Impact of Pelvic Pain and Endometriosis on Patient-Reported Outcomes and Experiences of Benign Hysterectomy: A Study from the Swedish National Register for Gynecological Surgery

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Grundström, HannaLinköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten,Region Östergötland, Kvinnokliniken ViN (författare)

Impact of Pelvic Pain and Endometriosis on Patient-Reported Outcomes and Experiences of Benign Hysterectomy: A Study from the Swedish National Register for Gynecological Surgery

Artikel/kapitelEngelska2018

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MARY ANN LIEBERT, INC,2018
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LIBRIS-ID:oai:DiVA.org:liu-143941
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-143941URI
https://doi.org/10.1089/jwh.2017.6546DOI

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Språk:engelska
Sammanfattning på:engelska

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Funding Agencies|Swedish National Quality Registry of Gynecological Surgery; Swedish Government; Swedish Association of Local Authorities and Regions
Background: The study objective was to analyze and compare patient-reported experience measures (PREMs) and patient-reported outcome measures (PROMs) after hysterectomy in women with and without a preoperative complaint of pelvic pain associated with and without a confirmed diagnosis of endometriosis. Methods: Retrospective nationwide register study. Data on 28,776 hysterectomies performed on benign indication between 2004 and 2016 were retrieved from the Swedish National Register for Gynecological Surgery. Multivariable logistic regression models were used to compare the PREMs and PROMs items. The results are presented as adjusted odds ratios (aORs) and 95% confidence intervals (CI). Results: Regardless of the occurrence of pelvic pain preoperatively and a diagnosis of endometriosis, 1 year after surgery, the women were satisfied or very satisfied (amp;gt;90%) with the hysterectomy, and their medical condition was improved or much improved (amp;gt;95%). The women with a preoperative complaint of pelvic pain and endometriosis more often reported excessively short hospital stays (aOR 1.45, 95% CI 1.17-1.79), more severe complications after discharge (aOR 2.02, 95% CI 1.59-2.66) at the 8-week follow-up and at the 1-year follow-up (aOR 2.31, 95% CI 1.57-3.39), and more dissatisfaction with the operation (aOR 1.83, 95% CI 1.35-2.48) than preoperative pelvic pain-free women without endometriosis at the 1-year follow-up. Conclusions: The majority of the women were satisfied after their hysterectomy. The women with pelvic pain and endometriosis were at a higher risk of being dissatisfied. Pelvic pain per se seemed to be the main factor affecting the rating in the PREMs and PROMs, and the endometriosis was a significant contributing factor.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Annan klinisk medicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Other Clinical Medicine hsv//eng
endometriosis; experience; hysterectomy; outcome; pelvic pain

Biuppslag (personer, institutioner, konferenser, titlar ...)

Alehagen, SiwLinköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten(Swepub:liu)siwal91 (författare)
Berterö, CarinaLinköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten(Swepub:liu)carbe13 (författare)
Kjölhede, PrebenLinköpings universitet,Avdelningen för barns och kvinnors hälsa,Medicinska fakulteten,Region Östergötland, Kvinnokliniken US(Swepub:liu)prekj14 (författare)
Linköpings universitetAvdelningen för omvårdnad (creator_code:org_t)

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Ingår i:Journal of Women's Health: MARY ANN LIEBERT, INC27:5, s. 691-6981540-99961931-843X

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Av författaren/redakt...: Grundström, Hann ...; Alehagen, Siw; Berterö, Carina; Kjölhede, Preben

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Annan klinisk me ...

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Av lärosätet: Linköpings universitet

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