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.
This Week's Must Reads
Term Cesarean Delivery & Subsequent Preterm Delivery, Am J Obstet Gynecol; ePub 2019 Feb 22; Vahanian, et al
Bleeding and Spotting with the LNG 13.5 mg IUS, Contraception; ePub 2019 Mar 1; Shimoni, et al
Apical Suspension at the Time of Vaginal Hysterectomy, Female Pelvic Med Reconstr Surg; ePub 2019 Feb 21; Sheyn, et al
Must Reads in Surgery
Activity After Gynecologic & Pelvic Reconstructive Surgery, Female Pelvic Med Reconstr Surg; ePub 2019 Jan 30; Winkelman, et al
Overactive Bladder Symptoms After POP Surgery, Female Pelvic Med Reconstr Surg; ePub 2019 Jan 23; Johnson, et al
POP and UI Knowledge in Bariatric Surgery, Female Pelvic Med Reconstr Surg; ePub 2019 Jan 11; Paka, et al
Robotic-Assisted Gynecologic Surgery in Elderly Patients, Am J Obstet Gynecol; ePub 2018 Dec 14; Madden, et al