Abdominal and vaginal radical hysterectomy among U.S. women aged 65 years and older.
Unlike most European and Asian countries, radical vaginal hysterectomy (RVH) is not performed often in the United States, especially among older women.
To examine the changes in RVH over the years, trends in hospital stay, hospital charges, and patient survival, we studied women aged 65 years and older undergoing RVH and compared them with patients receiving radical abdominal hysterectomy (RAH).
During the study period there were a total of 288 RVH surgeries compared with 4,835 RAH surgeries.
There were no significant changes in the number or proportion of RVH patients over 8 years (p=50, trend test).
On the average, RVH patients were significantly older and had shorter hospital stays.
Among patients without cancer, there were no significant differences in the age, race, or survival of patients having either RVH or RAH.
Similar results were obtained for patients with cancer.
Mots-clés Pascal : Hystérectomie, Abdomen, Vagin, Vieillard, Homme, Femelle, Démographie, Temps séjour, Hospitalisation, Survie, Epidémiologie, Etats Unis, Amérique du Nord, Amérique, Chirurgie, Appareil génital femelle pathologie
Mots-clés Pascal anglais : Hysterectomy, Abdomen, Vagina, Elderly, Human, Female, Demography, Residence time, Hospitalization, Survival, Epidemiology, United States, North America, America, Surgery, Female genital diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0386886
Code Inist : 002B25K. Création : 10/04/1997.