{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T17:39:09Z","timestamp":1793468349855,"version":"4.5.0"},"reference-count":27,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,6,21]],"date-time":"2020-06-21T00:00:00Z","timestamp":1592697600000},"content-version":"am","delay-in-days":356,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R01HS024702"],"award-info":[{"award-number":["R01HS024702"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004856","name":"New York State Department of Health","doi-asserted-by":"publisher","award":["5NU58DP006309"],"award-info":[{"award-number":["5NU58DP006309"]}],"id":[{"id":"10.13039\/100004856","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004319","name":"Pfizer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["ajog.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Obstetrics and Gynecology"],"published-print":{"date-parts":[[2019,7]]},"DOI":"10.1016\/j.ajog.2019.02.051","type":"journal-article","created":{"date-parts":[[2019,3,7]],"date-time":"2019-03-07T12:17:42Z","timestamp":1551961062000},"page":"39.e1-39.e14","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":44,"title":["Prevalence, characteristics, and risk factors of occult uterine cancer in presumed benign hysterectomy"],"prefix":"10.1016","volume":"221","author":[{"given":"Vrunda B.","family":"Desai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason D.","family":"Wright","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cary P.","family":"Gross","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haiqun","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis P.","family":"Boscoe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsey M.","family":"Hutchison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter E.","family":"Schwartz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6519-1731","authenticated-orcid":false,"given":"Xiao","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"7","key":"10.1016\/j.ajog.2019.02.051_bib1","doi-asserted-by":"crossref","first-page":"2253","DOI":"10.1007\/s00464-013-2973-9","article-title":"Minimally invasive surgery: national trends in adoption and future directions for hospital strategy","volume":"27","author":"Tsui","year":"2013","journal-title":"Surg Endosc"},{"issue":"4","key":"10.1016\/j.ajog.2019.02.051_bib2","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1097\/01.AOG.0000462977.61229.de","article-title":"Practice Bulletin No. 149: Endometrial cancer","volume":"125","year":"2015","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.02.051_bib3","unstructured":"U.S. Food and Drug Administration. FDA updated assessment of the use of laparoscopic power morcellators to treat uterine fibroids. December 2017. Silver Spring, MD. Available at: https:\/\/www.fda.gov\/downloads\/MedicalDevices\/ProductsandMedicalProcedures\/SurgeryandLifeSupport\/UCM584539.pdf. Accessed August 14,\u00a02018."},{"key":"10.1016\/j.ajog.2019.02.051_bib4","series-title":"Management of uterine fibroids. Comparative Effectiveness Review No. 195. (Prepared by the Vanderbilt Evidence-based Practice Center under Contract No. 290-2015-00003-I.) AHRQ Publication No. 17(18)-EHC028-EF","author":"Hartmann","year":"2017"},{"issue":"1","key":"10.1016\/j.ajog.2019.02.051_bib5","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.jmig.2013.07.008","article-title":"Incidence of unanticipated uterine pathology at the time of minimally invasive abdominal sacrocolpopexy","volume":"21","author":"Andy","year":"2014","journal-title":"J\u00a0Minim Invasive Gynecol"},{"issue":"4","key":"10.1016\/j.ajog.2019.02.051_bib6","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1016\/j.jmig.2016.01.014","article-title":"Safety of manual morcellation after vaginal or laparoscopic-assisted vaginal hysterectomy","volume":"23","author":"Balgobin","year":"2016","journal-title":"J\u00a0Minim Invasive Gynecol"},{"issue":"11","key":"10.1016\/j.ajog.2019.02.051_bib7","doi-asserted-by":"crossref","first-page":"2311","DOI":"10.1016\/j.humpath.2014.07.018","article-title":"Incidental gynecologic neoplasms in morcellated uterine specimens: a case series with follow-up","volume":"45","author":"Ehdaivand","year":"2014","journal-title":"Hum Pathol"},{"issue":"2","key":"10.1016\/j.ajog.2019.02.051_bib8","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1097\/SPV.0b013e31829ff5b8","article-title":"Unanticipated uterine pathologic finding after morcellation during robotic-assisted supracervical hysterectomy and cervicosacropexy for uterine prolapse","volume":"20","author":"Hill","year":"2014","journal-title":"Female Pelvic Med Reconstr Surg"},{"key":"10.1016\/j.ajog.2019.02.051_bib9","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.ejogrb.2015.11.009","article-title":"Incidence of occult leiomyosarcoma in presumed morcellation cases: a database study","volume":"197","author":"Rodriguez","year":"2016","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"12","key":"10.1016\/j.ajog.2019.02.051_bib10","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.1001\/jama.2014.9005","article-title":"Uterine pathology in women undergoing minimally invasive hysterectomy using morcellation","volume":"312","author":"Wright","year":"2014","journal-title":"JAMA"},{"key":"10.1016\/j.ajog.2019.02.051_bib11","series-title":"SEER Survival Monograph: Cancer Survival Among Adults: U.S. SEER Program, 1988-2001, Patient and Tumor Characteristics","article-title":"Cancer of the corpus uteri","author":"Kosary","year":"2007"},{"issue":"4","key":"10.1016\/j.ajog.2019.02.051_bib15","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1097\/IGC.0b013e318244cedc","article-title":"Incidence and survival trends of uncommon corpus uteri malignancies in the Netherlands, 1989-2008","volume":"22","author":"Boll","year":"2012","journal-title":"Int J Gynecol Cancer"},{"key":"10.1016\/j.ajog.2019.02.051_bib16","unstructured":"American Joint Committee on Cancer. Collaborative Stage Data Collection System. Schema Version 02.05. Chicago, IL. Available at: http:\/\/cancerstaging.org\/cstage\/schema\/Pages\/version0205.aspx. Accessed August 5,\u00a02018."