Patient Perceptions of Planned Organ Removal During Hysterectomy
Purpose: Previous reports indicate many women may not have a firm grasp on likely outcomes of different hysterectomy procedures. This study aimed to assess women’s self-reported expectations of how they think their anatomy will change after hysterectomy. Methods: Women scheduled for hysterectomy at...
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| Format: | Article |
| Language: | English |
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Advocate Aurora Health
2019-01-01
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| Series: | Journal of Patient-Centered Research and Reviews |
| Subjects: | |
| Online Access: | https://digitalrepository.aurorahealthcare.org/cgi/viewcontent.cgi?article=1658&context=jpcrr |
| _version_ | 1797934843682619392 |
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| author | Zeinab Kassem Chad M. Coleman Andrew S. Bossick Wan-Ting Su Roopina Sangha Ganesa Wegienka |
| author_facet | Zeinab Kassem Chad M. Coleman Andrew S. Bossick Wan-Ting Su Roopina Sangha Ganesa Wegienka |
| author_sort | Zeinab Kassem |
| collection | DOAJ |
| description | Purpose: Previous reports indicate many women may not have a firm grasp on likely outcomes of different hysterectomy procedures. This study aimed to assess women’s self-reported expectations of how they think their anatomy will change after hysterectomy. Methods: Women scheduled for hysterectomy at a tertiary care hospital, for non-oncological reasons, reported their planned procedure type and the organs they understood would be removed 2 weeks prior to surgery. Patient reports and electronic medical records were reviewed, and kappa statistics (κ) were calculated to assess agreement for all women and within subgroups. Results: Most of the 456 study participants (mean age: 48.02 ± 8.29 years) were either white/Caucasian (n = 238, 52.2%) or African American (n = 196, 43.0%). Among the 145 participants who reported a partial hysterectomy, 130 (89.7%) women indicated that their uterus would be removed and 52 (35.9%) reported that their cervix would be removed. Of those whose response was total hysterectomy (n = 228), 208 (91.2%) participants reported their uterus would be removed and 143 (62.7%) reported their cervix would be removed. Among 144 women reporting a planned partial hysterectomy, only 15 (10.4%, κ = 0.05) had a partial hysterectomy recorded in the electronic medical record. Among the 228 women who reported a planned total hysterectomy, 6.1% (κ = 0.05) had a different procedure. While 125 participants reported planned ovary removal, only 93 (74.4%, κ = 0.55) had an oophorectomy. Similarly, 290 participants reported planned fallopian tube removal, with 276 (95.2%, κ = 0.06) having a salpingectomy. Conclusions: A considerable proportion of women undergoing hysterectomy do not accurately report the organs that are planned be removed during their hysterectomy. This work demonstrates the need to improve patient understanding of their clinical care and its implications. |
| first_indexed | 2024-04-10T18:06:22Z |
| format | Article |
| id | doaj.art-b27c4294255c40f0ba61d429bf202ae6 |
| institution | Directory Open Access Journal |
| issn | 2330-0698 |
| language | English |
| last_indexed | 2024-04-10T18:06:22Z |
| publishDate | 2019-01-01 |
| publisher | Advocate Aurora Health |
| record_format | Article |
| series | Journal of Patient-Centered Research and Reviews |
| spelling | doaj.art-b27c4294255c40f0ba61d429bf202ae62023-02-02T13:12:03ZengAdvocate Aurora HealthJournal of Patient-Centered Research and Reviews2330-06982019-01-0161283510.17294/2330-0698.1658Patient Perceptions of Planned Organ Removal During HysterectomyZeinab Kassem0Chad M. Coleman1Andrew S. Bossick2Wan-Ting Su3Roopina Sangha4Ganesa Wegienka5Henry Ford Health System, Detroit, MIHenry Ford Health System, Detroit, MIHenry Ford Health System, Detroit, MIHenry Ford Health System, Detroit, MIHenry Ford Health System, Detroit, MIHenry Ford Hospital, Detroit, MIPurpose: Previous reports indicate many women may not have a firm grasp on likely outcomes of different hysterectomy procedures. This study aimed to assess women’s self-reported expectations of how they think their anatomy will change after hysterectomy. Methods: Women scheduled for hysterectomy at a tertiary care hospital, for non-oncological reasons, reported their planned procedure type and the organs they understood would be removed 2 weeks prior to surgery. Patient reports and electronic medical records were reviewed, and kappa statistics (κ) were calculated to assess agreement for all women and within subgroups. Results: Most of the 456 study participants (mean age: 48.02 ± 8.29 years) were either white/Caucasian (n = 238, 52.2%) or African American (n = 196, 43.0%). Among the 145 participants who reported a partial hysterectomy, 130 (89.7%) women indicated that their uterus would be removed and 52 (35.9%) reported that their cervix would be removed. Of those whose response was total hysterectomy (n = 228), 208 (91.2%) participants reported their uterus would be removed and 143 (62.7%) reported their cervix would be removed. Among 144 women reporting a planned partial hysterectomy, only 15 (10.4%, κ = 0.05) had a partial hysterectomy recorded in the electronic medical record. Among the 228 women who reported a planned total hysterectomy, 6.1% (κ = 0.05) had a different procedure. While 125 participants reported planned ovary removal, only 93 (74.4%, κ = 0.55) had an oophorectomy. Similarly, 290 participants reported planned fallopian tube removal, with 276 (95.2%, κ = 0.06) having a salpingectomy. Conclusions: A considerable proportion of women undergoing hysterectomy do not accurately report the organs that are planned be removed during their hysterectomy. This work demonstrates the need to improve patient understanding of their clinical care and its implications.https://digitalrepository.aurorahealthcare.org/cgi/viewcontent.cgi?article=1658&context=jpcrrhysterectomypatient educationpatient expectationsgynecologypatient-centered outcomes |
| spellingShingle | Zeinab Kassem Chad M. Coleman Andrew S. Bossick Wan-Ting Su Roopina Sangha Ganesa Wegienka Patient Perceptions of Planned Organ Removal During Hysterectomy Journal of Patient-Centered Research and Reviews hysterectomy patient education patient expectations gynecology patient-centered outcomes |
| title | Patient Perceptions of Planned Organ Removal During Hysterectomy |
| title_full | Patient Perceptions of Planned Organ Removal During Hysterectomy |
| title_fullStr | Patient Perceptions of Planned Organ Removal During Hysterectomy |
| title_full_unstemmed | Patient Perceptions of Planned Organ Removal During Hysterectomy |
| title_short | Patient Perceptions of Planned Organ Removal During Hysterectomy |
| title_sort | patient perceptions of planned organ removal during hysterectomy |
| topic | hysterectomy patient education patient expectations gynecology patient-centered outcomes |
| url | https://digitalrepository.aurorahealthcare.org/cgi/viewcontent.cgi?article=1658&context=jpcrr |
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