Patient Understanding of Uterine Fibroids and the Different Surgical Approaches to Hysterectomy

Objective: The purpose of this study was to assess understanding of the hysterectomy procedure and uterine fibroids among women in a general gynecology clinic. Materials and Methods: This was an anonymous cross-sectional survey. We adapted and pilot tested a survey instrument designed to assess unde...

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Main Authors: Anastasia Belilovets, Nithya Gopal, Erica Stockwell, Jasmine Pedroso, Joy Brotherton, K. Warren Volker, David Howard
Format: Article
Language:English
Published: Mary Ann Liebert 2020-08-01
Series:Women's Health Reports
Subjects:
Online Access:https://www.liebertpub.com/doi/full/10.1089/WHR.2020.0040
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author Anastasia Belilovets
Nithya Gopal
Erica Stockwell
Jasmine Pedroso
Joy Brotherton
K. Warren Volker
David Howard
author_facet Anastasia Belilovets
Nithya Gopal
Erica Stockwell
Jasmine Pedroso
Joy Brotherton
K. Warren Volker
David Howard
author_sort Anastasia Belilovets
collection DOAJ
description Objective: The purpose of this study was to assess understanding of the hysterectomy procedure and uterine fibroids among women in a general gynecology clinic. Materials and Methods: This was an anonymous cross-sectional survey. We adapted and pilot tested a survey instrument designed to assess understanding of the hysterectomy procedure and of uterine fibroids. The final version of the survey consisted of basic demographic questions, followed by 28 knowledge questions (Canadian Task Force Classification II-2). The survey was disseminated to women in the waiting room of one of our gynecology clinics. The patient population included women 18 years and older. Results: The mean age of respondents was 33.5 years old. In total, 69.5% of the respondents had at least some college education. In the group of questions related to different types of hysterectomies, the most poorly answered question was ?Which type of hysterectomy has the highest risk of damage to the bladder?? Less than 40% of the respondents were able to identify a laparoscopic and robotic hysterectomy based on a written description. Of questions about uterine fibroids, the most poorly answered question was whether cancer that looks like fibroids is common, with >90% of the respondents incorrectly thinking that cancer that resembled fibroids is common. More than half of respondents did not know what a fibroid is. Conclusions: In this analysis of the understanding of the hysterectomy procedure and fibroids among an educated population, overall understanding was poor. Specific areas where knowledge was particularly poor were the different ways of doing a hysterectomy and uterine fibroids.
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spelling doaj.art-042f117cbccf43b7b000f25b13ee69022024-01-26T05:30:18ZengMary Ann LiebertWomen's Health Reports2688-48442020-08-011125225810.1089/WHR.2020.0040Patient Understanding of Uterine Fibroids and the Different Surgical Approaches to HysterectomyAnastasia BelilovetsNithya GopalErica StockwellJasmine PedrosoJoy BrothertonK. Warren VolkerDavid HowardObjective: The purpose of this study was to assess understanding of the hysterectomy procedure and uterine fibroids among women in a general gynecology clinic. Materials and Methods: This was an anonymous cross-sectional survey. We adapted and pilot tested a survey instrument designed to assess understanding of the hysterectomy procedure and of uterine fibroids. The final version of the survey consisted of basic demographic questions, followed by 28 knowledge questions (Canadian Task Force Classification II-2). The survey was disseminated to women in the waiting room of one of our gynecology clinics. The patient population included women 18 years and older. Results: The mean age of respondents was 33.5 years old. In total, 69.5% of the respondents had at least some college education. In the group of questions related to different types of hysterectomies, the most poorly answered question was ?Which type of hysterectomy has the highest risk of damage to the bladder?? Less than 40% of the respondents were able to identify a laparoscopic and robotic hysterectomy based on a written description. Of questions about uterine fibroids, the most poorly answered question was whether cancer that looks like fibroids is common, with >90% of the respondents incorrectly thinking that cancer that resembled fibroids is common. More than half of respondents did not know what a fibroid is. Conclusions: In this analysis of the understanding of the hysterectomy procedure and fibroids among an educated population, overall understanding was poor. Specific areas where knowledge was particularly poor were the different ways of doing a hysterectomy and uterine fibroids.https://www.liebertpub.com/doi/full/10.1089/WHR.2020.0040health literacyhysterectomyuterine fibroids
spellingShingle Anastasia Belilovets
Nithya Gopal
Erica Stockwell
Jasmine Pedroso
Joy Brotherton
K. Warren Volker
David Howard
Patient Understanding of Uterine Fibroids and the Different Surgical Approaches to Hysterectomy
Women's Health Reports
health literacy
hysterectomy
uterine fibroids
title Patient Understanding of Uterine Fibroids and the Different Surgical Approaches to Hysterectomy
title_full Patient Understanding of Uterine Fibroids and the Different Surgical Approaches to Hysterectomy
title_fullStr Patient Understanding of Uterine Fibroids and the Different Surgical Approaches to Hysterectomy
title_full_unstemmed Patient Understanding of Uterine Fibroids and the Different Surgical Approaches to Hysterectomy
title_short Patient Understanding of Uterine Fibroids and the Different Surgical Approaches to Hysterectomy
title_sort patient understanding of uterine fibroids and the different surgical approaches to hysterectomy
topic health literacy
hysterectomy
uterine fibroids
url https://www.liebertpub.com/doi/full/10.1089/WHR.2020.0040
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