Minimally invasive hysterectomy for gynecologic malignancies remains underused in the US, while racial disparities associated with use of minimally invasive hysterectomy for uterine and cervical cancers persists, according to a cross-sectional analysis of 46,450 hysterectomies gynecologic malignancy performed in the US in 2012. More than half of these hysterectomies were performed through the abdominal approach. The study revealed:
• 61% of hysterectomies were performed for uterine, 9% for cervical, 27% for ovarian cancer, and 3% for other gynecologic malignancies.
• Minimally invasive hysterectomy was used in 50% of uterine, 43% of cervical, and 8.5% of ovarian cancer cases.
• Black women had decreased odds of undergoing minimally invasive hysterectomy for uterine (OR=0.50), and cervical (OR=0.56) cancers.
• As compared with the Northeast, patients in the South (OR=0.72) were less likely to undergo minimally invasive hysterectomy for uterine cancer, whereas those in the West were more likely (OR=1.48).
Citation: Esselen KM, Vitonis A, Einarsson J, et al. Health care disparities in hysterectomy for gynecologic cancers. [Published online ahead of print October 5, 2015]. Obstet Genecol. doi: 10.1097/AOG.0000000000001088.
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