Evidence map›Paper›PMID 34103999›Full record

ArticleClinical epidemiology2021

Trends in Hysterectomy Incidence Rates During 2000-2015 in Denmark: Shifting from Abdominal to Minimally Invasive Surgical Procedures.

Kathrine Dyhr Lycke, Johnny Kahlert, Rikke Damgaard, Ole Mogensen, Anne Hammer

Abstract read
In one paragraph

Article in Clinical epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–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.

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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Robotic-assisted hysterectomy using DEXTERFacts, views & vision in ObGyn · 2025
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  8. Sexual function and pelvic floor function five years after hysterectomy.Acta obstetricia et gynecologica Scandinavica · 2025
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  20. Learning Laparoscopic Radical Hysterectomy: Are We Facing an Emerging Situation?International journal of environmental research and public health · 2023
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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

5 authors.

Kathrine Dyhr LyckeDepartment of Obstetrics and Gynecology, NIDO | Denmark, Gødstrup Hospital, Herning, Denmark.ORCID 0000-0003-1657-8600
Johnny KahlertDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
Rikke DamgaardDepartment of Obstetrics and Gynecology, NIDO | Denmark, Gødstrup Hospital, Herning, Denmark.
Ole MogensenDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Anne HammerDepartment of Obstetrics and Gynecology, NIDO | Denmark, Gødstrup Hospital, Herning, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHysterectomy (removal of the uterus) is a common surgical procedure in gynecology. Although minimally invasive surgical procedures have been introduced, hysterectomy is still associated with risk of short- and long-term complications. Given that hysterectomized women are no longer at risk of either hysterectomy or being diagnosed with endometrial or cervical cancer, it is important to describe trends in hysterectomy rates.

objectiveTo describe trends in hysterectomy incidence rates overall and stratified by age, indication, and procedure.

methodsNationwide population-based cohort study using Danish national registries, 2000-2015, was conducted. We calculated the overall hysterectomy-corrected and age-standardized incidence rates of hysterectomy among women ≥20 years old. Incidence rates were stratified by age group, indication, and surgical procedure. We performed trend analyses using Joinpoint regression, thereby estimating the average annual percentage change (AAPC).

resultsA total of 98,484 women had a hysterectomy during the study period, corresponding to an overall age-standardized, hysterectomy-corrected hysterectomy incidence rate (SIR) of 351.1 per 100,000 person-years (95% CI 348.9;353.3). SIR of hysterectomy declined over time (AAPC -1.4; 95% CI -1.9;-1.0), which was driven by a decline in rates of benign hysterectomy (AAPC -2.1; 95% CI -2.7;-1.6). Irrespective of indication, rates of abdominal hysterectomy declined substantially during the study period and were surpassed by rates of minimally invasive procedures (ie, laparoscopy and robot-assisted laparoscopy) in 2013.

conclusionHysterectomy-corrected incidence rates of benign hysterectomy declined over time. Irrespective of indication, we observed a shift in surgical procedure over time, from abdominal hysterectomy to minimally invasive surgical procedures.

Indexed as

epidemiologyhysterectomyincidenceindicationsurgical procedure

Identifiers

PMID34103999
PMCPMC8180274

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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.