Uterine artery embolization vs hysterectomy in the treatment of symptomatic uterine fibroids: 10-year outcomes from the randomized EMMY trial Annefleur.

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Uterine artery embolization vs hysterectomy in the treatment of symptomatic uterine fibroids: 10-year outcomes from the randomized EMMY trial Annefleur M. de Bruijn, MD, Willem M. Ankum, MD, PhD, Jim A. Reekers, MD, PhD, Erwin Birnie, PhD, Sanne M. van der Kooij, MD, PhD, Nicole A. Volkers, MD, PhD, Wouter J.K. Hehenkamp, MD, PhD American Journal of Obstetrics & Gynecology Volume 215, Issue 6, Pages 745.e1-745.e12 (December 2016) DOI: 10.1016/j.ajog.2016.06.051 Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 1 Patient flow through trial and follow-up period UAE, uterine artery embolization. de Bruijn et al. Embolization vs hysterectomy in uterine fibroid treatment: 10-year outcome. Am J Obstet Gynecol 2016. American Journal of Obstetrics & Gynecology 2016 215, 745.e1-745.e12DOI: (10.1016/j.ajog.2016.06.051) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 2 Kaplan-Meier curve for preservation of the uterus after uterine artery embolization Hysterectomy-free survival for uterine artery embolization patients. de Bruijn et al. Embolization vs hysterectomy in uterine fibroid treatment: 10-year outcome. Am J Obstet Gynecol 2016. American Journal of Obstetrics & Gynecology 2016 215, 745.e1-745.e12DOI: (10.1016/j.ajog.2016.06.051) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 3 Graphs show health relasted quality of life scores through 10 years of follow-up For Short Form (SF)-36 mental and physical component summaries, higher scores indicate better functioning; for urogenital distress inventory (UDI) and defecation distress inventory (DDI), higher scores indicate worse functioning. UAE, uterine artery embolization. de Bruijn et al. Embolization vs hysterectomy in uterine fibroid treatment: 10-year outcome. Am J Obstet Gynecol 2016. American Journal of Obstetrics & Gynecology 2016 215, 745.e1-745.e12DOI: (10.1016/j.ajog.2016.06.051) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 4 Wiklund score for menopausal symptoms through 10 years of follow-up Wiklund score for menopausal symptoms through 10 years of follow-up. Higher scores indicate more menopausal symptoms. UAE, uterine artery embolization. de Bruijn et al. Embolization vs hysterectomy in uterine fibroid treatment: 10-year outcome. Am J Obstet Gynecol 2016. American Journal of Obstetrics & Gynecology 2016 215, 745.e1-745.e12DOI: (10.1016/j.ajog.2016.06.051) Copyright © 2016 Elsevier Inc. Terms and Conditions