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Title: Time to Hysterectomy After Transcervical Resection of the Endometrium Based on Age: A Retrospective Cohort Review.
Author: Cocks, Renee
Ward, Madeleine
Dalton, Oliver
Dalton, Russell
Issue Date: 2023
Publication Title: Journal of Minimally Invasive Gynecology
Volume: 30
Issue: 9
Start Page: 757
End Page: 761
Abstract: Study objective: To determine the rate of hysterectomy over time after transcervical resection of the endometrium (TCRE) based on age. Design: Retrospective audit. Setting: A single gynecology clinic in regional Victoria, Australia. Patients: A total of 1078 patients who had undergone TCRE for abnormal uterine bleeding. Interventions: The likelihood of hysterectomy was compared across age groups using the chi-square test. Time to hysterectomy was summarized as a median with the 25th and 75th percentiles and compared across age groups using the Kaplan-Meier plot (log-rank test) and Cox proportional hazards regression. Measurements and main results: The overall rate of hysterectomy was 24.2% (261 of 1078, 95% confidence interval [CI] 21.7-26.9). When age was categorized into <40 years, 40 to 44 years, 45 to 49 years, and >50 years, the rate of hysterectomy after TCRE was 32.3% (70 of 217), 29.5% (93 of 315), 19.6% (73 of 372), and 14.4% (25 of 174), respectively (p <.001). The likelihood of hysterectomy at any time point after TCRE among those aged 45 to 49 years and older than 50 years was 43% and 59% lower, respectively, than patients under 40 years (hazard ratio, 0.57; 95% CI, 0.41-0.80, and hazard ratio, 0.41; 95% CI, 0.26-0.65, respectively). The median time to hysterectomy was 1.68 years (25th to 75th percentiles, 0.77-3.76). Conclusion: This study demonstrated that patients who underwent a TCRE before the age of 45 years had a higher chance of having a hysterectomy than patients older than 45 years. This information will enable clinicians to inform patients of their chance of undergoing a hysterectomy at any time after TCRE.
Internal ID Number: 02348
Type: Journal Article
Appears in Collections:Research Output

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