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Gotland Kronoberg Västernorrland Jönköping Östergötland Gävleborg Örebro Kalmar SWEDEN Norrbotten Västra Götaland Uppsala Stockholm Dalarna Västerbotten Halland Jämtland Västmanland Skåne Värmland Blekinge 1 Sörmland 1

Response rate, % 73.7 83.3 82.7 85.7 83.3 81.9 70.3 89.5 80.6 79.5 83.3 83.2 57.1 87.8 92.8 82.8 82.7 89.4 86.4 76.9

92.9 85.4 82.9 80.4 79.5 78.8 77.4 76.9 76.4 76.0 75.8 75.3 75.3 75.3 75.2 73.5 71.9 71.3 70.4 69.6

0 1

Figure 54

20

40

60

80

100

Percent

Less than 10 cases

Percentage of patients who reported that they never or almost never experienced symptoms one year after uterine prolapse surgery, 1 September 2010 – 31 August 2011. Source: National Quality Register for Gynaecological Surgery

54 Patient-reported Bulging Sensation after Uterine Prolapse Surgery The only prolapse-specific symptom is a bulging sensation in the vagina. The effect of prolapse surgery on the bladder, rectum and functional parameters is complex and improvements cannot be guaranteed. That is why the registers present this patient-reported symptom as specified in the questionnaire. The indicator shows the percentage of patients who reported that they never or almost never experienced symptoms one year after surgery. The comparison is based on data for 3 507 patients who responded to the question out of approximately 4 620 who underwent surgery during the period and were entered in one of the two registers. The national proportion of patients who never or almost never experienced symptoms exceeded 76 per cent, ranging from almost 70 per cent to more than 93 per cent depending on the county. Accurate comparisons, particularly at the clinic level, require consideration of variations in case mix.

QUALITY AND EFFICIENCY IN SWEDISH HEALTH CARE 2012

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