“…Subsequently, 2 articles were excluded because they did not report the risk estimation. Therefore, at the end of the selection process, 16 studies were included in the systematic review and meta-analysis [ [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] ]. Fig.…”
Section: Resultsmentioning
confidence: 99%
“…Five studies were conducted in USA [ 26 , 28 , 29 , 33 , 34 ]; two in Korea [ 20 , 23 ], Finland [ 32 , 35 ], Sweden [ 25 , 27 ] and Australia [ 21 , 22 ]; and one each in China [ 30 ], France [ 24 ] and New Caledonia [ 31 ]. Four were case-control studies [ 22 , 31 , 33 , 34 ] considering a total of 1680 cases and 2005 controls; 14 were cohort studies [ 20 , 21 , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , 32 , 35 ] considering a total population of 7,575,968of subjects and 20,697 incident thyroid cancer cases after exclusion of one study [ 25 ] which reported the same data on the same population of a previous publication [ 27 ]. In total 483,513 hysterectomised women were considered.…”
Section: Resultsmentioning
confidence: 99%
“…Thirteen studies reported data for “any hysterectomy” not considering the concomitant oophorectomy [ 20 , 22 , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] ] while eight studies reported data for hysterectomy without oophorectomy [ [21] , [22] , [23] , [24] , 26 , 31 , 33 , 34 ]. Ten studies reported the thyroid cancer risk in association with both hysterectomy and bilateral salpingo-oophorectomy (BSO) [ 21 , 22 , 24 , [26] , [27] , [28] , [31] , [32] , [33] , [34] ] while four studies reported the thyroid cancer risk in association with both hysterectomy and unilateral salpingo-ophorectomy (USO) [ 21 , 31 , 32 , 34 ]. Seven out of 16 articles included in the systematic review reported the estimation of thyroid cancer risk as a function of age at surgery.…”
Section: Resultsmentioning
confidence: 99%
“…Seven out of 16 articles included in the systematic review reported the estimation of thyroid cancer risk as a function of age at surgery. [ [21] , [22] , [23] , [24] , [25] , 31 , 33 ]…”
“…Subsequently, 2 articles were excluded because they did not report the risk estimation. Therefore, at the end of the selection process, 16 studies were included in the systematic review and meta-analysis [ [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] ]. Fig.…”
Section: Resultsmentioning
confidence: 99%
“…Five studies were conducted in USA [ 26 , 28 , 29 , 33 , 34 ]; two in Korea [ 20 , 23 ], Finland [ 32 , 35 ], Sweden [ 25 , 27 ] and Australia [ 21 , 22 ]; and one each in China [ 30 ], France [ 24 ] and New Caledonia [ 31 ]. Four were case-control studies [ 22 , 31 , 33 , 34 ] considering a total of 1680 cases and 2005 controls; 14 were cohort studies [ 20 , 21 , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , 32 , 35 ] considering a total population of 7,575,968of subjects and 20,697 incident thyroid cancer cases after exclusion of one study [ 25 ] which reported the same data on the same population of a previous publication [ 27 ]. In total 483,513 hysterectomised women were considered.…”
Section: Resultsmentioning
confidence: 99%
“…Thirteen studies reported data for “any hysterectomy” not considering the concomitant oophorectomy [ 20 , 22 , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] ] while eight studies reported data for hysterectomy without oophorectomy [ [21] , [22] , [23] , [24] , 26 , 31 , 33 , 34 ]. Ten studies reported the thyroid cancer risk in association with both hysterectomy and bilateral salpingo-oophorectomy (BSO) [ 21 , 22 , 24 , [26] , [27] , [28] , [31] , [32] , [33] , [34] ] while four studies reported the thyroid cancer risk in association with both hysterectomy and unilateral salpingo-ophorectomy (USO) [ 21 , 31 , 32 , 34 ]. Seven out of 16 articles included in the systematic review reported the estimation of thyroid cancer risk as a function of age at surgery.…”
Section: Resultsmentioning
confidence: 99%
“…Seven out of 16 articles included in the systematic review reported the estimation of thyroid cancer risk as a function of age at surgery. [ [21] , [22] , [23] , [24] , [25] , 31 , 33 ]…”
“…Hysterectomy is also associated with chronic conditions later in life, including increased risk of cardiovascular disease, 7 osteoporosis, 28 and certain types of cancer ( e.g. , thyroid), 29 many of which may be a source of disability.…”
Introduction:
Our objective was to investigate differences in prevalence of hysterectomy by self-reported disability status among Canadian women.
Materials and Methods:
We analyzed cross-sectional data from the Canadian Community Health Survey 2012 on 30,170 women aged ≥20 years. Disability was defined as reports of sometimes or often (vs. never) experiencing functional limitations or reduction in daily activities at home, school, or work. Frequency of these limitations was used as a proxy for disability severity. The outcome was self-reported hysterectomy status. Modified Poisson regression was used to quantify the prevalence ratio (PR) and 95% confidence interval (CI) for hysterectomy according to any, functional, or activity-limiting disability, after adjustment for household income, employment, education, ethnicity, and marital status. Results were stratified by age at time of data collection, categorized as childbearing (20–44 years), perimenopausal (45–59 years), and postmenopausal (60 years and older).
Results:
Disability was significantly and consistently associated with higher prevalence of hysterectomy in women. The strength of association was inversely related to age category, and PRs for a given age category were similar across disability types and severity levels. PRs for the association between any disability and hysterectomy were 2.18 (95% CI 1.36–3.50) for childbearing-aged women, 1.48 (95% CI 1.21–1.80) for perimenopausal women, and 1.12 (95% CI 1.02–1.24) for postmenopausal women.
Conclusions:
Prevalence of hysterectomy is disproportionately higher among women with self-reported disabilities compared with women without disabilities, with these differences most pronounced in women of childbearing age.
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