To describe conditions regarding hysterectomy for benign indications during the past 35 years in Denmark.
Population-based register study of 167,802 women who underwent hysterectomy for benign conditions in the period 1977–2011. Patient data regarding operative techniques, hospitalization, indications, patient age, and geography were extracted from the Danish National Patient Register.
The overall rate of hysterectomy was around 180/100,000 woman years during the period. A rise in laparoscopic and vaginal hysterectomy was seen at the expense of abdominal hysterectomy. The indication of pelvic organ prolapse and abnormal uterine bleeding increased while the indication of fibroids decreased. The average age of women at time of hysterectomy increased from 46 years in 1977–1981 to 50 years in 2006–2011. The mean number of hospitalization days was reduced by 75%. Regional differences were detected regarding route of hysterectomy and hospitalization.
This study demonstrates a change in the pattern of indications for hysterectomy, increased age of the affected women, reduced length of stay in the hospital, and a rise in the percentage of minimal invasive surgical procedures.
Abbreviations:AUB (abnormal uterine bleeding), POP (pelvic organ prolapse)
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to European Journal of Obstetrics and Gynecology and Reproductive Biology
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Steering committee of Danish hysterectomy database, use of vaginal hysterectomy in Denmark: rates, indications and patient characteristics.Acta Obstet Gynecol Scand. 2011; 90: 978-984
- Hysterectomy on benign indication in Denmark 1988–1998. A register based trend analysis.Acta Obstet Gynecol Scand. 2001; 80: 267-272
- Hysterectomy, endometrial ablation, and levonorgestrel releasing intrauterine system (Mirena) for treatment of heavy menstrual bleeding: cost effectiveness analysis.BMJ. 2011; 342: d2202
- Review of nonsurgical/minimally invasive treatments for uterine fibroids.Curr Opin Obstet Gynecol. 2012; 24 (1040-872X): 368
- Hysterectomy on benign indications in Sweden 1987–2003: a nationwide trend analysis.Acta Obstet Gynecol Scand. 2009; 88: 52-58
- Health statistics in the Nordic countries.2011 (http://nomesco-eng.nom-nos.dk/filer/publikationer/Helsstat%202011.pdf)
- Hysterectomy in Germany: a DRG-based nationwide analysis, 2005–2006.Dtsch Arztebl Int. 2011; 108: 508-514
- Hysterectomy surveillance in the United States, 1997 through 2005.Med Sci Monit. 2008; 14: CR24-CR31
- Hysterectomy rates for benign indications.Obstet Gynecol. 2006; 107: 1278-1283
- Regional and temporal variation in hysterectomy rates and surgical routes for benign diseases in the Netherlands.Acta Obstet Gynecol Scand. 2012; 91: 220-225
- Surgical approach to hysterectomy for benign gynaecological disease.Cochrane Database Syst Rev. 2009; 3: CD003677
- Reducing the hospital stay following vaginal hysterectomy.Obstet Gynecol. 1977; 49: 570-575
- Fast track hysterectomy.Eur J Obstet Gynecol Reprod Biol. 2001; 98: 18-22
- Same-day discharge after laparoscopic hysterectomy.Acta Obstet Gynecol Scand. 2012; 91: 1339-1341
- Vaginal hysterectomy, an outpatient procedure.Acta Obstet Gynecol Scand. 2012; 91: 1293-1299
- The national patient registry as a tool for continuous production and quality control.Ugeskr Laeger. 2002; 164: 4420-4423
- Establishment of a national Danish hysterectomy database: preliminary report on the first 13,425 hysterectomies.Acta Obstet Gynecol Scand. 2008; 87: 546-557
- The prevalence of women with hysterectomies among the Danish population in 1983.Ugeskr Laeger. 1987; 149: 615-619
- The risk of vesicovaginal and urethrovaginal fistula after hysterectomy performed in the English National Health Service—a retrospective cohort study examining patterns of care between 2000 and 2008.BJOG. 2012; 119: 1447-1454
- Inpatient hysterectomy surveillance in the United States, 2000–2004.Am J Obstet Gynecol. 2008; 198: e1-e7
- Comparability of perioperative morbidity between abdominal myomectomy and hysterectomy for women with uterine leiomyomas.Am J Obstet Gynecol. 2000; 183: 1448-1455
- Hysterectomy in Danish women: weight-related factors, psychologic factors, and life-style variables.Obstet Gynecol. 1996; 88: 99-105
- Pelvic organ prolapse surgery in Denmark from 1977–2009.in: NFOG PS03.4, 17–19 June 20122012
- Changing hysterectomy technique from open abdominal to laparoscopic: new trend in Oslo, Norway.J Minim Invasive Gynecol. 2007; 14: 74-77
- Årsrapport 2009/2010.2011 (http://www.dsog.dk/files/Aarsrapport_DHD_2009_2010.pdf)
- Hysterektomi på benign indikation.2011 (http://www.dsog.dk/hindsgavl/Hysterektomi_guideline_211111%20E1.pdf)
- Hysterectomy – a comparison of approaches.Dtsch Arztebl Int. 2010; 107: 353-359
- Socioeconomic factors may influence the surgical technique for benign hysterectomy.Dan Med J. 2012; 59: A4440
Published online: September 26, 2013
Accepted: September 11, 2013
Received in revised form: August 2, 2013
Received: April 22, 2013
© 2013 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.