Movement to Outpatient Hysterectomy for Benign Indications in the United States, 2008-2014

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Movement to Outpatient Hysterectomy for Benign Indications in the United States, 2008-2014

https://journals.plos.org/plosone/article/comments?id=10.1371/journal.pone.0188812

Journal: PLoS One 2017

Authors: Gaby Moawad, Emelline Liu, Chao Song, Alex Z Fu

The past decade has witnessed adoption of conservative gynecologic treatments, including minimally invasive surgery (MIS), alongside steady declines in inpatient hysterectomies. It remains unclear what factors have contributed to trends in outpatient benign hysterectomy (BH), as well as whether these trends exacerbate disparities.

From 2008-2014, rates of Laparoscopic Hysterectomy and Robotic Hysterectomy significantly increased. A significant shift from inpatient to outpatient setting was observed. These findings suggest that Robotic Hysterectomy may facilitate the shift to outpatient benign hysterectomy (BH), particularly for patients with complexities. The adoption of minimally invasive surgery (MIS) in outpatient settings may improve access to disadvantaged patient groups.

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