The quality of life in women suffering from gynecological disorders is improved by means of hysterectomy. Absolute and relative differences between pre- and postoperative measures

T Rannestad, Toril Rannestad, Ole‐Johan Eikeland, O J Eikeland, Harald Helland, H Helland, U Qvarnström
Acta obstetricia et gynecologica Scandinavica · 2001 · vol. 80(1) , pp. 46–51 · doi:10.1034/j.1600-0412.2001.800109.x · PMID:11167188 · W1499311940
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Hysterectomy significantly improves women's quality of life across all measured domains, restoring health and functioning levels to match a control group.

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Abstract

BACKGROUND: Gynecological disorders can have adverse effects on a woman's quality of life. Most hysterectomies are thus performed to enhance women's quality of life rather than to save life. This study aims at evaluating the long-term impact of hysterectomy on this outcome variable. METHODS: The quality of life in 111 women undergoing hysterectomy for benign reasons was tested before, and six and twelve months after, the operation. A control-group of non-hysterectomized women from the normal population was tested once. Ferrans & Powers' Quality of Life Index, consisting of four life domains, was used. This index has a pre-set highest possible obtainable score. For the subjects with a high pre-test score, there was little scope for further measurable improvement after hysterectomy, which gives a false stability in the material. A method for calculating the relative differences was introduced. RESULTS: The health and functioning domain of the quality of life among women awaiting hysterectomy is significantly lower compared to that of the control-group (p<.01) Both six and twelve months after the hysterectomy, the patients have reached the same level of their health and functioning as the control-group. Using the relative difference-form, it is demonstrated that the subjects have obtained significantly higher levels in all the domains of quality of life after hysterectomy. CONCLUSIONS: The results of this study show that hysterectomy is associated with a positive long-term impact on a woman's quality of life.

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MeSH descriptors

Genital Diseases, Female Hysterectomy Quality of Life Activities of Daily Living Adult Case-Control Studies Female Genital Diseases, Female Genital Diseases, Female Health Status Humans Hysterectomy Middle Aged Prospective Studies

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