Reassessing hysterectomy
Abstract
Hysterectomy is widely used for treating a variety of gynecologic conditions. Most hysterectomies are elective and are performed to treat benign indications for which there are other effective alternatives. Observational studies are increasingly highlighting the effects of hysterectomy and concomitant oophorectomy on a variety of long-term health outcomes including fracture risk, pelvic floor dysfunction, all-cause mortality, cardiovascular disease, and neurologic function. Individualizing therapy and discussing appropriate alternatives to hysterectomy is an important responsibility for all health care providers.
Conflict of interest statement
Faculty have indicated they have no relationship that, in the context of their presentations, could be perceived as a potential conflict of interest.
References
-
- Carlson KJ, Nichols DH, Schiff I. Indications for hysterectomy. N Engl J Med. 1993;328(12):856–860. - PubMed
-
- Merrill RM. Hysterectomy surveillance in the United States-1997 through 2005. Med Sci Monit. 2008;14(1):CR24–CR31. - PubMed
-
- Stewart EA. Uterine Fibroids: The Complete Guide. Baltimore: Johns Hopkins University Press; 2007.
-
- Whiteman MK, Hillis SD, Jamieson DJ, et al. Inpatient hysterectomy surveillance in the United States, 2000–2004. Am J Obstet Gynecol. 2008;198(1):34, e1–e7. - PubMed
-
- Buie VC, Owings MF, DeFrances CJ, Golosinskly A. National Hospital Discharge Survey: 2006 summary. [Accessed February 15, 2012];National Center for Health Statistics. 2010 Available at: www.cdc.gov/nchs/data/series/sr_13/sr13_168.pdf. - PubMed
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