ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Implementation of Hysterectomy Pathway: Impact on Complications.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Why Hysterectomy Algorithms Diverge from Clinical Practice: A Romanian Cohort Study.Journal of clinical medicine · 2026Article
- Global, regional, and national time trends in incidence, prevalence, years lived with disability for uterine fibroids, 1990-2019: an age-period-cohort analysis for the global burden of disease 2019 study.BMC public health · 2023Article
- Qualitative Interview Study of Gynecologic Oncologist Utilization of Recommended Same-Day Discharge Following Minimally Invasive Hysterectomy.Journal of personalized medicine · 2022Article
- How transparency modulates trust in artificial intelligence.Patterns (New York, N.Y.) · 2022Review
- The Impact of Preoperative Assessment and Planning on the Outcome of Benign Hysterectomy - a Systematic Review.Geburtshilfe und Frauenheilkunde · 2021Article
- Effect of general anesthesia combined with epidural anesthesia on circulation and stress response of patients undergoing hysterectomy.American journal of translational research · 2021Article
- Implementation of a urogynecology-specific enhanced recovery after surgery (ERAS) pathway.American journal of obstetrics and gynecology · 2018Article
- Racial and Socioeconomic Disparities in Hysterectomy Route for Benign Conditions.Journal of racial and ethnic health disparities · 2018Article
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Authors and funding
9 authors.
Funding
Abstract
objectiveHysterectomy is one of the most common surgical procedures in the United States. For women who need hysterectomy, it is important to ensure that minimally invasive hysterectomy procedures are used appropriately to reduce surgical complications and improve value of care. Although we previously demonstrated a reduction in total abdominal hysterectomy rates after the implementation of hysterectomy pathway treatment algorithm in 2012, this study focuses on exploring the effect of pathways implementation on surgical outcomes.
methodsAll retrospective medical records for hysterectomy surgeries performed for benign indications at University of Pittsburgh Medical Center hospitals between the fiscal years (FY) 2012 and 2014 were identified. We analyzed the health care outcomes by route of surgery and year using Χ
resultsA total of 6,569 hysterectomies for benign indications were performed between FY 2012 and 2014. In FY 2012, 1,154 patients (59.15%) had a length of stay of 1 day or less, whereas in FY 2014 this number increased to 1,791 (74.53%; p < .0001). Within 3 years of implementing the pathway, surgical site infections had a reduction of 47%, with a considerable trend toward significance (p = .067).
conclusionsImplementation of hysterectomy pathway has been associated with reduction of surgical complications in benign hysterectomy settings. Implementation of clinical pathways offers an opportunity for improving patient outcomes that should be investigated in various health care settings and across procedures.
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