Women May Be Receiving Unnecessary Hysterectomies
(HealthDay News) — In many cases, treatments other than hysterectomies could be offered to women with benign gynecologic conditions, according to research published online December 23 in the American Journal of Obstetrics & Gynecology.
Lauren E. Corona, of Wayne State University in Detroit, and colleagues analyzed data for 3,397 women who underwent hysterectomies for benign indications, including uterine fibroids, abnormal uterine bleeding (AUB), endometriosis, or pelvic pain, at 52 hospitals in a statewide collaborative.
The researchers found that no alternative treatment was documented prior to hysterectomy for 37.7% of patients. Alternative treatment was significantly more likely to be considered for women <40 years (68%) than for those aged 40–50 years (62%) or those >50 years (56%). Unsupportive pathology for hysterectomy was found in 18.3% of patients. Unsupportive pathology was more frequently found in women <40 years, in those with indications of endometriosis or pelvic pain, and in those with smaller uteri.
"This study provides evidence that alternatives to hysterectomy are underutilized in women undergoing hysterectomy for AUB, uterine fibroids, endometriosis, or pelvic pain," the authors write.
One author disclosed financial ties to the biomedical industry.