文章基本信息

标题：Trend and variability in open andlaparoscopic hysterectomies for patientswith benign disease: a retrospectivecohort study
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作者：Mario Saia ; Alessandra Buja ; Erich Cosmi 等
期刊名称：Annali dell'Istituto Superiore di Sanita
印刷版ISSN：0021-2571
出版年度：2017
卷号：53
期号：2
页码：135-141
DOI：10.4415/ANN_17_02_09
出版社：Editrice Kurtis Srl
摘要：Aim. The aim of the present analysis on a regional hospital database was to ascertain thevariability and 5-year trends of hysterectomy rates and the different surgical approachesused.Methods. A retrospective cohort study was conducted in Veneto Region (North-EastItaly), based on administrative data collected in 6 years, from 2009 to 2014.Results. Our study showed an overall decline in the hospitalization rates for hysterectomyfrom 197.5 to 165.8/100 000 and shorter overall hospital stays for this procedure(from 5.5 to 4.5 days). During the six years analyzed, there was an overall increase inthe use of laparoscopic surgery (from 28% to 35% of cases). There was also a markedvariability within the region considered in terms of the hysterectomy rates and the typeof procedure performed.Conclusions. The unwarranted variability in the rates of elective surgical procedures,and the techniques used to perform them, could be monitored by analyzing electronichospital records.
关键词：delivery of health care; health care surveys; hospital administration; hysterectomy; unwarranted variability