ArticleObstetrics and gynecology2009
Nationwide use of laparoscopic hysterectomy compared with abdominal and vaginal approaches.
Article in Obstetrics and gynecology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 68 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
Pilot Study on the Pre-operative Use of Ulipristal on Fibroid in Chinese Population
Barbed vs Standard Suture for Laparoscopic Vaginal Cuff Closure
Who cites it
68 citing papers in PubMed, 4 syntheses or guidelines pooled it, 262 citations in OpenAlex.
- Age at Iatrogenic Menopause and Cardiovascular Morbidity and Mortality: A Systematic Review and Meta-Analysis.JAMA network open · 2026Pooled it
- Health Care Disparities in Patients Undergoing Hysterectomy for Benign Indications: A Systematic Review.Obstetrics and gynecology · 2023Pooled it
- The real experience with women's hysterectomy: A meta-synthesis of qualitative research evidence.Nursing open · 2023Pooled it
- Symptomatic Fibroid Management: Systematic Review of the Literature.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- Trial
- [Comparison of pressure-controlled volume-guaranteed ventilation and volume-controlled ventilation in obese patients during gynecologic laparoscopic surgery in the Trendelenburg position].Brazilian journal of anesthesiology (Elsevier)Trial
- Comparative analysis of postoperative outcomes following hysterectomy versus sacrocolpopexy: Insights from global federated health research network.European journal of obstetrics & gynecology and reproductive biology: X · 2025Article
- Applying social vulnerability index to examine social disparities in patients undergoing hysterectomy.AJOG global reports · 2025Article
- Effects of abdominal, vaginal, and laparoscopic hysterectomies on total oxidant/antioxidant levels: A prospective observational study.Medicine · 2025Observational
- A comparative analysis of hysterectomy outcomes: robotic single-port vs. traditional transvaginal NOTES approaches.Frontiers in medicine · 2025Article
- Trends of Minimally Invasive Hysterectomy: Five Years of Experience.Obstetrics and gynecology international · 2025Article
- Are There Racial Disparities in Perioperative Pain? A Retrospective Study of a Gynecological Surgery Cohort.Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · 2024Article
- Hysteropexy and Anterior Vaginal Native Tissue Repair in Women with Anterior and Central Compartment Prolapse: A Long Term Follow-Up.Journal of clinical medicine · 2023Article
- Association between hysterectomy status and stroke risk and cause-specific and all-cause mortality: evidence from the 2005-2018 National Health and Nutrition Examination Survey.Frontiers in neurology · 2023Article
- The Prevalence, Indications, Outcomes of the Most Common Major Gynecological Surgeries in Kazakhstan and Recommendations for Potential Improvements into Public Health and Clinical Practice: Analysis of the National Electronic Healthcare System (2014-2019).International journal of environmental research and public health · 2022Article
- Predicting major complications in patients undergoing laparoscopic and open hysterectomy for benign indications.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022Article
- Trends and predictors of hysterectomy prevalence among women in the United States.American journal of obstetrics and gynecology · 2022Article
- Small Bowel in Vagina: A Case for Pelvic Exams.Cureus · 2021Article
- Robotic versus laparoscopic hysterectomy; comparison of early surgical outcomesJournal of the Turkish German Gynecological Association · 2020Article
- Direct cost of hysterectomy: comparison of robotic versus other routes.Journal of robotic surgery · 2020Article
8 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo examine factors associated with undergoing laparoscopic hysterectomy compared with abdominal hysterectomy or vaginal hysterectomy.
methodsThis is a cross-sectional analysis of the 2005 Nationwide Inpatient Sample. All women aged 18 years or older who underwent hysterectomy for a benign condition were included. Multivariable analyses were used to examine demographic, clinical, and health-system factors associated with each hysterectomy route.
resultsAmong 518,828 hysterectomies, 14% were laparoscopic, 64% abdominal, and 22% vaginal. Women older than 35 years had lower rates of laparoscopic than abdominal (odds ratio [OR] 0.85, 95% confidence interval [CI] 0.77-0.94 for age 45-49 years) or vaginal hysterectomy (OR 0.61, 95% CI 0.540.69 for age 45-49 years). The odds of laparoscopic compared with abdominal hysterectomy were higher in the West than in the Northeast (OR 1.77, 95% CI 1.2-2.62). African-American, Latina, and Asian women had 40-50% lower odds of laparoscopic compared with abdominal hysterectomy (P<.001). Women with low income, Medicare, Medicaid, or no health insurance were less likely to undergo laparoscopic than either vaginal or abdominal hysterectomy (P<.001). Women with leiomyomas (P<.001) and pelvic infections (P<.001) were less likely to undergo laparoscopic than abdominal hysterectomy. Women with leiomyomas (P<.001), endometriosis (P<.001), or pelvic infections (P<.001) were more likely to have laparoscopic than vaginal hysterectomy. Laparoscopic hysterectomy had the highest mean hospital charges ($18,821, P<.001) and shortest length of stay (1.65 days, P<.001).
conclusionIn addition to age and clinical diagnosis, nonclinical factors such as race/ethnicity, insurance status, income, and region appear to affect use of laparoscopic hysterectomy compared with abdominal hysterectomy and vaginal hysterectomy. LEVEL OF EVIDENCE: III.
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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.