Predictors of hysterectomy: An Australian study

Susan A. Treloar, Treloar SA, S A Treloar, K A Do, Kim-Anh Do, Do KA, Vivienne O’Connor, V M O'Connor, O'Connor VM, O'connor DT, Daniel T. O’Connor, D T O'Connor, Yeo MA, Margaret A. Yeo, M A Yeo, Nicholas G. Martin, N G Martin
American journal of obstetrics and gynecology · 1999 · vol. 180(4) , pp. 945–954 · doi:10.1016/s0002-9378(99)70666-6 · PMID:10203663 · W1995308934
article OA: closed CC0 ⤵ 19 in-corpus citations
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This Australian study investigated factors associated with hysterectomy, identifying [mention key predictors found in the paper, e.g., age, parity, and specific gynecological conditions] as significant predictors.

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Abstract

ObjectiveWe evaluated the relative importance of predictors of hysterectomy.Study designA questionnaire survey of an Australia-wide sample of adult female twins was conducted; self-report data were validated against reports from treating physicians.ResultsA total of 3096 women (94%) and 366 physicians (87%) responded. The sensitivity of patient report of hysterectomy was 98.2%. Best predictors of hysterectomy were endometriosis (odds ratio 4.85, 95% confidence interval 3.17-7.43), medical consultation for menorrhagia (odds ratio 3.55, 95% confidence interval 2.47-5.12), joint effects of fibroids with medical consultation for chronic or persisting pelvic pain (odds ratio 3.34, 95% confidence interval 1. 42 to 7.87), having smoked >40 cigarettes per day (odds ratio 3.24, 95% confidence interval 1.10-9.55), joint effects of fibroids with consultation for menstrual problems (odds ratio 2.61, 95% confidence interval 1.36-5.01), and tubal ligation (odds ratio 1.77, 95% confidence interval 1.31-2.39). Less-important predictors were age and higher education level (protective).ConclusionConsulting a physician about pelvic pain and menstrual problems, especially heavy bleeding, are recognized steps toward hysterectomy. Of particular interest for future genetic analyses are the high odds of hysterectomy for women with endometriosis, fibroids, or menorrhagia.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Hysterectomy Adult Aged Aged, 80 and over Age Distribution Australia Australia Confidence Intervals Endometriosis Endometriosis Female Humans Hysterectomy Leiomyoma Leiomyoma Menorrhagia Menorrhagia Middle Aged Odds Ratio Ovariectomy

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