Salpingectomy as standard at hysterectomy?: A Danish cohort study, 1977-2010

Rikke Guldberg; Sonja Wehberg; Charlotte Wessel Skovlund; Ole Mogensen; Ojvind Lidegaard

doi:10.1136/bmjopen-2013-002845

Salpingectomy as standard at hysterectomy? A Danish cohort study, 1977-2010

Rikke Guldberg, Sonja Wehberg, Charlotte Wessel Skovlund, Ole Mogensen, Ojvind Lidegaard

21 Citationer (Scopus)

Abstract

OBJECTIVE: To assess if the risk of first-time salpingectomy was affected by prior hysterectomy with retained fallopian tubes and by prior sterilisation.

DESIGN: A historical cohort study.

SETTING: Denmark.

PARTICIPANTS: 170 000 randomly selected women born 1947-1963 (10 000/year) were followed from 1977 until the end of 2010.

MAIN OUTCOME MEASURES: Effect of hysterectomy with retained fallopian tubes or sterilisation on the risk of salpingectomy. Both were modelled in a Cox proportional hazards model as time-dependent covariates, analysing time to first salpingectomy. End of follow-up period was 31 December 2010.

RESULTS: Of 9591 hysterectomies, 6456 (67.3%) had both fallopian tubes retained. HRs for salpingectomy after hysterectomy with retained fallopian tubes and sterilisation were 2.13 (95% 1.88 to 2.42) and 2.42 (2.21 to 2.64), as compared with those for non-hysterectomised and non-sterilised women.

CONCLUSIONS: Women undergoing hysterectomy with retained fallopian tubes or sterilisation have at least a doubled risk of subsequent salpingectomy. Removal of the fallopian tubes at hysterectomy should therefore be recommended.

Originalsprog	Engelsk
Tidsskrift	BMJ Open
Vol/bind	3
Udgave nummer	6
ISSN	2044-6055
DOI	https://doi.org/10.1136/bmjopen-2013-002845
Status	Udgivet - 20 jun. 2013

Adgang til dokumentet

10.1136/bmjopen-2013-002845

Citationsformater

@article{7c8c5f94554b4ab894a5ba62bc8c2dba,

title = "Salpingectomy as standard at hysterectomy?: A Danish cohort study, 1977-2010",

abstract = "OBJECTIVE: To assess if the risk of first-time salpingectomy was affected by prior hysterectomy with retained fallopian tubes and by prior sterilisation.DESIGN: A historical cohort study.SETTING: Denmark.PARTICIPANTS: 170 000 randomly selected women born 1947-1963 (10 000/year) were followed from 1977 until the end of 2010.MAIN OUTCOME MEASURES: Effect of hysterectomy with retained fallopian tubes or sterilisation on the risk of salpingectomy. Both were modelled in a Cox proportional hazards model as time-dependent covariates, analysing time to first salpingectomy. End of follow-up period was 31 December 2010.RESULTS: Of 9591 hysterectomies, 6456 (67.3%) had both fallopian tubes retained. HRs for salpingectomy after hysterectomy with retained fallopian tubes and sterilisation were 2.13 (95% 1.88 to 2.42) and 2.42 (2.21 to 2.64), as compared with those for non-hysterectomised and non-sterilised women.CONCLUSIONS: Women undergoing hysterectomy with retained fallopian tubes or sterilisation have at least a doubled risk of subsequent salpingectomy. Removal of the fallopian tubes at hysterectomy should therefore be recommended.",

author = "Rikke Guldberg and Sonja Wehberg and Skovlund, {Charlotte Wessel} and Ole Mogensen and Ojvind Lidegaard",

year = "2013",

month = jun,

day = "20",

doi = "10.1136/bmjopen-2013-002845",

language = "English",

volume = "3",

journal = "BMJ Open",

issn = "2044-6055",

publisher = "BMJ Publishing Group Ltd",

number = "6",

}

TY - JOUR

T1 - Salpingectomy as standard at hysterectomy?

T2 - A Danish cohort study, 1977-2010

AU - Guldberg, Rikke

AU - Wehberg, Sonja

AU - Skovlund, Charlotte Wessel

AU - Mogensen, Ole

AU - Lidegaard, Ojvind

PY - 2013/6/20

Y1 - 2013/6/20

N2 - OBJECTIVE: To assess if the risk of first-time salpingectomy was affected by prior hysterectomy with retained fallopian tubes and by prior sterilisation.DESIGN: A historical cohort study.SETTING: Denmark.PARTICIPANTS: 170 000 randomly selected women born 1947-1963 (10 000/year) were followed from 1977 until the end of 2010.MAIN OUTCOME MEASURES: Effect of hysterectomy with retained fallopian tubes or sterilisation on the risk of salpingectomy. Both were modelled in a Cox proportional hazards model as time-dependent covariates, analysing time to first salpingectomy. End of follow-up period was 31 December 2010.RESULTS: Of 9591 hysterectomies, 6456 (67.3%) had both fallopian tubes retained. HRs for salpingectomy after hysterectomy with retained fallopian tubes and sterilisation were 2.13 (95% 1.88 to 2.42) and 2.42 (2.21 to 2.64), as compared with those for non-hysterectomised and non-sterilised women.CONCLUSIONS: Women undergoing hysterectomy with retained fallopian tubes or sterilisation have at least a doubled risk of subsequent salpingectomy. Removal of the fallopian tubes at hysterectomy should therefore be recommended.

AB - OBJECTIVE: To assess if the risk of first-time salpingectomy was affected by prior hysterectomy with retained fallopian tubes and by prior sterilisation.DESIGN: A historical cohort study.SETTING: Denmark.PARTICIPANTS: 170 000 randomly selected women born 1947-1963 (10 000/year) were followed from 1977 until the end of 2010.MAIN OUTCOME MEASURES: Effect of hysterectomy with retained fallopian tubes or sterilisation on the risk of salpingectomy. Both were modelled in a Cox proportional hazards model as time-dependent covariates, analysing time to first salpingectomy. End of follow-up period was 31 December 2010.RESULTS: Of 9591 hysterectomies, 6456 (67.3%) had both fallopian tubes retained. HRs for salpingectomy after hysterectomy with retained fallopian tubes and sterilisation were 2.13 (95% 1.88 to 2.42) and 2.42 (2.21 to 2.64), as compared with those for non-hysterectomised and non-sterilised women.CONCLUSIONS: Women undergoing hysterectomy with retained fallopian tubes or sterilisation have at least a doubled risk of subsequent salpingectomy. Removal of the fallopian tubes at hysterectomy should therefore be recommended.

U2 - 10.1136/bmjopen-2013-002845

DO - 10.1136/bmjopen-2013-002845

M3 - Journal article

C2 - 23794553

SN - 2044-6055

VL - 3

JO - BMJ Open

JF - BMJ Open

IS - 6

ER -

Salpingectomy as standard at hysterectomy? A Danish cohort study, 1977-2010

Abstract

Adgang til dokumentet

Fingeraftryk

Citationsformater