Journal of the American College of Surgeons
Volume 204, Issue 4 , Pages 633-641 , April 2007

Predictors of Hysterectomy in Women with Common Pelvic Problems: A Uterine Survival Analysis

  • Lee A. Learman, MD, PhD

      Affiliations

    • Department of Obstetrics, Gynecology and Reproductive Sciences and Medical Effectiveness Research Center for Diverse Populations, University of California, San Francisco, School of Medicine, San Francisco, CA
    • Corresponding Author InformationCorrespondence address: Lee A Learman, MD, Department of Obstetrics and Gynecology, University of California, San Francisco School of Medicine, 1001 Potrero St, Room 6D-9, San Francisco, CA 94110.
    • ,
  • Miriam Kuppermann, PhD, MPH

      Affiliations

    • Department of Obstetrics, Gynecology and Reproductive Sciences and Medical Effectiveness Research Center for Diverse Populations, University of California, San Francisco, School of Medicine, San Francisco, CA
    • ,
  • Elena Gates, MD

      Affiliations

    • Department of Obstetrics, Gynecology and Reproductive Sciences and Medical Effectiveness Research Center for Diverse Populations, University of California, San Francisco, School of Medicine, San Francisco, CA
    • ,
  • Steven E. Gregorich, PhD

      Affiliations

    • Department of Medicine and Medical Effectiveness Research Center for Diverse Populations, University of California, San Francisco, School of Medicine, San Francisco, CA
    • ,
  • James Lewis, MD

      Affiliations

    • Kaiser Permanente Medical Group, San Francisco, CA.
    • ,
  • A. Eugene Washington, MD, MSC

      Affiliations

    • Department of Obstetrics, Gynecology and Reproductive Sciences and Medical Effectiveness Research Center for Diverse Populations, University of California, San Francisco, School of Medicine, San Francisco, CA

Received 27 September 2006 ,Revised 22 December 2006 ,Accepted 2 January 2007.

References 

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  3. Haas S, Acker D, Donahue C, Katz ME. Variation in hysterectomy rates across small geographic areas of Massachusetts. Am J Obstet Gynecol. 1993;169:150–154
  4. Pokras R, Hufnagel VG. Hysterectomy in the United States, 1965−84. Am J Public Health. 1988;78:852–853
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  14. Hurskainen R, Teperi J, Rissanen P, et al. Clinical outcomes and costs with the levonorgestrel-releasing intrauterine system or hysterectomy for treatment of menorrhagia: randomized trial 5-year follow-up. JAMA. 2004;291:1456–1463
  15. Learman LA, Summitt RL, Varner RE, et al. Hysterectomy versus expanded medical treatment for abnormal uterine bleeding: clinical outcomes in the Medicine or Surgery Trial. Obstet Gynecol. 2004;103:824–833
  16. Spies JB, Cooper JM, Worthington-Kirsch R, et al. Outcome of uterine embolization and hysterectomy for leiomyomas: results of a multicenter study. Am J Obstet Gynecol. 2004;191:22–31
  17. Society of Obstetricians and Gynaecologists of Canada. SOGC clinical practice guidelines. Uterine fibroid embolization (UFE). Number 150. October 2004. Int J Gynaecol Obstet. 2005;89:305–318
  18. Schafer JL. Analysis of incomplete multivariate data. London: Chapman & Hall; 1997;
  19. Meng XL, Rubin DB. Performing likelihood ratio tests with multiply-imputed data sets. Biometrika. 1992;79:3–11
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  21. Farquhar CM, Naoom S, Steiner CA. The impact of endometrial ablation on hysterectomy rates in women with benign uterine conditions in the United States. Int J Technol Assess Health Care. 2002;18:625–634
  22. Bridgman SA, Dunn KM. Has endometrial ablation replaced hysterectomy for the treatment of dysfunctional uterine bleeding? (National figures). BJOG. 2000;107:531–534
  23. Day Baird D, Dunson DB, Hill MC, et al. High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. Am J Obstet Gynecol. 2003;188:100–107
  24. Augustus CE. Beliefs and perceptions of African American women who have had hysterectomy. J Transcult Nurs. 2002;13:296–302

 Competing Interests Declared: None.

 Supported by grants from the Agency for Healthcare Research and Quality (U01 HS09478, R01 HS011657, U01 HS07373), National Institute on Aging (U01 HS090478) and Office of Research in Women’s Health, and National Institutes of Health (U01 HS090478).

PII: S1072-7515(07)00009-9

doi: 10.1016/j.jamcollsurg.2007.01.006

Journal of the American College of Surgeons
Volume 204, Issue 4 , Pages 633-641 , April 2007

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