Surgical treatments
Around 10-20% of patients with MD require surgical treatments (17), those have been reduced to those patients with a worse evolution and less symptomatic control. As all surgical procedures can modify the disease course, we classified the patients as ”operated” or ”not operated” and we performed the analysis irrespective of the surgical procedure undertaken.
In our series the proportion of patients operated for their UMD is 16%, increasing to 27% in model number 3.
The 16% of the MD patients followed from the onset of the disease that required a surgical intervention was lower than the whole group of patients with UMD. As such, carrying out an exhaustive medical follow-up from the onset of the disease may reduce the need for a future surgical intervention aimed at controlling the symptoms of MD.