Variations in vaginal and abdominal hysterectomy by region and trust in England
Article first published online: 12 JAN 2005
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 112, Issue 3, pages 326–328, March 2005
How to Cite
Bottle, A. and Aylin, P. (2005), Variations in vaginal and abdominal hysterectomy by region and trust in England. BJOG: An International Journal of Obstetrics & Gynaecology, 112: 326–328. doi: 10.1111/j.1471-0528.2005.00291.x
- Issue published online: 12 JAN 2005
- Article first published online: 12 JAN 2005
Objective To examine variations between regions and hospitals in the proportion of hysterectomies performed abdominally.
Design Analysis of routine hospital data.
Setting All National Health Service hospitals in England.
Population Women aged 18+ hospitalised between April 1998 and March 2001.
Methods Logistic regression, adjusting for age and diagnosis.
Main outcome measure Use of the abdominal rather than the vaginal route.
Results The adjusted proportion of hysterectomies performed abdominally varied from 75–89% between regions, and from 25–99% between hospitals. Diagnosis accounted for nearly a third of the total variation, dwarfing the contributions of age and hospital. About two-thirds of the variation remained unaccounted for.
Conclusion Despite evidence suggesting that the majority of hysterectomies may be performed vaginally, very few English trust match this.