Appropriateness of hysterectomies performed for multiple preoperative indications.

摘要: OBJECTIVE To correlate the listing of multiple preoperative indications for hysterectomy with risk non-confirmation diagnosis. METHODS Records 171 women undergoing consecutive hysterectomies all at a large teaching hospital were reviewed indication(s), compliance published validation criteria cases in which tissue pathology was not expected, and histologic verification diagnosis expected. Rates confirmation (histologic plus successful criteria) compared between subgroups single listed (N = 124) or 47) preoperatively. RESULTS The rate (115 124 cases, 93%) significantly higher than even one indication (28 47 60%, P < .0001; relative 1.55). Multiple more likely to be when representing 49% validatable as only 18% histologically verifiable (P .0001). Overall, (70%) lower (90%) .01). CONCLUSION These data suggest that is associated both decreased appropriateness, reflected generally accepted criteria, diagnostic accuracy, rates verification.