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Clinical Pathway Leads to Drop in Total Abdominal Hysterectomies

Implementation of hysterectomy pathway linked to reduction in TAH procedures from 2012 to 2014


MONDAY, Dec. 28, 2015 (HealthDay News) -- Following implementation of a hysterectomy pathway there has been a decrease in the proportion of total abdominal hysterectomy (TAH) procedures performed between 2012 and 2014, according to research published online Dec. 7 in Obstetrics & Gynecology.

Amin Sanei-Moghaddam, M.D., from the University of Pittsburgh School of Medicine, and colleagues conducted a retrospective medical record review to examine the effect of hysterectomy pathway implementation on the proportion of TAH procedures performed between fiscal years 2012 and 2014. All hysterectomy surgeries performed for benign indications at the University of Pittsburgh Medical Center were identified and analyzed by surgical approach, age, and indication of surgery. Data were included for 6,544 patients (mean age, 48.6 years).

The researchers found that 27.8 percent of the 1,934 hysterectomies performed as a result of noncancerous conditions in 2012 were TAH procedures. This percentage decreased to 22 percent in 2013 and to 17 percent in 2014. There was a significant decrease in the proportion of TAH procedures from 2012 to 2014 (P for trend < 0.001). The decreasing trend of TAH procedures persisted after adjustment for surgical indication (P for trend < 0.001).

"Implementation of a hysterectomy pathway has been associated with a decrease in the proportion of TAH hysterectomy procedures," the authors write.

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