Evidence map›Paper›PMID 36609516›Full record

ArticleWomen's midlife health2023

Hysterectomy and women's health in India: evidence from a nationally representative, cross-sectional survey of older women.

Sapna Desai, Roopal Jyoti Singh, Dipti Govil, Devaki Nambiar, Ankita Shukla, Hemali Heidi Sinha, Rajani Ved, Neerja Bhatla, Gita D Mishra

Open access · goldAbstract read
In one paragraph

Article in Women's midlife health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  6. Sexual and reproductive health matters · 2025
    Article
  7. Article
  8. Expanding the women's health paradigm beyond reproductive boundaries.The Indian journal of medical research · 2025
    Article
  9. Article
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

9 authors at 7 institutions in 3 countries.

Sapna DesaiPopulation Council Institute, Zone 5A India Habitat Centre, Lodhi Road, New Delhi, 110003, India. sdesai@popcouncil.org.ORCID http://orcid.org/0000-0003-2596-9726
Roopal Jyoti SinghPopulation Council Institute, Zone 5A India Habitat Centre, Lodhi Road, New Delhi, 110003, India.
Dipti GovilInternational Institute for Population Sciences, Mumbai, India.
Devaki NambiarGeorge Institute for Global Health, New Delhi, India.
Ankita ShuklaIndependent Consultant, New Delhi, India.
Hemali Heidi SinhaDepartment of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Patna, India.
Rajani VedBill & Melinda Gates Foundation, New Delhi, India.
Neerja BhatlaDepartment of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.
Gita D MishraUniversity of Queensland School of Public Health, Herston, Queensland, Australia.
All India Institute of Medical Sciences · INGates Foundation · USGeorge Institute for Global Health · INIndia Habitat Centre · INInternational Institute for Population Sciences · INPopulation Council · INThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHysterectomy, particularly when conducted in women younger than 45 years, has been associated with increased risk of non-communicable diseases. In India, research indicates that hysterectomy is a common procedure for women, but there have been no studies on its long-term effects. We examined patterns of hysterectomy amongst women in India and associations with their health and well-being in later life.

methodsThis analysis utilised the first wave of the Longitudinal Study on Aging in India, a nationally representative study of adults that included a module on health and well-being. We analysed data on 35,083 women ≥45 years in India. We estimated prevalence of hysterectomy and performed multivariable logistic regression to identify associated risk factors and to examine the association between hysterectomy status and eight self-reported chronic conditions, hospitalisation and mobility.

resultsThe prevalence of hysterectomy among women >=45 years was 11.4 (95% CI: 10.3, 12.6), with higher odds among urban women (aOR: 1.39; 1.17,1.64) and higher economic status (highest compared to lowest quintile: aOR: 1.95; 1.44, 2.63). Hysterectomy history was associated with four chronic conditions: hypertension (aOR: 1.51; 95% CI: 1.28, 1.79), high cholesterol (aOR: 1.43; 1.04, 1.97), diabetes (aOR: 1.69; 1.28, 2.24), and bone/joint disease (aOR: 1.54; 1.20, 1.97) and higher odds of any hospitalisation in the past year (aOR: 1.69; 1.36, 2.09).

conclusionsIn India, evidence suggests that hysterectomy is associated with major chronic conditions. The assessment for hysterectomy as a treatment option for gynaecological morbidity should consider potential health consequences in later life.

Indexed as

Chronic diseaseHysterectomyIndiaMenopauseWomen’s health

Identifiers

PMID36609516
PMCPMC9825041
OpenAlexW4313649554

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Textmetadata
LicenceCC BY
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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.