Evidence map›Paper›PMID 33615466›Full record

ArticleHealth services research2021

Patterns of black and white hysterectomy incidence among reproductive aged women.

Danielle R Gartner, Paul L Delamater, Robert A Hummer, Jennifer L Lund, Brian W Pence, Whitney R Robinson

Open access · greenAbstract read
In one paragraph

Article in Health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 13 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Danielle R GartnerDepartment of Epidemiology & Biostatistics, College of Human Medicine, Michigan State University, East Lansing, Michigan, USA.ORCID 0000-0002-0152-8961
Paul L DelamaterCarolina Population Center, University of North Carolina, Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0003-3627-9739
Robert A HummerCarolina Population Center, University of North Carolina, Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0003-3058-6383
Jennifer L LundLineberger Comprehensive Cancer Center, School of Medicine, University of North Carolina, Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0002-1108-0689
Brian W PenceDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0001-7321-9538
Whitney R RobinsonCarolina Population Center, University of North Carolina, Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0003-4009-0488
University of North Carolina at Chapel Hill · USMichigan State University · US

Funding

North Carolina Translational & Clinical Sciences Institute (NC TraCS)UL1TR001111 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$43.9M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Training ProgramU54CA153602 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GODLEY, PAUL A. · 2010 to 2015
$5.4M
Racial Differences in Treatment with Hysterectomy: a Multilevel InvestigationR01MD011680 · NIMHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBINSON, WHITNEY RAGAN · 2017 to 2021
$3.3M
Non-Clinical and Contextual Factors Associated with Hysterectomy in North CarolinaF31HD090934 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GARTNER, DANIELLE ROSE · 2017 to 2018
$89k
NCATS NIH HHS UL1 TR001111NCI NIH HHS U54 CA153602NICHD NIH HHS P2C HD050924NIMHD NIH HHS R01 MD011680
6 · The paper itself

Abstract

objectiveTo investigate the intersection of race and economic context in treatment with hysterectomy among reproductive aged women with noncancerous gynecologic conditions. DATA SOURCES: We combined administrative billing records of inpatient and outpatient hysterectomy procedures (N = 28 301) occurring in North Carolina between 2011 and 2014 with census data to calculate county-level hysterectomy rates. STUDY

designSpatial analysis techniques examined the distribution of black and white hysterectomy rates across counties, and county-level black and white rate differences were compared across economic contexts. DATA COLLECTION/EXTRACTION: We restricted to those of premenopausal age identifying as non-Hispanic black or white, undergoing hysterectomy for nonemergent causes (N = 28 301 procedures). PRINCIPAL

findingsCounty-level hysterectomy rates were spatially patterned (Moran's I, P < .05) and similarly so for black and white women (LISA, P < .005). The black-white difference in hysterectomy rates was the largest in the high economic tier counties (22/10 000 person-years [PY], P < .05) and smallest in the mid and low economic tier counties (11/10 000 PY, P > .05 and 10/10 000 PY, P > .05, respectively).

conclusionSocioeconomic context is important to understand, particularly for black-white disparities in hysterectomy. Efforts should be made to understand the causes of higher rates of hysterectomy among blacks than whites, especially in counties in the highest economic tier.

Indexed as

AdolescentAdultBlack or African AmericanFemaleHumansHysterectomySocioeconomic FactorsSpatial AnalysisUnited StatesWhite PeopleYoung Adultecological studiesmedical geographyobstetrics/gynecologyracial/ethnic differences in health care

Identifiers

PMID33615466
PMCPMC8522563
OpenAlexW3130830692

What OpenQuestion holds

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Registered trials

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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.