Salpingectomy as standard at hysterectomy? A Danish cohort study, 1977–2010
| Autor: | Charlotte Wessel Skovlund, Sonja Wehberg, Øjvind Lidegaard, Ole Mogensen, Rikke Guldberg |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Gynecology
medicine.medical_specialty Both fallopian tubes Sterilisation animal structures Hysterectomy Proportional hazards model business.industry medicine.medical_treatment Research Outcome measures General Medicine female genital diseases and pregnancy complications Gynaecology Salpingectomy Obstetrics and Gynaecology medicine business Chort study Cohort study |
| Zdroj: | BMJ Open Guldberg, R, Wehberg, S, Skovlund, C W, Mogensen, O & Lidegaard, O 2013, ' Salpingectomy as standard at hysterectomy? A Danish cohort study, 1977-2010 ', BMJ Open, vol. 3, no. 6, pp. e002845 . https://doi.org/10.1136/bmjopen-2013-002845 |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2013-002845 |
| Popis: | Objective: To assess if the risk of first-time salpingectomy was affected by prior hysterectomy with retained fallopian tubes and by prior sterilisation. Design: A historical cohort study. Setting: Denmark. Participants: 170 000 randomly selected women born 1947–1963 (10 000/year) were followed from 1977 until the end of 2010. Main outcome measures: Effect of hysterectomy with retained fallopian tubes or sterilisation on the risk of salpingectomy. Both were modelled in a Cox proportional hazards model as time-dependent covariates, analysing time to first salpingectomy. End of follow-up period was 31 December 2010. Results: Of 9591 hysterectomies, 6456 (67.3%) had both fallopian tubes retained. HRs for salpingectomy after hysterectomy with retained fallopian tubes and sterilisation were 2.13 (95% 1.88 to 2.42) and 2.42 (2.21 to 2.64), as compared with those for non-hysterectomised and non-sterilised women. Conclusions: Women undergoing hysterectomy with retained fallopian tubes or sterilisation have at least a doubled risk of subsequent salpingectomy. Removal of the fallopian tubes at hysterectomy should therefore be recommended. |
| Databáze: | OpenAIRE |
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