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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
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Norrköping.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0003-1588-135X
Linköping University, Department of Clinical and Experimental Medicine, Division of Children's and Women's health. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
2017 (English)In: Journal of Women's Health, ISSN 1540-9996, E-ISSN 1931-843XArticle in journal (Refereed) Epub ahead of print
Abstract [en]

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.

Place, publisher, year, edition, pages
MARY ANN LIEBERT, INC , 2017.
Keyword [en]
endometriosis; experience; hysterectomy; outcome; pelvic pain
National Category
Other Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-143941DOI: 10.1089/jwh.2017.6546ISI: 000417085200001PubMedID: 29148910OAI: oai:DiVA.org:liu-143941DiVA, id: diva2:1169734
Note

Funding Agencies|Swedish National Quality Registry of Gynecological Surgery; Swedish Government; Swedish Association of Local Authorities and Regions

Available from: 2017-12-29 Created: 2017-12-29 Last updated: 2018-04-10

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The full text will be freely available from 2018-12-01 10:22
Available from 2018-12-01 10:22

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Grundström, HannaAlehagen, SiwBerterö, CarinaKjölhede, Preben
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Division of Nursing ScienceFaculty of Medicine and Health SciencesDepartment of Gynaecology and Obstetrics in NorrköpingDivision of Children's and Women's healthDepartment of Gynaecology and Obstetrics in Linköping
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