دورية أكاديمية
Use of vaginal hysterectomy in Denmark: rates, indications and patient characteristics.
| العنوان: | Use of vaginal hysterectomy in Denmark: rates, indications and patient characteristics. |
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| المؤلفون: | Nielsen SL; Department of Gynecology and Obstetrics, Hillerød University Hospital, Hillerød, Denmark., Daugbjerg SB, Gimbel H, Settnes A |
| مؤلفون مشاركون: | Steering Committee of Danish Hysterectomy Database |
| المصدر: | Acta obstetricia et gynecologica Scandinavica [Acta Obstet Gynecol Scand] 2011 Sep; Vol. 90 (9), pp. 978-84. Date of Electronic Publication: 2011 Jun 27. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: United States NLM ID: 0370343 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1600-0412 (Electronic) Linking ISSN: 00016349 NLM ISO Abbreviation: Acta Obstet Gynecol Scand Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2011- : Malden, MA : Wiley Original Publication: Copenhagen : Munksgaard |
| مواضيع طبية MeSH: | Hysterectomy, Vaginal/*statistics & numerical data , Uterine Diseases/*surgery, Adult ; Aged ; Aged, 80 and over ; Denmark/epidemiology ; Female ; Humans ; Hysterectomy, Vaginal/trends ; Incidence ; Laparoscopy ; Middle Aged ; Practice Guidelines as Topic ; Prospective Studies ; Registries |
| مستخلص: | Objective: To describe the use of vaginal, abdominal and laparoscopic hysterectomy in Denmark from 1999 to 2008, the influence of national guidelines and the patient and procedure-related characteristics associated with the choice of vaginal hysterectomy. Design. Nationwide register-based cohort study. Setting: Danish Hysterectomy Database and Danish National Patient Registry. Population: All women with a hysterectomy for benign indications in Denmark from 1999 to 2008. Methods: The incidence rate/100,000 women was used to describe the route of surgery in hysterectomies of 50,755 women. A multiple logistic regression analysis was done to examine the association between patient- and procedure-related characteristics and choice of surgical procedure including 20,486 women. Main Outcome Measures: Trends in surgical approach from 1999 to 2008. Patient- and surgery-related characteristics associated with vaginal hysterectomy from 2004 to 2008. Results: There was an overall increase in the use of vaginal hysterectomies from 12 to 34%, a decrease in the use of abdominal hysterectomies and a consistent number of laparoscopic hysterectomies. The number of vaginal hysterectomies varied between regions, ranging from 2 to 86%. The use of vaginal hysterectomy was not dependent on the total number of hysterectomies performed at the hospital. The characteristics associated with vaginal hysterectomy were higher age, smaller uterus size, indications for surgery (genital prolapse and severe uterine bleeding), less smoking and moderate alcohol intake. Conclusions: Vaginal hysterectomy has replaced abdominal hysterectomy increasingly but cannot be directly correlated to the implementation of national guidelines as there was large national variation. Several characteristics are significantly associated with vaginal hysterectomy. (© 2011 The Authors Acta Obstetricia et Gynecologica Scandinavica© 2011 Nordic Federation of Societies of Obstetrics and Gynecology.) |
| فهرسة مساهمة: | Investigator: J Blaakær; M Dueholm; H Gimbel; C Thim Hansen; P Hornnes; H Kehlet; N Kjærgaard; UB Knudsen; L Lasson; Ø Lidegaard; JS Larsen; C Møller; B Ottesen; L Schouenborg; A Settnes; HH Springborg; J Utzon |
| تواريخ الأحداث: | Date Created: 20110601 Date Completed: 20111110 Latest Revision: 20110818 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1111/j.1600-0412.2011.01199.x |
| PMID: | 21623739 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1600-0412 |
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| DOI: | 10.1111/j.1600-0412.2011.01199.x |