Research Article
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Published Online: 1 May 2018

Impact of Pelvic Pain and Endometriosis on Patient-Reported Outcomes and Experiences of Benign Hysterectomy: A Study from the Swedish National Register for Gynecological Surgery

Publication: Journal of Women's Health
Volume 27, Issue Number 5

Abstract

Background: The study objective was to analyze and compare patient-reported experience measures (PREMs) and patient-reported outcome measures (PROMs) after hysterectomy in women with and without a preoperative complaint of pelvic pain associated with and without a confirmed diagnosis of endometriosis.
Methods: Retrospective nationwide register study. Data on 28,776 hysterectomies performed on benign indication between 2004 and 2016 were retrieved from the Swedish National Register for Gynecological Surgery. Multivariable logistic regression models were used to compare the PREMs and PROMs items. The results are presented as adjusted odds ratios (aORs) and 95% confidence intervals (CI).
Results: Regardless of the occurrence of pelvic pain preoperatively and a diagnosis of endometriosis, 1 year after surgery, the women were satisfied or very satisfied (>90%) with the hysterectomy, and their medical condition was improved or much improved (>95%). The women with a preoperative complaint of pelvic pain and endometriosis more often reported excessively short hospital stays (aOR 1.45, 95% CI 1.17–1.79), more severe complications after discharge (aOR 2.02, 95% CI 1.59–2.66) at the 8-week follow-up and at the 1-year follow-up (aOR 2.31, 95% CI 1.57–3.39), and more dissatisfaction with the operation (aOR 1.83, 95% CI 1.35–2.48) than preoperative pelvic pain-free women without endometriosis at the 1-year follow-up.
Conclusions: The majority of the women were satisfied after their hysterectomy. The women with pelvic pain and endometriosis were at a higher risk of being dissatisfied. Pelvic pain per se seemed to be the main factor affecting the rating in the PREMs and PROMs, and the endometriosis was a significant contributing factor.

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Information

Published In

cover image Journal of Women's Health
Journal of Women's Health
Volume 27Issue Number 5May 2018
Pages: 691 - 698
PubMed: 29148910

History

Published in print: May 2018
Published online: 1 May 2018
Published ahead of print: 17 November 2017

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Hanna Grundström, RNM
Department of Obstetrics and Gynecology, Vrinnevi Hospital, Norrköping, Sweden.
Department of Medical and Health Sciences, Faculty of Medicine and Health Science, Linköping University, Linköping, Sweden.
Siw Alehagen, RNM, PhD
Department of Medical and Health Sciences, Faculty of Medicine and Health Science, Linköping University, Linköping, Sweden.
Carina Berterö, RNT, BSc, MScN, PhD
Department of Medical and Health Sciences, Faculty of Medicine and Health Science, Linköping University, Linköping, Sweden.
Preben Kjølhede, MD, PhD
Department of Obstetrics and Gynecology, Faculty of Medicine and Health Science, Linköping University, Linköping, Sweden.
Department of Clinical and Experimental Medicine, Faculty of Medicine and Health Science, Linköping University, Linköping, Sweden.

Notes

Address correspondence to:Hanna Grundström, RNMDepartment of Obstetrics and GynecologyVrinnevi HospitalNorrköping SE-601 82Sweden
E-mail: [email protected]

Author Disclosure Statement

No competing financial interests exist.

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