The Effect of the COVID-19 Pandemic on Access to Hysterectomy within One Hospital System [A101]

Chaoul, Jessica; Sifri, Yara; Nyein, Ethan; Khalil, Susan

doi:10.1097/01.aog.0000826724.49442.18

Obstetrics &Amp; Gynecology

2022

DOI: 10.1097/01.aog.0000826724.49442.18

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The Effect of the COVID-19 Pandemic on Access to Hysterectomy within One Hospital System [A101]

Jessica Chaoul

Yara Sifri

Ethan Nyein

et al.

Abstract: INTRODUCTION: Many patients receive an excess of opioids to treat their postoperative pain. We sought to assess the impact of a provider-based curricular intervention on postoperative prescribing patterns following benign obstetric and gynecologic procedures.

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“…An institutional report on approximately 900 patients who underwent hysterectomy before and after the COVID-19 pandemic showed that the percentage of hysterectomies performed in White patients after the COVID-19 pandemic increased by 12%, whereas the number performed in Hispanic patients decreased by 13%. 28 Encouragingly, we found no racial or insurance-mediated disparities in the provision of hysterectomy during the COVID-19 surge.…”

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confidence: 52%

Trends in Hysterectomy Rates Associated With the Coronavirus Disease 2019 (COVID-19) Pandemic

Emont

Wen

Friedman

et al. 2023

Obstetrics &Amp; Gynecology

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OBJECTIVE: To compare nationwide trends in the rate of inpatient and outpatient hysterectomy between 2019 and 2020 during the coronavirus disease 2019 (COVID-19) pandemic. METHODS: Using weighted data from the National Inpatient Sample and the National Ambulatory Surgery Sample, we examined the number of hysterectomies performed by month from 2019 through 2020. Monthly trends were compared between years overall, stratified by the route of surgery (abdominal, laparoscopic, and vaginal) and by indication for surgery (benign, preinvasive, cancer). Trends analyses were conducted using Joinpoint regression and reported as average monthly percentage change (AMPC). Differences in demographic characteristics between the years were compared using χ2 tests. RESULTS: From January 2019 through December 2020, after weighting, 1,029,792 hysterectomies were performed, including 548,802 (53.2%) in 2019 and 480,990 (46.7%) in 2020. Starting in January 2020, monthly cases declined significantly, from 40,240 to a nadir of 10,566 hysterectomies in April 2020 (AMPC −29.2%, 95% CI −39.8% to −16.8%) (P<.001). The subsequent months saw a significant increase in cases, from the nadir in April 2020 to 40,023 cases in July 2020 (AMPC 39.4%, 95% CI 18.6–63.9%) (P=.001), which then stabilized to the end of the year (AMPC −1.3%, 95% CI −4.8% to 2.4%) (P=.46). In March 2020 there was a 24.0% decrease, in April 2020 a 74.2% decrease, and in May 2020 a 35.1% decrease compared with the respective months in 2019. The rates of vaginal hysterectomy declined more than the rates of other routes of surgery, and procedures performed for benign and preinvasive disease decreased more than those for cancer. CONCLUSION: The rate of hysterectomy in the United States decreased in 2020 compared with 2019, with the greatest decrease from March to May of 2020, corresponding with the initial wave of COVID-19.

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mentioning

confidence: 52%

Trends in Hysterectomy Rates Associated With the Coronavirus Disease 2019 (COVID-19) Pandemic

Emont

Wen

Friedman

et al. 2023

Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

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Impact of COVID-19 pandemic on changing the ratio of abdominal, vaginal, and laparoscopic hysterectomies

Dokic,

Milosevic,

Bila

et al. 2024

Srp Arh Celok Lek

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Introduction/Objective. Coronavirus pandemic caused most hospitals in the world to suspend regular activities. The aim of this study was to analyze pandemic influence on patients who underwent hysterectomy with classical (abdominal) and minimally invasive surgery (laparoscopic and vaginal approach) at the Clinic for Gynecology and Obstetrics of the University Medical Centre of Serbia. Methods. There were 2446 hysterectomies for five-year period. The study analyzed number and types of hysterectomies before and during COVID-19 pandemic. Results. The total number of operated patients was most declined in the first year of the pandemic. During pandemic, the number of vaginal and laparoscopic hysterectomies did not change, whereas there was an increase in the number of abdominal hysterectomies. Statistical significance (p < 0.01) was found between abdominal and vaginal as well as between abdominal and endoscopic hysterectomies. Conclusion. The global pandemic impact on care of symptomatic patients with COVID-19 has led to the redeployment of staff and resources, which has significantly reduced the total number of operations in many hospitals around the world.

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The Effect of the COVID-19 Pandemic on Access to Hysterectomy within One Hospital System [A101]

Abstract: INTRODUCTION: Many patients receive an excess of opioids to treat their postoperative pain. We sought to assess the impact of a provider-based curricular intervention on postoperative prescribing patterns following benign obstetric and gynecologic procedures.

Cited by 2 publications

References 0 publications

Trends in Hysterectomy Rates Associated With the Coronavirus Disease 2019 (COVID-19) Pandemic

Trends in Hysterectomy Rates Associated With the Coronavirus Disease 2019 (COVID-19) Pandemic

Impact of COVID-19 pandemic on changing the ratio of abdominal, vaginal, and laparoscopic hysterectomies

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