Patient, surgeon, and hospital disparities associated with benign hysterectomy approach and perioperative complications Ambar Mehta, BS, Tim Xu, MPP,

Slides:

Advertisements

Similar presentations

Use of other treatments before hysterectomy for benign conditions in a statewide hospital collaborative Lauren E. Corona, BS, Carolyn W. Swenson, MD, Kyle.

Advertisements

Use of metformin in polycystic ovary syndrome Ruchi Mathur, MD, Carolyn J. Alexander, MD, Jacqueline Yano, MA, Bradley Trivax, MD, Ricardo Azziz, MD, MPH,

First pregnancies, live birth, and in vitro fertilization outcomes after transplantation of frozen-banked ovarian tissue with a human extracellular matrix.

Sling surgery for stress urinary incontinence in women: a systematic review and metaanalysis Megan O. Schimpf, MD, David D. Rahn, MD, Thomas L. Wheeler,

Management of severe anemia secondary to menorrhagia in a Jehovah's Witness: a case report and treatment algorithm Griselda Gutierrez, MD, FACOG, Joy.

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

Relationship between the time interval from antenatal corticosteroid administration until preterm birth and the occurrence of respiratory morbidity Femke.

Prevalence and factors associated with coinfection of human papillomavirus and Chlamydia trachomatis in adolescents and young women Dejan R. Nonato,

Changes in rates of hysterectomy and uterine conserving procedures for treatment of uterine leiomyoma Gavin F. Jacobson, MD, Ruth E. Shaber, MD, Mary.

Katherine Gabriel-Cox, MD, Gavin F

Auricular acupuncture as a treatment for pregnant women who have low back and posterior pelvic pain: a pilot study Shu-Ming Wang, MD, Peggy DeZinno,

Laura M. Glaser, MD, Farah A. Alvi, MD, MS, Magdy P. Milad, MD, MS

Efficacy of vaginal probiotic capsules for recurrent bacterial vaginosis: a double-blind, randomized, placebo-controlled study Wang Ya, MD, Cheryl Reifer,

Preeclampsia in healthy women and endothelial dysfunction 10 years later Miriam Kristine Sandvik, MD, PhD, Elisabeth Leirgul, MD, Ottar Nygård, MD, PhD,

Michael P. Diamond, MD, Richard S

Referral patterns between high- and low-volume centers and associations with uterine cancer treatment and survival: a population-based study of Medicare,

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

Warren Stevens, PhD, Tiffany Shih, PhD, Devin Incerti, PhD, Thanh G. N

Antioxidant supplementation and premature rupture of the membranes: a planned secondary analysis Joseph A. Spinnato, MD, Salvio Freire, MD, Joao Luiz.

Crown-rump length: are they different or similar after homologous vs heterologous oocyte/embryo donation? Ambra Iuculano, MD, Valentina Stagnati, MD,

Keith T. Chan, MD, Grace A. Tye, MD, Rita A. Popat, PhD, William T

Laparoscopic staging for apparent stage I epithelial ovarian cancer

Medical management of ectopic pregnancy with single-dose and 2-dose methotrexate protocols: human chorionic gonadotropin trends and patient outcomes

Nazema Y. Siddiqui, MD, Kevin J. Stepp, MD, Susan J

161: Maternal sleep health and fetal outcomes

Roy D. Ayalon, MD, Frederick Friedman, MD

Maternal mortality in the United States: predictability and the impact of protocols on fatal postcesarean pulmonary embolism and hypertension-related.

Myasis in uterine prolapse, successful treatment

Bleeding Toes in Diabetic Neuropathy

Utilization of second trimester maternal serum screening for down syndrome by advanced maternal age women Peter Benn, James Egan American Journal of.

Birgit T. B. G. Schjoldager, MD, DMSc, Emmeli Mikkelsen, MB, Malene R

A profile of Dr Edward J. Quilligan

Donald L. Fylstra, MD American Journal of Obstetrics & Gynecology

Stefania Bellone, PhD, Hemendrah R. Shah, MD, Jesse K

Comparison of metabolic and inflammatory outcomes in women who used oral contraceptives and the levonorgestrel-releasing intrauterine device in a general.

