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The Danish Hysterectomy and Hysteroscopy Database

View Article: PubMed Central - PubMed

ABSTRACT

Aim of the database: The steering committee of the Danish Hysterectomy and Hysteroscopy Database (DHHD) has defined the objective of the database: the aim is firstly to reduce complications, readmissions, reoperations; secondly to specify the need for hospitalization after hysterectomy; thirdly to secure quality assessment of hysterectomy and hysteroscopy by setting standards and national guidelines; and finally to intensify the monitoring of laparoscopic surgery and explore long-term side effects after hysterectomy.

Study population: We include all women in Denmark who have had elective benign uterine surgery since 2003. The surgery includes hysterectomy and operative hysteroscopy. In the latter, we include resection of the endometrium and submucosal leiomyomas and ablations of the endometrium.

Main variables: Detailed information about the hysterectomy and hysteroscopy operation techniques, cooperations, and indications is registered directly in the National Patient Register (NPR), as well as relevant lifestyle factors and confounders. It is mandatory to register information about complications and readmissions in the NPR. Data included in DHHD are directly extracted from the NPR.

Descriptive data: Annually approximately 4,300 hysterectomies and 3,200 operative hysteroscopies are performed in Denmark. Since the establishment of the database in 2003, 50,000 hysterectomies have been registered. DHHD’s nationwide cooperation and research have led to national guidelines and regimes. Annual national meetings and nationwide workshops have been organized.

Conclusion: The use of vaginal and laparoscopic hysterectomy methods has increased during the past decade and the overall complication rate and hospital stay have declined. The regional variation in operation methods has also decreased.

No MeSH data available.


Regional reduction in abdominal hysterectomy from 2004 to 2014 at 21 public gynecological departments performing hysterectomies during the 10-year period.Notes: In 2004, there were 31 public hospitals and an unknown number of private hospitals performing hysterectomies. Ten of the public departments were closed or merged before 2014 and therefore not shown. None of the private hospitals was registering hysterectomies in 2004. On a national level, there were 75% abdominal hysterectomies. In 2014, there were 21 public hospitals and 5 private hospitals performing hysterectomies. On a national level, there were 27% abdominal hysterectomies.Abbreviations: Nyk.F, Nykoebning Falster; RH, Rigshospitalet.
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f2-clep-8-515: Regional reduction in abdominal hysterectomy from 2004 to 2014 at 21 public gynecological departments performing hysterectomies during the 10-year period.Notes: In 2004, there were 31 public hospitals and an unknown number of private hospitals performing hysterectomies. Ten of the public departments were closed or merged before 2014 and therefore not shown. None of the private hospitals was registering hysterectomies in 2004. On a national level, there were 75% abdominal hysterectomies. In 2014, there were 21 public hospitals and 5 private hospitals performing hysterectomies. On a national level, there were 27% abdominal hysterectomies.Abbreviations: Nyk.F, Nykoebning Falster; RH, Rigshospitalet.

Mentions: There has been a reduction in the regional variation in choice of hysterectomy methods. In 2004, hysterectomies were performed in 31 public gynecological departments with a variation of 0% to 70% minimal invasive procedures (Figure 2) comprising 31% vaginal and 5% laparoscopic hysterectomies. In 2014, the overall number of departments performing hysterectomies was reduced to 22 public gynecological departments and five large private hospitals, the minimal invasive hysterectomy now ranging from 25% to 100%, comprising 22% vaginal and 51% laparoscopic methods (Figure 2).


The Danish Hysterectomy and Hysteroscopy Database
Regional reduction in abdominal hysterectomy from 2004 to 2014 at 21 public gynecological departments performing hysterectomies during the 10-year period.Notes: In 2004, there were 31 public hospitals and an unknown number of private hospitals performing hysterectomies. Ten of the public departments were closed or merged before 2014 and therefore not shown. None of the private hospitals was registering hysterectomies in 2004. On a national level, there were 75% abdominal hysterectomies. In 2014, there were 21 public hospitals and 5 private hospitals performing hysterectomies. On a national level, there were 27% abdominal hysterectomies.Abbreviations: Nyk.F, Nykoebning Falster; RH, Rigshospitalet.
© Copyright Policy
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC5094637&req=5

f2-clep-8-515: Regional reduction in abdominal hysterectomy from 2004 to 2014 at 21 public gynecological departments performing hysterectomies during the 10-year period.Notes: In 2004, there were 31 public hospitals and an unknown number of private hospitals performing hysterectomies. Ten of the public departments were closed or merged before 2014 and therefore not shown. None of the private hospitals was registering hysterectomies in 2004. On a national level, there were 75% abdominal hysterectomies. In 2014, there were 21 public hospitals and 5 private hospitals performing hysterectomies. On a national level, there were 27% abdominal hysterectomies.Abbreviations: Nyk.F, Nykoebning Falster; RH, Rigshospitalet.
Mentions: There has been a reduction in the regional variation in choice of hysterectomy methods. In 2004, hysterectomies were performed in 31 public gynecological departments with a variation of 0% to 70% minimal invasive procedures (Figure 2) comprising 31% vaginal and 5% laparoscopic hysterectomies. In 2014, the overall number of departments performing hysterectomies was reduced to 22 public gynecological departments and five large private hospitals, the minimal invasive hysterectomy now ranging from 25% to 100%, comprising 22% vaginal and 51% laparoscopic methods (Figure 2).

View Article: PubMed Central - PubMed

ABSTRACT

Aim of the database: The steering committee of the Danish Hysterectomy and Hysteroscopy Database (DHHD) has defined the objective of the database: the aim is firstly to reduce complications, readmissions, reoperations; secondly to specify the need for hospitalization after hysterectomy; thirdly to secure quality assessment of hysterectomy and hysteroscopy by setting standards and national guidelines; and finally to intensify the monitoring of laparoscopic surgery and explore long-term side effects after hysterectomy.

Study population: We include all women in Denmark who have had elective benign uterine surgery since 2003. The surgery includes hysterectomy and operative hysteroscopy. In the latter, we include resection of the endometrium and submucosal leiomyomas and ablations of the endometrium.

Main variables: Detailed information about the hysterectomy and hysteroscopy operation techniques, cooperations, and indications is registered directly in the National Patient Register (NPR), as well as relevant lifestyle factors and confounders. It is mandatory to register information about complications and readmissions in the NPR. Data included in DHHD are directly extracted from the NPR.

Descriptive data: Annually approximately 4,300 hysterectomies and 3,200 operative hysteroscopies are performed in Denmark. Since the establishment of the database in 2003, 50,000 hysterectomies have been registered. DHHD’s nationwide cooperation and research have led to national guidelines and regimes. Annual national meetings and nationwide workshops have been organized.

Conclusion: The use of vaginal and laparoscopic hysterectomy methods has increased during the past decade and the overall complication rate and hospital stay have declined. The regional variation in operation methods has also decreased.

No MeSH data available.