Factors associated with undergoing bilateral salpingo-oophorectomy at the time of hysterectomy for benign conditions.

摘要: OBJECTIVE To identify possible factors associated with undergoing bilateral salpingo-oophorectomy (BSO) at the time of hysterectomy among women benign conditions. METHODS This was a cross-sectional analysis using 2005 Nationwide Inpatient Sample. Women aged 18 years or older who underwent BSO only for condition were included. We examined broad range in multivariable analyses. RESULTS Fifty-two percent 461,321 hysterectomies included BSO, mean age 49 compared 43 hysterectomy-only group (P<.001). The odds two times higher Midwest and South 1.67 West as Northeast uninsured had Medicaid more likely to undergo those private insurance (odds ratio 1.86, 95% confidence interval 1.14-3.04 "no charge/charity," 1.21, 1.08-1.35 Medicaid) Although common white than African-American, Latina, Asian (P<.001), lower income African-American only, not Latina (P=.007 test interaction). eight laparoscopic 12 an abdominal vaginal approach endometriosis, pelvic infection, ovarian cyst (P<.001) did have these diagnoses. CONCLUSION There is significant nationwide variation practice BSO. Age, route hysterectomy, diagnosis surgery affect rates. Nonclinical such race ethnicity, status, income, geographic location are also practice. LEVEL OF EVIDENCE II.