Age and Perioperative Outcomes Following Minimally Invasive Sacrocolpopexy

Importance Literature surrounding the effect of age on perioperative outcomes following minimally invasive sacrocolpopexy (MI-SCP) is limited and conflicting. Objective The objective of this study was to determine the effect of age on postoperative complications following MI-SCP, utilizing a large, national database Study Design This was a retrospective cohort study using the 2014–2021 American College of Surgeons National Surgical Quality Improvement Program database to determine the effect of age on postoperative complications following MI-SCP. Women undergoing robotic and laparoscopic sacrocolpopexy for prolapse were included, and surgical procedures were identified using Current Procedural Terminology codes. Our primary outcome was the 30-day postoperative complication rate. Women were stratified into 2 cohorts: (1) 65 years or older and (2) younger than 65 years. Standard group comparisons were performed. A multivariable logistic regression was completed to determine if age affected the postoperative complication rate after accounting for other variables. Results A total of 6,794 women underwent MI-SCP; 3,726 (54.8%) were younger than 65 years, and 3,068 (45.2%) were 65 years or older. Overall, the 30-day postoperative complication rate following MI-SCP was 5.02%, and women 65 years or older were less likely to experience a postoperative complication compared with women younger than 65 years (3.98% vs 5.88%, P Conclusions Our findings suggest that age 65 years or older is not associated with increased postoperative complications following MI-SCP.