Daniel Altman

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BACKGROUND The use of standardized mesh kits for repair of pelvic-organ prolapse has spread rapidly in recent years, but it is unclear whether this approach results in better outcomes than traditional colporrhaphy. METHODS In this multicenter, parallel-group, randomized, controlled trial, we compared the use of a trocar-guided, transvaginal(More)
With the increasing manufacture of expensive systems for the measurement of ambulatory blood pressure there is a need for potential purchasers to be able to satisfy themselves that the systems have been evaluated according to agreed criteria. The British Hypertension Society has, therefore, drawn up a protocol of requirements for the evaluation of these(More)
OBJECTIVE To describe the perioperative morbidity associated with transvaginal mesh repair of pelvic organ prolapse. METHODS During a 6-month time period, 25 centers registered all surgical procedures using a commercially available mesh. The frequency and type of perioperative complications, during surgery and the associated hospital stay, were documented(More)
OBJECTIVES To determine the genetic and environmental influence on the liability for stress urinary incontinence and pelvic organ prolapse surgery. METHODS We used the Swedish Twin Registry to identify all same-sex female twin pairs with known zygosity born from 1926 to 1958. Occurrence of stress urinary incontinence and pelvic organ prolapse surgery was(More)
OBJECTIVE To prospectively assess clinical outcomes after pelvic organ prolapse repair with a standardized trocar-guided surgical device using polypropylene mesh. METHODS This was a prospective multicenter cohort study performed throughout 26 clinics. Evaluation at baseline, 2 months, and 1 year after surgery included prolapse grading using the pelvic(More)
BACKGROUND Obsessive compulsive disorder is a common and disabling disorder. A significant proportion of patients manifest a chronic course. Individual randomised controlled trials (RCTs) have shown that selective serotonin re-uptake inhibitors (SSRIs) are effective in this condition. Previous systematic reviews or meta-analyses summarising the evidence are(More)
Smoking during pregnancy has been linked to an increased risk of several adverse birth outcomes. Associations with deficits in cognitive development have also been suggested. It is unclear whether these associations are due to genetic and/or environmental confounding. In a population-based Swedish cohort study on 205,777 singleton males born to Nordic(More)
We evaluated an intervention program to control pregnancy weight gain among obese women with body mass index > 30 by a dietary and physical activity program. Maternal weight gain and pregnancy outcome were evaluated. Of 27 obese women, 25 (92%) completed the study. Mean age at entry to the program was 31.7 years (+/-3.2 SD). Fourteen women kept their(More)
OBJECTIVE The objective of the study was to determine the risk for pelvic organ prolapse surgery attributed to hysterectomy on benign indications STUDY DESIGN In a nationwide longitudinal study, 162,488 women with hysterectomy from 1973 through 2003 were matched to 470,519 population-based control women. Hazard ratios (HR) with 95% confidence interval(More)
OBJECTIVE The long-term prevalence of anal incontinence after vaginal delivery is unknown. The aim of the present study was to evaluate the prevalence of anal incontinence in primiparous women 5 years after their first delivery and to evaluate the influence of subsequent childbirth. METHODS A total of 349 nulliparous women were prospectively followed up(More)