Steven W. Champaloux, PhD, MPH, Naomi K

Warren Stevens, PhD, Tiffany Shih, PhD, Devin Incerti, PhD, Thanh G. N

Melody Goodman, PhD, Ojiugo Onwumere, BS, Laurel Milam, MA, Jeffrey F

Murat Gonenc, MD, Mustafa U. Kalayci, MD, Ahmet N

Lauren Kwa, BA, Jonathan I. Silverberg, MD, PhD, MPH

Bleeding Toes in Diabetic Neuropathy

Trends in Comorbidity, Disability, and Polypharmacy in Heart Failure

Bertha Wong, MD, Muhammad M. Mamdani, PharmD, MPH, Catherine H

Tim McAlindon, MD, MPH, Margaret Formica, MSPH, Christopher H

30-Day Readmissions After an Acute Kidney Injury Hospitalization

Leslie R. Harrold, MD, MPH, Daniel Peterson, MS, Ashley J

Maria C. Raven, MD, MPH, Margot Kushel, MD, Michelle J

Schizophrenia for Primary Care Providers: How to Contribute to the Care of a Vulnerable Patient Population Mark Viron, MD, Travis Baggett, MD, MPH, Michele.

Multimorbidity in Middle-Aged Adults with Cerebral Palsy

Thomas E. MacMillan, MD, MSc, Terence Tang, MD, Rodrigo B

Effect of Tamsulosin on Stone Passage for Ureteral Stones: A Systematic Review and Meta-analysis Ralph C. Wang, MD, MAS, Rebecca Smith-Bindman, MD, Evans.

Michael A. LaMantia, MD, MPH, Frank C. Messina, MD, Cherri D

Tick Tock The American Journal of Medicine

Jessica L. Lee, MD, MS, Esther S. Oh, MD, Rebecca W. Lee, MD, Thomas E

Treatment of hepatitis C

A Patient-Centered Early Warning System to Prevent Readmission after Colorectal Surgery: A National Consensus Using the Delphi Method Linda T. Li, MD,

Robotic-assisted surgery in gynecologic oncology

Creating Individual Surgeon Performance Assessments in a Statewide Hospital Surgical Quality Improvement Collaborative Christopher M. Quinn, MS, Karl.

Scope of Problem of Pulmonary Arterial Hypertension

Yader Sandoval, MD, Stephen W. Smith, MD, Sara A

Timing of Complications and Length of Stay after Rectal Cancer Surgery

John-Michael Gamble, BScPharm, MSc, Dean T. Eurich, PhD, Thomas J

Purple Urinary Bag Syndrome

A Post-cure Complication

Acute Reperfusion Therapy in ST-Elevation Myocardial Infarction from

Primary Care Management of Skin Abscesses Guided by Ultrasound

Trends in Prolonged Hospitalizations in the United States from 2001 to 2012: A Longitudinal Cohort Study Lauren Doctoroff, MD, Douglas J. Hsu, MD, Kenneth.

Rebecca D. Chason, Joan S. Reisch, PhD, Don C. Rockey, MD

Longer Lengths of Stay and Higher Risk of Mortality among Inpatients of Physicians with More Years in Practice William N. Southern, MD, MS, Eran Y. Bellin,

Jay S. Kaufman, PhD, Sam Harper, PhD The American Journal of Medicine

Presentation transcript:

Patient, surgeon, and hospital disparities associated with benign hysterectomy approach and perioperative complications Ambar Mehta, BS, Tim Xu, MPP, Susan Hutfless, PhD, Martin A. Makary, MD, MPH, Abdulrahman K. Sinno, MD, Edward J. Tanner, MD, Rebecca L. Stone, MD, Karen Wang, MD, Amanda N. Fader, MD American Journal of Obstetrics & Gynecology Volume 216, Issue 5, Pages 497.e1-497.e10 (May 2017) DOI: 10.1016/j.ajog.2016.12.020 Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure 1 Inclusion and exclusion criteria for study population We identified 5660 patients that met our inclusion and exclusion criteria. ED, emergency department; OB/GYN, obstetrics and gynecology. Mehta et al. Disparities associated with benign hysterectomy approach and complications. Am J Obstet Gynecol 2017. American Journal of Obstetrics & Gynecology 2017 216, 497.e1-497.e10DOI: (10.1016/j.ajog.2016.12.020) Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure 2 Procedure variation for hysterectomies Hysterectomies performed in Maryland from July 2012 through September 2014 had marked variation in operative type. More than half were performed open (61%), followed by laparoscopic (18%), vaginal (11%), and robotic (10%). Mehta et al. Disparities associated with benign hysterectomy approach and complications. Am J Obstet Gynecol 2017. American Journal of Obstetrics & Gynecology 2017 216, 497.e1-497.e10DOI: (10.1016/j.ajog.2016.12.020) Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure 3 Proportion of physicians performing only open hysterectomies by surgeon volume group Mehta et al. Disparities associated with benign hysterectomy approach and complications. Am J Obstet Gynecol 2017. American Journal of Obstetrics & Gynecology 2017 216, 497.e1-497.e10DOI: (10.1016/j.ajog.2016.12.020) Copyright © 2017 Elsevier Inc. Terms and Conditions