Abstract
Trends in Complications Among Benign Hysterectomy Patients in Relation to BMI
Journal of minimally invasive gynecology, Vol.27(7), pp.S143-S143
11/2020
DOI: 10.1016/j.jmig.2020.08.276
Abstract
To evaluate complication rates and length of stay over time in relation to BMI to assess for improvements in care given the increasing need to take care of obese women.
Retrospective cohort study.
American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database.
Strict criteria were used to include planned benign hysterectomies without confounding concomitant procedures from 2010 to 2018.
Chi-squared analysis was used to analyze the relationship between complications (wound, length of stay, readmission, etc) and time stratified by BMI categories using CDC criteria and type of hysterectomy (abdominal, laparoscopic, or vaginal).
204,111 hysterectomies met inclusion criteria. Overall length of stay decreased overtime from 1.7 days in 2010-2011 to 1.4 days in 2017-2018 (p<0.01). Abdominal, laparoscopic, and vaginal hysterectomies independently decreased in length of stay overtime (p<0.01). Overall complication rates did not change overtime in comparison with BMI and route of hysterectomy except for women with a BMI >40 undergoing abdominal hysterectomy who had a decrease in overall complication rate from 16.5% in 2010-210 to 12.5% in 2017-2018 (p=0.01). Prolonged length of stay (greater than 2 days) decreased overtime for normal weight, overweight, and Class 1-3 obese women specifically for abdominal and laparoscopic hysterectomies (p<0.01). There were no differences in readmission rates except for Class 3 obese women undergoing a vaginal hysterectomy (p=0.02). Overall there were no changes in wound complications except for an increase in rate from 1.7% to 2.8% for normal weight women undergoing an abdominal hysterectomy (p<0.01).
Irrespective of hysterectomy type and BMI, length of stay is decreasing without differences in readmission rates. Overall, complications rates do not demonstrate significant change overtime. Further analysis is required to determine if this trend will continue and how outcomes can be improved for obese patients.
Details
- Title: Subtitle
- Trends in Complications Among Benign Hysterectomy Patients in Relation to BMI
- Creators
- C. Gnade - University of IowaM.L. Haugsdal - University of IowaC. Wu - University of IowaP Ten Eyck - University of IowaB. Van Voorhis - University of Iowa
- Resource Type
- Abstract
- Publication Details
- Journal of minimally invasive gynecology, Vol.27(7), pp.S143-S143
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.jmig.2020.08.276
- ISSN
- 1553-4650
- eISSN
- 1553-4669
- Language
- English
- Date published
- 11/2020
- Academic Unit
- Obstetrics and Gynecology; Biostatistics; Biology; Iowa Neuroscience Institute
- Record Identifier
- 9984317112702771
Metrics
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