The epidemiology of hysterectomy: findings in a large cohort study

British Journal of Obstetrics and Gynaecology
M P VesseyD Yeates

Abstract

To examine patterns of hysterectomy in the Oxford-Family Planning Association (Oxford-FPA) study in relation to age, parity, social class and calendar period (-1974, 1975-79. 1980-84, 1985-89). The Oxford-FPA study is a large scale prospective study of 17,032 women recruited from 1968-74 and still under observation. Seventeen family planning centres throughout England and Scotland. At recruitment the 17,032 women were all white, British, married, aged 25-39 and willing to co-operate. In addition, they were using the pill or an intrauterine device or a diaphragm as their method of contraception. Hysterectomy rates per 1000 woman-years of observation in various subclasses of the data. Up to the end of 1989, 1885 (11.1%) of the 17,032 women in the study were known to have undergone hysterectomy. Fibroids were the most common cause followed closely by menstrual disturbances in the absence of fibroids (hereafter referred to as 'menstrual disturbances'). Social class had a modest influence on hysterectomy rates. Hysterectomy for fibroids, prolapse, endometriosis and 'other reasons' showed little trend with calendar period while hysterectomy for menstrual disturbances and for cancer showed a sharp increase with calendar time especiall...Continue Reading

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