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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.


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.