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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Fältnamn	Indikatorer	Metadata
000		04112naa a2200361 4500
001		oai:DiVA.org:liu-143941
003		SwePub
008		171229s2018 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1439412 URI
024	7	a https://doi.org/10.1089/jwh.2017.65462 DOI
040		a (SwePub)liu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Grundström, Hannau Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten,Region Östergötland, Kvinnokliniken ViN4 aut0 (Swepub:liu)hangr70
245	1 0	a 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
264	1	b MARY ANN LIEBERT, INC,c 2018
338		a electronic2 rdacarrier
500		a Funding Agencies\|Swedish National Quality Registry of Gynecological Surgery; Swedish Government; Swedish Association of Local Authorities and Regions
520		a 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.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Annan klinisk medicin0 (SwePub)302992 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Other Clinical Medicine0 (SwePub)302992 hsv//eng
653		a endometriosis; experience; hysterectomy; outcome; pelvic pain
700	1	a Alehagen, Siwu Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten4 aut0 (Swepub:liu)siwal91
700	1	a Berterö, Carinau Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten4 aut0 (Swepub:liu)carbe13
700	1	a Kjölhede, Prebenu Linköpings universitet,Avdelningen för barns och kvinnors hälsa,Medicinska fakulteten,Region Östergötland, Kvinnokliniken US4 aut0 (Swepub:liu)prekj14
710	2	a Linköpings universitetb Avdelningen för omvårdnad4 org
773	0	t Journal of Women's Healthd : MARY ANN LIEBERT, INCg 27:5, s. 691-698q 27:5<691-698x 1540-9996x 1931-843X
856	4	u https://liu.diva-portal.org/smash/get/diva2:1169734/FULLTEXT01.pdfx primaryx Raw objecty fulltext:preprint
856	4	u http://liu.diva-portal.org/smash/get/diva2:1169734/FULLTEXT01
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-143941
856	4 8	u https://doi.org/10.1089/jwh.2017.6546

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