کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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6173699 | 1599803 | 2014 | 7 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Hysterectomy rates for benign conditions are declining in Lombardy, Italy: 1996-2010 Hysterectomy rates for benign conditions are declining in Lombardy, Italy: 1996-2010](/preview/png/6173699.png)
ObjectiveTo analyse the hysterectomy rates (HR) temporal trends for gynecological benign conditions in Lombardy, Northern Italy.Study designSince 1991, discharges from public or private hospitals have been registered in a standard form (Lombardy Region registry). Women aged â¥20 years, residing in Lombardy, who underwent hysterectomy for benign conditions, were included in the study. Admissions were codified according to the ICD-9 and ICD-10. HRs per 1000 women residing in Lombardy, of the same age class, were computed.ResultsIn 1996-2010, 143,045 hysterectomies were performed for benign indications. HR showed a declining trend (average annual percent change (AAPC) â2.9), mainly due to the falling number of total abdominal hysterectomies (AAPC â5.3). The most remarkable decrease was seen in women aged 45-54 years (HR 8.05 in 1996 and 4.83 in 2010). Leiomyoma was the most frequent indication in women aged <55 years, whereas in older patients it was uterine prolapse.ConclusionsIn 1996-2010, the frequency of hysterectomy in Lombardy fell markedly. This study confirms the declining trend in abdominal hysterectomies observed in most developed countries, though the surgical approaches to hysterectomy differ in different countries. In particular, in Lombardy the proportion of laparoscopically assisted vaginal hysterectomies, though increasing, is low.
Journal: European Journal of Obstetrics & Gynecology and Reproductive Biology - Volume 178, July 2014, Pages 107-113