Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Hysterectomy Performed by Very Low-Volume Surgeons

Obstet Gynecol; ePub 2018 May 7; Ruiz, et al

Performance of hysterectomy by very low-volume surgeons is associated with increased morbidity, mortality, and resource utilization, a new study found. All women who underwent hysterectomy in New York State from 2000 to 2014 were examined. Surgeons were classified based on the average annual procedural volume as very low-volume surgeons if they performed 1 procedure per year. Among the study details:

  • Among 434,125 women who underwent hysterectomy, very low-volume surgeons accounted for 3,197 (41.0%) of the surgeons performing the procedures and operated on 4,488 (1.0%) of the patients.
  • The overall complication rates were 32.0% for patients treated by very low-volume surgeons compared with 9.9% for those treated by other surgeons.
  • Patients treated by very low-volume surgeons were also more likely to have a prolonged length of stay (62.0% vs 22.0%) and excessive hospital charges compared with higher volume surgeons.


Ruiz M, Chen L, Hou JY, et al. Outcomes of hysterectomy performed by very low-volume surgeons. Obstet Gynecol. 2018;131(6):981-990. doi:10.1097/AOG.0000000000002597.

This Week's Must Reads

ACOG Guidelines: Pregestational Diabetes Mellitus, Obstet Gynecol; ePub 2018 Dec; ACOG, et al

Infertility, Metabolic Dysfunction & CV Events, Fertil Steril; ePub 2018 Nov 17; Gleason, et al

Barriers to Contraception After Vaginal Delivery, Contraception; ePub 2018 Nov 19; Flink-Bochacki, et al

Sleep Disturbance After Surgical Menopause, Menopause; ePub 2018 Nov 12; Cho, Kim, et al

NSAID Administration & Postpartum Blood Pressure, Obstet Gynecol; ePub 2018 Nov 5; Anastasio, et al

Must Reads in Gynecology

Management of Early Pregnancy Loss, Obstet Gynecol; ePub 2018 Nov; ACOG

ACOG: Well-Women Visits Can Minimize Health Risks, Obstet Gynecol; 2018 Oct; ACOG, et al

Uterine Weight & Complications After Hysterectomy, Am J Obstet Gynecol; ePub 2018 Jun 27; Louie, et al

New Persistent Opioid Use After Hysterectomy, Am J Obstet Gynecol; ePub 2018 Jun 18; Swenson, et al

Infection Prevention After Gynecologic Procedures, Obstet Gynecol; ePub 2018 Jun; Soper, Chelmow, et al