ArticleO&G open2025
Hysterectomy Status and Outcomes in Patients With Grade 1, Stage IA Endometrioid Adenocarcinoma.
Article in O&G open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare clinicodemographic factors and outcomes of patients with grade 1, stage IA endometrioid adenocarcinoma who did and did not undergo hysterectomy.
methodsThis is a retrospective cohort study using data from the SEER (Surveillance, Epidemiology and End Results) registry program, which collates population-based cancer registry information from 26.5% of the U.S. population. The SEER database identified patients aged 18 years or older with grade 1, stage IA endometroid adenocarcinoma from 2010 to 2020. The primary outcome was prevalence of patients who did and did not undergo hysterectomy. Secondary outcomes included endometrial and cardiovascular-specific death and all-cause mortality by surgical status and age. Descriptive and comparative statistics between the hysterectomy and nonhysterectomy cohorts were completed. Survival between surgical cohorts was compared using Fine-Gray models for cause-specific death (endometrial cancer, cardiovascular) and Cox models for all-cause mortality.
resultsOf 27,331 patients, 26,984 (98.7%) had hysterectomy and 347 (1.3%) did not. Most patients were between age 50 and 69 years (67.2%) and were non-Hispanic White (66.9%). Patients without hysterectomy were more likely to be younger than age 50 (54.8% vs 16.8%,
conclusionPatients from racial and ethnic minority groups and with extremes of age were less likely to undergo hysterectomy. Deaths resulting from endometrial cancer and cardiovascular disease and all-cause mortality were higher in patients who did not undergo hysterectomy.
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