},{"issue":"8","key":"10.1016\/j.ajog.2019.02.051_bib17","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1097\/01.mlr.0000223475.70440.07","article-title":"In search of the perfect comorbidity measure for use with administrative claims data: does it exist?","volume":"44","author":"Baldwin","year":"2006","journal-title":"Med Care"},{"issue":"1","key":"10.1016\/j.ajog.2019.02.051_bib18","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1097\/00005650-199801000-00004","article-title":"Comorbidity measures for use with administrative data","volume":"36","author":"Elixhauser","year":"1998","journal-title":"Med Care"},{"issue":"7","key":"10.1016\/j.ajog.2019.02.051_bib19","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1093\/aje\/kwh090","article-title":"A\u00a0modified poisson regression approach to prospective studies with binary data","volume":"159","author":"Zou","year":"2004","journal-title":"Am J Epidemiol"},{"issue":"7","key":"10.1016\/j.ajog.2019.02.051_bib20","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1093\/aje\/kwj063","article-title":"The inconsistency of \u201coptimal\u201d cutpoints obtained using two criteria based on the receiver operating characteristic curve","volume":"163","author":"Perkins","year":"2006","journal-title":"Am J Epidemiol"},{"issue":"3","key":"10.1016\/j.ajog.2019.02.051_bib21","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1007\/s10654-011-9561-x","article-title":"Sensitivity x PPV is a recognized test called the clinical utility index (CUI+)","volume":"26","author":"Mitchell","year":"2011","journal-title":"Eur J Epidemiol"},{"key":"10.1016\/j.ajog.2019.02.051_bib22","unstructured":"U.S. Food and Drug Administration. Quantitative assessment of the prevalence of unsuspected uterine sarcoma in women undergoing treatment of uterine fibroids: summary and key findings. April 17, 2014. Silver Spring, MD. Available at: https:\/\/www.fda.gov\/downloads\/medicaldevices\/safety\/alertsandnotices\/ucm393589.pdf. Accessed August 26,\u00a02018."},{"issue":"1","key":"10.1016\/j.ajog.2019.02.051_bib23","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.whi.2015.09.008","article-title":"Risk of undetected cancer at the time of laparoscopic supracervical hysterectomy and laparoscopic myomectomy: implications for the use of power morcellation","volume":"26","author":"Perkins","year":"2016","journal-title":"Womens Health Issues"},{"issue":"4","key":"10.1016\/j.ajog.2019.02.051_bib24","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1097\/AOG.0000000000002521","article-title":"Occult gynecologic cancer in women undergoing hysterectomy or myomectomy for benign indications","volume":"131","author":"Desai","year":"2018","journal-title":"Obstet Gynecol"},{"issue":"2","key":"10.1016\/j.ajog.2019.02.051_bib25","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1097\/AOG.0000000000002769","article-title":"Letter: Occult gynecologic cancer in women undergoing hysterectomy or myomectomy for benign indications","volume":"132","author":"Chalas","year":"2018","journal-title":"Obstet Gynecol"},{"issue":"8","key":"10.1016\/j.ajog.2019.02.051_bib26","doi-asserted-by":"crossref","first-page":"1765","DOI":"10.1002\/1097-0142(20001015)89:8<1765::AID-CNCR17>3.0.CO;2-F","article-title":"The accuracy of endometrial sampling in the diagnosis of patients with endometrial carcinoma and hyperplasia: a meta-analysis","volume":"89","author":"Dijkhuizen","year":"2000","journal-title":"Cancer"},{"issue":"2","key":"10.1016\/j.ajog.2019.02.051_bib27","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1097\/AOG.0000000000000642","article-title":"Unexpected gynecologic malignancy diagnosed after hysterectomy performed for benign indications","volume":"125","author":"Mahnert","year":"2015","journal-title":"Obstet Gynecol"},{"issue":"3","key":"10.1016\/j.ajog.2019.02.051_bib28","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1007\/s10397-015-0894-4","article-title":"The prevalence of occult leiomyosarcoma at surgery for presumed uterine fibroids: a meta-analysis","volume":"12","author":"Pritts","year":"2015","journal-title":"Gynecol Surg"},{"issue":"5","key":"10.1016\/j.ajog.2019.02.051_bib29","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1097\/00005650-199905000-00003","article-title":"The sensitivity of Medicare claims data for case ascertainment of six common cancers","volume":"37","author":"Cooper","year":"1999","journal-title":"Med Care"},{"key":"10.1016\/j.ajog.2019.02.051_bib30","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1186\/1472-6963-14-150","article-title":"Identifying diabetics in Medicare claims and\u00a0survey data: implications for health services research","volume":"14","author":"Sakshaug","year":"2014","journal-title":"BMC Health Serv Res"}],"container-title":["American Journal of Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002937819304302?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002937819304302?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T11:23:12Z","timestamp":1757589792000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002937819304302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":27,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,7]]}},"alternative-id":["S0002937819304302"],"URL":"https:\/\/doi.org\/10.1016\/j.ajog.2019.02.051","relation":{},"ISSN":["0002-9378"],"issn-type":[{"value":"0002-9378","type":"print"}],"subject":[],"published":{"date-parts":[[2019,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Prevalence, characteristics, and risk factors of occult uterine cancer in presumed benign hysterectomy","name":"articletitle","label":"Article Title"},{"value":"American Journal of Obstetrics and Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajog.2019.02.051","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}