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Review
. 2016 Oct 25:8:515-520.
doi: 10.2147/CLEP.S99465. eCollection 2016.

The Danish Hysterectomy and Hysteroscopy Database

Märta Fink Topsoee  1 , Else Helene Ibfelt  2 , Annette Settnes  1
Affiliations
Review

The Danish Hysterectomy and Hysteroscopy Database

Märta Fink Topsoee et al. Clin Epidemiol. .

Abstract

Aim of the database: The steering committee of the Danish Hysterectomy and Hysteroscopy Database (DHHD) has defined the objective of the database: the aim is firstly to reduce complications, readmissions, reoperations; secondly to specify the need for hospitalization after hysterectomy; thirdly to secure quality assessment of hysterectomy and hysteroscopy by setting standards and national guidelines; and finally to intensify the monitoring of laparoscopic surgery and explore long-term side effects after hysterectomy.

Study population: We include all women in Denmark who have had elective benign uterine surgery since 2003. The surgery includes hysterectomy and operative hysteroscopy. In the latter, we include resection of the endometrium and submucosal leiomyomas and ablations of the endometrium.

Main variables: Detailed information about the hysterectomy and hysteroscopy operation techniques, cooperations, and indications is registered directly in the National Patient Register (NPR), as well as relevant lifestyle factors and confounders. It is mandatory to register information about complications and readmissions in the NPR. Data included in DHHD are directly extracted from the NPR.

Descriptive data: Annually approximately 4,300 hysterectomies and 3,200 operative hysteroscopies are performed in Denmark. Since the establishment of the database in 2003, 50,000 hysterectomies have been registered. DHHD's nationwide cooperation and research have led to national guidelines and regimes. Annual national meetings and nationwide workshops have been organized.

Conclusion: The use of vaginal and laparoscopic hysterectomy methods has increased during the past decade and the overall complication rate and hospital stay have declined. The regional variation in operation methods has also decreased.

Keywords: clinical quality register; complication; epidemiology; gynecology; laparoscopy.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Rates of hysteroscopy and hysterectomy performed on benign diagnosis from 2004 to 2014. Abbreviations: AH, abdominal hysterectomy; VH, vaginal hysterectomy; LH, laparoscopic hysterectomy; RH, robot-assisted hysterectomy.
Figure 2
Figure 2
Regional reduction in abdominal hysterectomy from 2004 to 2014 at 21 public gynecological departments performing hysterectomies during the 10-year period. Notes: In 2004, there were 31 public hospitals and an unknown number of private hospitals performing hysterectomies. Ten of the public departments were closed or merged before 2014 and therefore not shown. None of the private hospitals was registering hysterectomies in 2004. On a national level, there were 75% abdominal hysterectomies. In 2014, there were 21 public hospitals and 5 private hospitals performing hysterectomies. On a national level, there were 27% abdominal hysterectomies. Abbreviations: Nyk.F, Nykoebning Falster; RH, Rigshospitalet.
See this image and copyright information in PMC

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