ArticleObstetrics and gynecology2019
Examining Disparities in Route of Surgery and Postoperative Complications in Black Race and Hysterectomy.
Article in Obstetrics and gynecology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
43 citing papers in PubMed, 3 syntheses or guidelines pooled it, 99 citations in OpenAlex.
- Health Care Disparities in Patients Undergoing Hysterectomy for Benign Indications: A Systematic Review.Obstetrics and gynecology · 2023Pooled it
- Racial disparities in uterine fibroids and endometriosis: a systematic review and application of social, structural, and political context.Fertility and sterility · 2023Pooled it
- Racial Disparities in Minimally Invasive Benign Hysterectomy.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- Uterine Fibroids in Black Women: A Race-Stratified Subgroup Analysis of Treatment Outcomes After Laparoscopic Radiofrequency Ablation.Journal of women's health (2002) · 2022Trial
- Assessing the impact of racial and ethnic disparities on 30-day emergency department visits after hysterectomy: A state-based retrospective cohort study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Influence of migration status on hysterectomy surgical approach and indications for benign conditions-a nationwide cohort register study.European journal of public health · 2026Article
- Identifying potentially modifiable risk factors associated with racially disparate postoperative outcomes following benign hysterectomy.American journal of obstetrics and gynecology · 2026Article
- Applying social vulnerability index to examine social disparities in patients undergoing hysterectomy.AJOG global reports · 2025Article
- The Power of Strategic Social Media Influencer Communication to Improve Black Women's Knowledge and Awareness of Environmental Endocrine-Disrupting Chemicals: Surveys of Instagram Users.Journal of medical Internet research · 2025Article
- Mediation of Ethnic Disparity in the 5-Year Mortality of Cervical Cancer Patients in the US, 2001-2019.Healthcare (Basel, Switzerland) · 2025Article
- Association Between Age, Race, Ethnicity, and Body Mass Index and Time to Endometriosis Diagnosis.O&G open · 2025Article
- Effects of Minimally Invasive Gynecologic Surgery Subspecialty Training on Outcomes of Hysterectomy for Benign Indications.O&G open · 2024Article
- Article
- Trends in Early-Stage Cervical Cancer Management in the US: A National Cancer Database Analysis.Current oncology (Toronto, Ont.) · 2024Article
- Uterine fibroids and longitudinal profiles of the vaginal microbiota in a cohort presenting for transvaginal ultrasound.PloS one · 2024Article
- Risk factors for major complications following colorectal resections for endometriosis in the USA.International journal of colorectal disease · 2023Article
- Healthcare disparities and pelvic organ prolapse operative complications: a nationwide analysis.International urogynecology journal · 2023Article
- The Health of Transmasculine Patients Compared With Cisgender Patients Treated With Hysterectomy in the U.S. South, 2014-2017.Annals of LGBTQ public and population health · 2023Article
- Trends in surgical approach to hysterectomy and perioperative outcomes in Michigan hospitals from 2010 through 2020.Journal of robotic surgery · 2023Article
- The Influence of Race/Ethnicity on the Transcriptomic Landscape of Uterine Fibroids.International journal of molecular sciences · 2023Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 2 countries.
Funding
Abstract
objectiveTo estimate the associations among race, route of hysterectomy, and postoperative complications among women undergoing hysterectomy for benign indications.
methodsA cohort study was performed. All patients undergoing hysterectomy for benign indications, recorded in the National Surgical Quality Improvement Program and its targeted hysterectomy file in 2015, were identified. The primary exposure was patient race. The primary outcome was route of hysterectomy and the secondary outcome was postoperative complication. Associations were examined using both bivariable tests and logistic regression.
resultsOf 15,136 women who underwent hysterectomy for benign indications, 75% were white and 25% were black. Black women were more likely to undergo an open hysterectomy than white women (50.1% vs 22.9%; odds ratio [OR] 3.36, 95% CI 3.11-3.64). Black women had larger uteri (median 262 g vs 123 g; 60.7% vs 25.6% with uterus greater than 250 g), more prior pelvic surgery (58.5% vs 53.2%), and higher body mass indices (32.7 vs 30.4). After adjusting for these and other clinical factors, black women remained more likely to undergo an open hysterectomy (adjusted OR 2.02, 95% CI 1.85-2.20). Black women experienced more major complications than white women (4.1% vs 2.3%; P<.001) and more minor complications (11.4% vs 6.7%; OR 1.78, P<.001). Again these disparities persisted with adjustment (major adjusted OR 1.56, 95% CI 1.25-1.95; minor adjusted OR 1.27, 95% CI 1.11-1.47).
conclusionsBlack women undergo a higher proportion of open hysterectomy and experience more major and minor postoperative complications. These differences persisted even after adjusting for confounding medical, surgical, and gynecologic factors.
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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.