Alex Bottle1, Paul Aylin. 1. Dr Foster Unit at Imperial, Department of Epidemiology and Piblic Health, Imperial College London, London W2 1PG, UK.
Abstract
OBJECTIVE: To examine variations between regions and hospitals in the proportion of hysterectomies performed abdominally. DESIGN: Analysis of routine hospital data. SETTING: All National Health Service hospitals in England. POPULATION: Women aged 18+ hospitalised between April 1998 and March 2001. METHODS: Logistic regression, adjusting for age and diagnosis. MAIN OUTCOME MEASURE: Use of the abdominal rather than the vaginal route. RESULTS: The adjusted proportion of hysterectomies performed abdominally varied from 75-89% between regions, and from 25-99% between hospitals. Diagnosis accounted for nearly a third of the total variation, dwarfing the contributions of age and hospital. About two-thirds of the variation remained unaccounted for. CONCLUSION: Despite evidence suggesting that the majority of hysterectomies may be performed vaginally, very few English trust match this.
OBJECTIVE: To examine variations between regions and hospitals in the proportion of hysterectomies performed abdominally. DESIGN: Analysis of routine hospital data. SETTING: All National Health Service hospitals in England. POPULATION: Women aged 18+ hospitalised between April 1998 and March 2001. METHODS: Logistic regression, adjusting for age and diagnosis. MAIN OUTCOME MEASURE: Use of the abdominal rather than the vaginal route. RESULTS: The adjusted proportion of hysterectomies performed abdominally varied from 75-89% between regions, and from 25-99% between hospitals. Diagnosis accounted for nearly a third of the total variation, dwarfing the contributions of age and hospital. About two-thirds of the variation remained unaccounted for. CONCLUSION: Despite evidence suggesting that the majority of hysterectomies may be performed vaginally, very few English trust match this.
Authors: Jil B Mamza; Rebecca S Geary; Jan H van der Meulen; Ipek Gurol Urganci; Dina El-Hamamsy; David A Cromwell; Jonathan Duckett; Ash Monga; Philip Toozs-Hobson; Tahir Mahmood; Andrew Wilson; Douglas G Tincello Journal: BMJ Open Date: 2019-08-28 Impact factor: 2.692