Abstract | OBJECTIVE: This investigation compared the outcomes of vaginal and laparoscopic hysterectomies for nonprolapsed benign indications in older women. METHODS: We conducted a population-based, retrospective propensity score-matched cohort study using data from the Taiwan's National Health Insurance program. Women who were aged 65 years or older with vaginal hysterectomy (nā=ā290) were compared with women who had laparoscopic hysterectomy for nonprolapsed benign indications (nā=ā290). Propensity score was calculated based on both patient- (age, socioeconomic status, residential urbanicity, comorbidity, status of any prior catastrophic illness, surgical diagnosis, and year of hysterectomy) and provider-related characteristics (physician's age and sex, hospital accreditation level, and ownership type). RESULTS: CONCLUSIONS:
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Authors | Jerry Cheng-Yen Lai, Hung-Hui Chen, Sheng-Miauh Huang, Kung-Liahng Wang, Nicole Huang, Hsiao-Yun Hu, Yiing-Jenq Chou |
Journal | Menopause (New York, N.Y.)
(Menopause)
Vol. 23
Issue 11
Pg. 1233-1238
(11 2016)
ISSN: 1530-0374 [Electronic] United States |
PMID | 27465711
(Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Age Factors
- Aged
- Cohort Studies
- Female
- Humans
- Hysterectomy
(adverse effects, methods, mortality)
- Hysterectomy, Vaginal
(adverse effects)
- Intraoperative Complications
(epidemiology)
- Laparoscopy
(adverse effects)
- Length of Stay
- Patient Readmission
(statistics & numerical data)
- Postoperative Complications
(epidemiology)
- Propensity Score
- Retrospective Studies
- Taiwan
(epidemiology)
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