{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:55:42Z","timestamp":1791219342023,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T00:00:00Z","timestamp":1644364800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate factors that affect a gynecologist\u2019s decision to remove an asymptomatic uterus at the time of removal of a presumed benign adnexal mass.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective chart review of hysterectomies conducted when removing presumed benign adnexal masses at a tertiary\u2010care academic center. Primary outcome was the final pathology of the adnexal mass to determine whether the hysterectomy was medically indicated. Secondary outcomes included the rate of postoperative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We included 185 out of 1415 charts. Most hysterectomies were performed by gynecologic oncologists (68.8%); 113 (61%) had a frozen section and of those, 76 (67.3%) were benign. Final adnexal pathology was benign in 135 (73%) cases. Using a bivariate analysis, menopausal status (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.019), parity (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.047), sonographic appearance of the mass (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.049), and the physician\u2019s preoperative suspicion for malignancy (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) were significantly associated with the final adnexal pathology. At the multivariate level, only the physician\u2019s suspicion for malignancy was significantly associated with the final adnexal pathology (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001) with an odds ratio of 7.28 (95% confidence interval 3.11\u201317.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite gynecologists' capacity to predict the malignant nature of an adnexal mass, 135 of 185 (73%) hysterectomies were performed without a clear medical indication, at the time of removal of benign adnexal masses.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14110","type":"journal-article","created":{"date-parts":[[2022,1,22]],"date-time":"2022-01-22T19:13:45Z","timestamp":1642878825000},"page":"122-128","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Appropriateness of hysterectomies at the time of surgical removal of presumed benign adnexal masses"],"prefix":"10.1002","volume":"159","author":[{"given":"Carole","family":"Barake","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology American University of Beirut Medical Center  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rula","family":"Atwani","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine American University of Beirut Medical Center  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narjes","family":"Jaafar","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine American University of Beirut Medical Center  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hani","family":"Tamim","sequence":"additional","affiliation":[{"name":"Clinical Research Institute American University of Beirut Medical Center  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elie","family":"Hobeika","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology American University of Beirut Medical Center  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dina","family":"Chamsy","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology American University of Beirut Medical Center  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/5828071"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905\u2010021\u201001386\u20102"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.5603\/GP.a2018.0090"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2020.05.030"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.269.18.2398"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0029\u20107844(99)00519\u20100"},{"key":"e_1_2_8_8_1","unstructured":"American College of Obstetricians and Gynecologists.2020.Hysterectomy. 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