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Disparities in Route of Hysterectomy & Complications

Obstet Gynecol; ePub 2018 Dec 4; Alexander, et al

When compared with white women, black women undergoing hysterectomy for benign indications undergo a higher proportion of open surgery and have more surgical complications, a new study found. The cohort study included 15,136 women who underwent hysterectomy for benign indications (75% white, 25% black). The primary outcome was route of hysterectomy and the secondary outcome was postoperative complication. Researchers found:

  • Black women were more likely to undergo an open hysterectomy than white women (~50% vs 23%).
  • Black women also experienced more major complications than white women (4.1% vs 2.3%) and more minor complications.
  • These disparities persisted after adjusting for confounding medical, surgical, and gynecological factors.

Citation:

Alexander AL, Strohl AE, Rieder S, Holl J, Barber EL. Examining disparities in route of surgery and postoperative complications in black race and hysterectomy. [Published online ahead of print December 4, 2018]. Obstet Gynecol. doi:10.1097/AOG.0000000000002990.