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Effect of surveillance on the number of hysterectomies in the province of Saskatchewan.

https://arctichealth.org/en/permalink/ahliterature249840
Source
N Engl J Med. 1977 Jun 9;296(23):1326-8
Publication Type
Article
Date
Jun-9-1977
Author
F J Dyck
F A Murphy
J K Murphy
D A Road
M S Boyd
E. Osborne
D. De Vlieger
B. Korchinski
C. Ripley
A T Bromley
P B Innes
Source
N Engl J Med. 1977 Jun 9;296(23):1326-8
Date
Jun-9-1977
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Female
Humans
Hysterectomy - methods
Middle Aged
Pregnancy
Saskatchewan
Sterilization, Reproductive
Uterine Diseases - surgery
Uterine Neoplasms - surgery
Utilization Review - utilization
Abstract
In 1972 the College of Physicians and Surgeons of Saskatchewan appointed a committee to study hysterectomies because the Saskatchewan Department of Health had data showing that the annual number of hysterectomies carried out in the province had increased by 72.1 per cent between 1964 and 1971, whereas the number of women over 15 years of age had increased by 7.6 per cent. The committee compiled a list of indications for hysterectomy. Any hysterectomy carried out for one of these reasons was classified as justified, and the remainder as unjustified. Five hospitals were reviewed in 1970 and a further two in 1973. In 1974, all seven hospitals were reviewed again. In these hospitals, the average proportion of unjustified hysterectomies had dropped from 23.7 per cent at the time of the first review to 7.8 per cent in 1974. The total number of hysterectomies in the province dropped by 32.8 per cent between 1970 and 1974.
PubMed ID
870826 View in PubMed
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Hysterectomy in Denmark 1977-2011: changes in rate, indications, and hospitalization.

https://arctichealth.org/en/permalink/ahliterature106868
Source
Eur J Obstet Gynecol Reprod Biol. 2013 Dec;171(2):333-8
Publication Type
Article
Date
Dec-2013
Author
Rune Lykke
Jan Blaakær
Bent Ottesen
Helga Gimbel
Author Affiliation
Department of Obstetrics and Gynecology, Aarhus University Hospital, Denmark; Department of Obstetrics and Gynecology, Regional Hospital West Jutland, Denmark. Electronic address: runelykk@rm.dk.
Source
Eur J Obstet Gynecol Reprod Biol. 2013 Dec;171(2):333-8
Date
Dec-2013
Language
English
Publication Type
Article
Keywords
Adult
Denmark - epidemiology
Female
Humans
Hysterectomy - methods - statistics & numerical data - trends
Hysterectomy, Vaginal
Leiomyoma - surgery
Length of Stay
Middle Aged
Pelvic Organ Prolapse - surgery
Surgical Procedures, Minimally Invasive - statistics & numerical data
Uterine Diseases - surgery
Abstract
To describe conditions regarding hysterectomy for benign indications during the past 35 years in Denmark.
Population-based register study of 167,802 women who underwent hysterectomy for benign conditions in the period 1977-2011. Patient data regarding operative techniques, hospitalization, indications, patient age, and geography were extracted from the Danish National Patient Register.
The overall rate of hysterectomy was around 180/100,000 woman years during the period. A rise in laparoscopic and vaginal hysterectomy was seen at the expense of abdominal hysterectomy. The indication of pelvic organ prolapse and abnormal uterine bleeding increased while the indication of fibroids decreased. The average age of women at time of hysterectomy increased from 46 years in 1977-1981 to 50 years in 2006-2011. The mean number of hospitalization days was reduced by 75%. Regional differences were detected regarding route of hysterectomy and hospitalization.
This study demonstrates a change in the pattern of indications for hysterectomy, increased age of the affected women, reduced length of stay in the hospital, and a rise in the percentage of minimal invasive surgical procedures.
PubMed ID
24094821 View in PubMed
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[Pregnancy and labor after a conservative plastic operation on the uterus for a uterus-abdominal wall fistula]

https://arctichealth.org/en/permalink/ahliterature66094
Source
Pediatr Akus Ginekol. 1977 Sep-Oct;(5):56-8
Publication Type
Article

Supravaginal uterine amputation in Denmark 1978-1988 and risk of cancer.

https://arctichealth.org/en/permalink/ahliterature24452
Source
Gynecol Oncol. 1992 May;45(2):198-201
Publication Type
Article
Date
May-1992
Author
H H Storm
I H Clemmensen
T. Manders
L A Brinton
Author Affiliation
Danish Cancer Registry, Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen.
Source
Gynecol Oncol. 1992 May;45(2):198-201
Date
May-1992
Language
English
Publication Type
Article
Keywords
Adult
Cervix Uteri - surgery
Denmark - epidemiology
Female
Genital Neoplasms, Female - epidemiology - etiology
Humans
Hysterectomy
Hysterectomy, Vaginal - methods
Kidney Neoplasms - epidemiology - etiology
Kidney Pelvis - pathology
Middle Aged
Neoplasms - epidemiology - etiology
Research Support, U.S. Gov't, P.H.S.
Risk factors
Surgical Procedures, Operative - methods
Uterine Cervical Neoplasms - epidemiology - etiology
Uterine Diseases - surgery
Abstract
In Denmark, total rather than subtotal hysterectomy has been recommended as treatment for benign conditions of the uterine corpus, primarily due to the risk of cervical cancer in the residual stump. Due to possible benefits during and after surgery, it has recently been argued that total hysterectomy for benign conditions could be substituted by subtotal hysterectomy, particularly since cancers of the cervix are declining as a consequence of screening. Cancer risk following supravaginal uterine amputation among 1104 Danish women undergoing operations during 1978-1988 was studied using record linkage techniques with the Danish Cancer Registry. No overall cancer risk, nor an overall increased risk of cancers coded as cervical, was observed. However, a 3.3 to 5.0-fold increased risk for cervical cancer was observed among women whose operations occurred at 50 years of age or older, possibly reflecting an increased risk of cancer in the endocervical area or in remaining uterine tissue. This observation, together with the difficulties in treating a cervical cancer of the stump when it does occur, should be taken into account before a change in surgical procedures from total to subtotal hysterectomies is recommended.
PubMed ID
1592287 View in PubMed
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