Vanessa L. Jacoby|Amy M. Autry|George Jacobson|Robert Domush|Sanae Nakagawa|Alison Jacoby
Nationwide Use of Laparoscopic Hysterectomy Compared With Abdominal and Vaginal Approaches
University of California, San Francisco|University of California, San Francisco|Kaiser Permanente|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco
examine factors associated undergoing laparoscopic hysterectomy compared abdominal hysterectomy vaginal hysterectomythis crosssectional analysis 2005 nationwide inpatient sample women aged 18 years older underwent hysterectomy benign condition included multivariable analyses used examine demographic clinical healthsystem factors associated hysterectomy routeamong 518828 hysterectomies 14 laparoscopic 64 abdominal 22 vaginal women older 35 years lower rates laparoscopic abdominal odds ratio 085 95 confidence interval ci 077094 age 4549 years vaginal hysterectomy 061 95 ci 054069 age 4549 years odds laparoscopic compared abdominal hysterectomy higher west northeast 177 95 ci 12262 africanamerican latina asian women 4050 lower odds laparoscopic compared abdominal hysterectomy p001 women low income medicare medicaid health insurance less likely undergo laparoscopic either vaginal abdominal hysterectomy p001 women leiomyomas p001 pelvic infections p001 less likely undergo laparoscopic abdominal hysterectomy women leiomyomas p001 endometriosis p001 pelvic infections p001 likely laparoscopic vaginal hysterectomy laparoscopic hysterectomy highest mean hospital charges 18821 p001 shortest length stay 165 days p001in addition age clinical diagnosis nonclinical factors raceethnicity insurance status income region appear affect use laparoscopic hysterectomy compared abdominal hysterectomy vaginal hysterectomyiii