Evidence map›Paper›PMID 17346525›Full record

ArticleAmerican journal of obstetrics and gynecology2007

Decreasing utilization of hysterectomy: a population-based study in Olmsted County, Minnesota, 1965-2002.

Ebenezer O Babalola, Adil E Bharucha, Cathy D Schleck, John B Gebhart, Alan R Zinsmeister, L Joseph Melton

Registry-linked trialAbstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01074229 (The Effect of Pre-operative Transversus Abdominis Plane), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01074229 nacompletednot on this mapstarted 2010, after this paper: background citation

The Effect of Pre-operative Transversus Abdominis Plane (TAP) Block in the Quality of Recovery of Patients Undergoing Laparoscopic Hysterectomy: a Prospective, Randomized, Blinded Study

TypeinterventionalSponsorNorthwestern UniversityRan2010 to 2010Enrolled75ConditionsPostoperative PainArmsPlacebo, Drug .5% Ropivacaine, 20 cc of 0.25% ropivacaine
3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Uterine Factor Infertility, a Systematic Review.Journal of clinical medicine · 2022
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Risk of oophorectomy after hysterectomy.Obstetrics and gynecology · 2013
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
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  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ebenezer O BabalolaDepartment of Obstetrics and Gynecology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
Adil E Bharucha
Cathy D Schleck
John B Gebhart
Alan R Zinsmeister
L Joseph Melton

Funding

SEX STEROIDS, GROWTH FACTORS, &BONE CELL FUNCTIONP01AG004875 · NIA · MAYO CLINIC ROCHESTER · PI MONROE, DAVID G · 1985 to 2019
$30.8M
ROCHESTER EPIDEMIOLOGY PROJECTR01AR030582 · NIAMS · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A · 1986 to 2009
$5.1M
Epidemiology and Mechanisms of Fecal IncontinenceR01HD041129 · NICHD · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · PI BHARUCHA, ADIL E. · 2001 to 2005
$1.5M
NIAMS NIH HHS AR 30582NIAMS NIH HHS R01 AR030582NIA NIH HHS AG 04875NIA NIH HHS P01 AG004875NICHD NIH HHS HD 41129NICHD NIH HHS R01 HD041129
6 · The paper itself

Abstract

objectiveThe purpose of this study was to assess temporal trends for hysterectomy among Olmsted County, Minnesota women. STUDY

designUsing the Rochester Epidemiology Project database, we identified all county residents undergoing a hysterectomy in 1965-2002. Temporal changes in the utilization (incidence) rate, type, diagnostic indications, and age at surgery were assessed.

resultsBetween 1965 and 2002, 6152 women had a hysterectomy alone, whereas 3126 women had, in addition, a pelvic floor repair; the age-adjusted utilization rate for hysterectomy alone and for combined procedures declined (P < .0001) by 13% and 63%, respectively. Except for subjects aged 75-85 years, this decline affected every age group. The distribution of vaginal (56%) and abdominal (44%) procedures differed across indications. Uterine leiomyomata, precancerous conditions, and genital prolapse accounted for 28%, 23%, and 12% of all procedures, respectively.

conclusionAmong community women, the utilization rate, age distribution, and indications for a hysterectomy changed substantially between 1965 and 2002.

Indexed as

AdultAgedAged, 80 and overFemaleHumansHysterectomyMiddle AgedMinnesota

Identifiers

PMID17346525
PMCPMC2596725

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.