management of @entity3577 and XXXX in The Netherlands.

@entity3134 :: ('MESH:D011391', 'Disease') :: ['uterovaginal prolapse'] @entity322 :: ('MESH:D014549', 'Disease') :: ['urinary incontinence', 'UI'] @entity2286 :: ('12211', 'Species') :: ['PPV'] @entity3577 :: ('MESH:D056887', 'Disease') :: ['pelvic organ prolapse', 'POP']
@entity322 :: (MESH:D014549,Disease) :: ['urinary incontinence']
