Uterine artery embolization vs hysterectomy in the treatment of symptomatic uterine fibroids: 5-year outcome from the randomized EMMY trial Sanne M.

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Presentation transcript:

Uterine artery embolization vs hysterectomy in the treatment of symptomatic uterine fibroids: 5-year outcome from the randomized EMMY trial Sanne M. van der Kooij, MD, Wouter J.K. Hehenkamp, MD, PhD, Nicole A. Volkers, MD, PhD, Erwin Birnie, PhD, Willem M. Ankum, MD, PhD, Jim A. Reekers, MD, PhD American Journal of Obstetrics & Gynecology Volume 203, Issue 2, Pages 105.e1-105.e13 (August 2010) DOI: 10.1016/j.ajog.2010.01.049 Copyright © 2010 Terms and Conditions

FIGURE 1 Trial profile Profile represents the flow of patients through the trial. MRI, magnetic resonance imaging; UAE, uterine artery embolization. van der Kooij. UAE vs hysterectomy for uterine fibroids. Am J Obstet Gynecol 2010. American Journal of Obstetrics & Gynecology 2010 203, 105.e1-105.e13DOI: (10.1016/j.ajog.2010.01.049) Copyright © 2010 Terms and Conditions

FIGURE 2 Kaplan-Meier curve for preservation of the uterus after UAE Curve represents preservation of the uterus after UAE. Censored means that a patient was lost to follow up and had not undergone a hysterectomy before the last follow-up moment. UAE, uterine artery embolization. van der Kooij. UAE vs hysterectomy for uterine fibroids. Am J Obstet Gynecol 2010. American Journal of Obstetrics & Gynecology 2010 203, 105.e1-105.e13DOI: (10.1016/j.ajog.2010.01.049) Copyright © 2010 Terms and Conditions

FIGURE 3 Wiklund score The graph represents the Wiklund score for menopausal symptoms until 5 years of follow up. Scores range from 0–51; the higher scores represent more serious menopausal symptoms. UAE, uterine artery embolization. van der Kooij. UAE vs hysterectomy for uterine fibroids. Am J Obstet Gynecol 2010. American Journal of Obstetrics & Gynecology 2010 203, 105.e1-105.e13DOI: (10.1016/j.ajog.2010.01.049) Copyright © 2010 Terms and Conditions

FIGURE 4 Graphs show scores until 5 years of follow-up evaluation A, Short Form 36 (SF-36): Mental Component Summary: scores range from 0–100 (higher scores mean a better mental quality of life); B, Short Form 36 (SF-36): Physical Component Summary; scores range from 0–100 (higher scores mean a better physical quality of life); C, Urogenital Distress Inventory (UDI): scores range from 0–100 (higher scores indicate worse functioning); D, Defecation Distress Inventory (DDI): scores range from 0–100 (higher scores indicate worse functioning). UAE, uterine artery embolization. van der Kooij. UAE vs hysterectomy for uterine fibroids. Am J Obstet Gynecol 2010. American Journal of Obstetrics & Gynecology 2010 203, 105.e1-105.e13DOI: (10.1016/j.ajog.2010.01.049) Copyright © 2010 Terms and Conditions