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Abdominal and Vaginal Radical Hysterectomy Among U.S. Women aged 65 Years and Older

Published online by Cambridge University Press:  10 March 2009

Saeid B. Amini ,
Steven A. Weight ,
Zhong Yuan  and
Alfred A. Rimm
Saeid B. Amini
Affiliation:
Case Western Reserve University
Steven A. Weight
Affiliation:
Case Western Reserve University
Zhong Yuan
Affiliation:
Case Western Reserve University
Alfred A. Rimm
Affiliation:
Case Western Reserve University
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Abstract

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.

Type
Research Notes
Information
International Journal of Technology Assessment in Health Care , Volume 12 , Issue 2 , Spring 1996 , pp. 377 - 387
Copyright
Copyright © Cambridge University Press 1996

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