What We Know about the Long-Term Risks of Hysterectomy for Benign Indication—A Systematic Review

Hysterectomy is the most common treatment option in women with uterine fibroids, providing definitive relief from the associated burdensome symptoms. As with all surgical interventions, hysterectomy is associated with risk of complications, short-term morbidities, and mortality, all of which have be...

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Autores principales:	Obianuju Sandra Madueke-Laveaux, Amro Elsharoud, Ayman Al-Hendy
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	uterine fibroids long-term consequences of hysterectomy uterine fibroid management patient engagement complications adverse events Medicine R
Acceso en línea:	https://doaj.org/article/71f069821b894c9191c5bba9c2e9fdbc
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spelling	oai:doaj.org-article:71f069821b894c9191c5bba9c2e9fdbc2021-11-25T18:01:51ZWhat We Know about the Long-Term Risks of Hysterectomy for Benign Indication—A Systematic Review10.3390/jcm102253352077-0383https://doaj.org/article/71f069821b894c9191c5bba9c2e9fdbc2021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5335https://doaj.org/toc/2077-0383Hysterectomy is the most common treatment option in women with uterine fibroids, providing definitive relief from the associated burdensome symptoms. As with all surgical interventions, hysterectomy is associated with risk of complications, short-term morbidities, and mortality, all of which have been described previously. However, information on the potential long-term risks of hysterectomy is only recently becoming available. A systematic literature review was performed to identify studies published between 2005 and December 2020 evaluating the long-term impact of hysterectomy on patient outcomes. A total of 29 relevant studies were identified. A review of the articles showed that hysterectomy may increase the risk of cardiovascular events, certain cancers, the need for further surgery, early ovarian failure and menopause, depression, and other outcomes. It is important to acknowledge that the available studies examine possible associations and hypotheses rather than causality, and there is a need to establish higher quality studies to truly evaluate the long-term consequences of hysterectomy. However, it is of value to consider these findings when discussing the benefits and risks of all treatment options with patients with uterine fibroids to allow for preference-based choices to be made in a shared decision-making process. This is key to ensuring that patients receive the treatment that best meets their individual needs.Obianuju Sandra Madueke-LaveauxAmro ElsharoudAyman Al-HendyMDPI AGarticleuterine fibroidslong-term consequences of hysterectomyuterine fibroid managementpatient engagementcomplicationsadverse eventsMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5335, p 5335 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	uterine fibroids long-term consequences of hysterectomy uterine fibroid management patient engagement complications adverse events Medicine R
spellingShingle	uterine fibroids long-term consequences of hysterectomy uterine fibroid management patient engagement complications adverse events Medicine R Obianuju Sandra Madueke-Laveaux Amro Elsharoud Ayman Al-Hendy What We Know about the Long-Term Risks of Hysterectomy for Benign Indication—A Systematic Review
description	Hysterectomy is the most common treatment option in women with uterine fibroids, providing definitive relief from the associated burdensome symptoms. As with all surgical interventions, hysterectomy is associated with risk of complications, short-term morbidities, and mortality, all of which have been described previously. However, information on the potential long-term risks of hysterectomy is only recently becoming available. A systematic literature review was performed to identify studies published between 2005 and December 2020 evaluating the long-term impact of hysterectomy on patient outcomes. A total of 29 relevant studies were identified. A review of the articles showed that hysterectomy may increase the risk of cardiovascular events, certain cancers, the need for further surgery, early ovarian failure and menopause, depression, and other outcomes. It is important to acknowledge that the available studies examine possible associations and hypotheses rather than causality, and there is a need to establish higher quality studies to truly evaluate the long-term consequences of hysterectomy. However, it is of value to consider these findings when discussing the benefits and risks of all treatment options with patients with uterine fibroids to allow for preference-based choices to be made in a shared decision-making process. This is key to ensuring that patients receive the treatment that best meets their individual needs.
format	article
author	Obianuju Sandra Madueke-Laveaux Amro Elsharoud Ayman Al-Hendy
author_facet	Obianuju Sandra Madueke-Laveaux Amro Elsharoud Ayman Al-Hendy
author_sort	Obianuju Sandra Madueke-Laveaux
title	What We Know about the Long-Term Risks of Hysterectomy for Benign Indication—A Systematic Review
title_short	What We Know about the Long-Term Risks of Hysterectomy for Benign Indication—A Systematic Review
title_full	What We Know about the Long-Term Risks of Hysterectomy for Benign Indication—A Systematic Review
title_fullStr	What We Know about the Long-Term Risks of Hysterectomy for Benign Indication—A Systematic Review
title_full_unstemmed	What We Know about the Long-Term Risks of Hysterectomy for Benign Indication—A Systematic Review
title_sort	what we know about the long-term risks of hysterectomy for benign indication—a systematic review
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/71f069821b894c9191c5bba9c2e9fdbc
work_keys_str_mv	AT obianujusandramaduekelaveaux whatweknowaboutthelongtermrisksofhysterectomyforbenignindicationasystematicreview AT amroelsharoud whatweknowaboutthelongtermrisksofhysterectomyforbenignindicationasystematicreview AT aymanalhendy whatweknowaboutthelongtermrisksofhysterectomyforbenignindicationasystematicreview
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What We Know about the Long-Term Risks of Hysterectomy for Benign Indication—A Systematic Review

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