open access

Vol 89, No 10 (2018)
Research paper
Published online: 2018-10-31
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Hysterectomy in Poland between 2011 and 2016. Changing trends in the surgical approach to hysterectomy

Piotr Lepka12, Marcin Jędryka12, Marcin Misiek3, Rafał Matkowski12
DOI: 10.5603/GP.a2018.0090
·
Pubmed: 30393839
·
Ginekol Pol 2018;89(10):529-535.
Affiliations
  1. Division of Surgical Oncology, Gynaecological Oncology, Chemotherapy and Department of Oncology, Wroclaw Medical University, Plac Ludwika Hirszfelda 12, 53-413 Wroclaw, Poland
  2. Lower Silesian Oncology Center in Wrocław, Poland
  3. Department of Gynaecologic Oncology, Holycross Cancer Center, Stefana Artwińskiego Street 3, 25-734 Kielce, Poland

open access

Vol 89, No 10 (2018)
ORIGINAL PAPERS Gynecology
Published online: 2018-10-31

Abstract

Objectives: In Poland, approximately 35,000 women a year undergo hysterectomy. The surgical approach may vary depending on the indications and experience of the operator and advances in laparoscopic surgical techniques. The aim of the present study was to analyze trends in the use of various types of hysterectomy in Poland between 2011 and 2016. Summary values were given as numbers and percentages. Annual incidence of procedures and identify factors which influence these changes in gynecological practice.
Material and methods: Data on hysterectomy procedures performed between 2011 and 2016 in Poland acquired from the National Health Fund reports were extracted and analyzed. Summary values were given as numbers, percentages and rate ratios (RR). Annual incidence of procedures and identify factors that influence these changes in gynecological practice.
Results: Between 2011 and 2016, 215,744 women were treated by hysterectomy in inpatient settings. The total number of those procedures in analyzed period decreased by 11.5%; the incidence rate dropped by 2.15 per 100,000 women. A significant increase in laparoscopic procedures was observed (RR = 3.85; CI: 3.57–4.16; p < 0.001) along with a decrease in the number of abdominal operations (RR = 0.82; CI: 0.81–0.83; p < 0.001).
Conclusions: Surgical technique advances, introduction of intrauterine systems and hormonal therapy, as well as recommendations of international institutions have brought about changes in the methods and frequency of hysterectomy. The laparoscopic approach has been gaining popularity since it is beneficial both for patients and public health system. However, the percentage of advanced minimally invasive hysterectomies is still low in Poland in comparison to other countries.

Abstract

Objectives: In Poland, approximately 35,000 women a year undergo hysterectomy. The surgical approach may vary depending on the indications and experience of the operator and advances in laparoscopic surgical techniques. The aim of the present study was to analyze trends in the use of various types of hysterectomy in Poland between 2011 and 2016. Summary values were given as numbers and percentages. Annual incidence of procedures and identify factors which influence these changes in gynecological practice.
Material and methods: Data on hysterectomy procedures performed between 2011 and 2016 in Poland acquired from the National Health Fund reports were extracted and analyzed. Summary values were given as numbers, percentages and rate ratios (RR). Annual incidence of procedures and identify factors that influence these changes in gynecological practice.
Results: Between 2011 and 2016, 215,744 women were treated by hysterectomy in inpatient settings. The total number of those procedures in analyzed period decreased by 11.5%; the incidence rate dropped by 2.15 per 100,000 women. A significant increase in laparoscopic procedures was observed (RR = 3.85; CI: 3.57–4.16; p < 0.001) along with a decrease in the number of abdominal operations (RR = 0.82; CI: 0.81–0.83; p < 0.001).
Conclusions: Surgical technique advances, introduction of intrauterine systems and hormonal therapy, as well as recommendations of international institutions have brought about changes in the methods and frequency of hysterectomy. The laparoscopic approach has been gaining popularity since it is beneficial both for patients and public health system. However, the percentage of advanced minimally invasive hysterectomies is still low in Poland in comparison to other countries.

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Keywords

hysterectomy; statistics; laparoscopy; Poland

About this article
Title

Hysterectomy in Poland between 2011 and 2016. Changing trends in the surgical approach to hysterectomy

Journal

Ginekologia Polska

Issue

Vol 89, No 10 (2018)

Article type

Research paper

Pages

529-535

Published online

2018-10-31

DOI

10.5603/GP.a2018.0090

Pubmed

30393839

Bibliographic record

Ginekol Pol 2018;89(10):529-535.

Keywords

hysterectomy
statistics
laparoscopy
Poland

Authors

Piotr Lepka
Marcin Jędryka
Marcin Misiek
Rafał Matkowski

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