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Hysterectomy

Hysterectomy Tied to Long-Term Risk for Depression, Anxiety

Findings particularly strong with hysterectomy at younger age, even with ovarian conservation
Surgery at high-volume centers is associated with decreased local recurrence risk and improved survival for women with early-stage cervical cancer

Higher Surgical Volume May Improve Outcomes in Cervical Cancer

Findings show radical hysterectomy at high-volume centers tied to better survival in early cervical cancer
Implementation of a perioperative surgical site infection prevention bundle may reduce the rate of surgical site infection among patients undergoing hysterectomy

Surgical Site Infection Rate Can Be Reduced in Hysterectomy

Implementation of perioperative prevention bundle linked to reduction in surgical site infection rate
A substantial number of surgeons performing hysterectomies have low procedural volumes

Low Procedure Volume for Many Surgeons Doing Hysterectomies

Higher rates of complications and mortality, prolonged hospital stays more likely, for their patients
For women undergoing hysterectomy for uterine fibroids

FDA Warning Ups Hysterectomy Complications for Uterine Fibroids

Complications up following FDA black box warning against use of power morcellation for fibroid excision
The incidence of lower urinary tract injuries is 0.33 percent for patients undergoing gynecologic laparoscopy for benign indications

Urinary Tract Injury Incidence Low in Gynecologic Laparoscopy

Incidence of lower urinary tract injuries 0.33 percent for gynecologic laparoscopy for benign indications
Gynecologists prescribe about twice the amount of opioids than patients use after hysterectomy for benign

Patients Use ~Half of Opioids Prescribed After Hysterectomy

Pre-op Fibromyalgia Survey score, overall body pain, pre-op opioid use, abdominal sx predict opioid use
For women undergoing hysterectomy

History of C-Section Ups Risk of Complications in Hysterectomy

Women with previous C-section have increased odds of reoperation, peri-, post-op complications
Overall

~10 Percent Present to ER After Hysterectomy for Benign Disease

Risk factors include younger age, higher parity, Medicare or self-pay insurance, postoperative pain
There is considerable geographic variation in the cost of hysterectomy

Geographic Variation in Costs Associated With Hysterectomy

Lowest median cost in mid-Atlantic region, while highest median cost seen in Pacific region