{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T15:58:17Z","timestamp":1790438297237,"version":"4.1.0"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:00:00Z","timestamp":1790380800000},"content-version":"vor","delay-in-days":53,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"South-Eastern Norway Regional Health","award":["21\/00168-326"],"award-info":[{"award-number":["21\/00168-326"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Migration status and socioeconomic factors may influence access to and provision of gynaecological surgical care. However, evidence from European settings remains limited. This study aimed to examine disparities in surgical approach and indications for hysterectomy by migration status, while adjusting for education and income, among women with benign gynaecological conditions in Norway. We conducted a nationwide register-based cohort study using data from the Norwegian Patient Registry, including all women who underwent hysterectomy for benign indications in Norway between 2008 and 2020 (n\u2009=\u200938\u2009913). Surgical approach was categorized as laparoscopic, vaginal, or open abdominal. Multinomial logistic regression was used to estimate odds ratios (OR), 95% confidence intervals (CI) and absolute risk difference for laparoscopic and vaginal hysterectomy compared with open surgery, adjusting for demographic, clinical, and socioeconomic factors. The frequency of surgical indications was assessed by migration status and regional group of birth. Migrants had lower odds of undergoing laparoscopic hysterectomy (OR 0.66, 95% CI: 0.57\u20130.77) and vaginal hysterectomy (OR 0.60, 95% CI: 0.49\u20130.75), compared with open surgery. Higher income was associated with increased odds of laparoscopic hysterectomy, with a stronger association observed among migrants. Migrants had lower proportions of hysterectomies performed due to genital prolapse and higher proportions due to fibroid compared with Norwegian-born women. Migration status is associated with surgical approach and hysterectomy indications, suggesting inequities in minimally invasive surgery despite Norway\u2019s universal health coverage. These findings highlight the need for efforts to ensure equitable surgical care in gynaecology.<\/jats:p>","DOI":"10.1093\/eurpub\/ckag176","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T11:52:02Z","timestamp":1789041122000},"source":"Crossref","is-referenced-by-count":0,"title":["Influence of migration status on hysterectomy surgical approach and indications for benign conditions\u2014a nationwide cohort register study"],"prefix":"10.1093","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8720-4732","authenticated-orcid":false,"given":"Sukhjeet","family":"Bains","sequence":"first","affiliation":[{"name":"Norwegian Research Centre for Women\u2019s Health, Oslo University Hospital , Oslo,","place":["Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2635-4504","authenticated-orcid":false,"given":"Tina","family":"Tellum","sequence":"additional","affiliation":[{"name":"Department of Gynaecology, Oslo University Hospital , Oslo,","place":["Norway"]},{"name":"Institute of Clinical Medicine, Medical Faculty, University of Oslo , Oslo,","place":["Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5184-0478","authenticated-orcid":false,"given":"Dawit Shawel","family":"Abebe","sequence":"additional","affiliation":[{"name":"Department of Nursing and Health Promotion, Oslo Metropolitan University , Oslo,","place":["Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9534-6255","authenticated-orcid":false,"given":"Trond Melbye","family":"Michelsen","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine, Medical Faculty, University of Oslo , Oslo,","place":["Norway"]},{"name":"Department of Obstetrics, Division of Obstetrics and Gynecology, Oslo University Hospital , Oslo,","place":["Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8998-4285","authenticated-orcid":false,"given":"Ingvil Krarup","family":"S\u00f8rbye","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine, Medical Faculty, University of Oslo , Oslo,","place":["Norway"]},{"name":"Department of Obstetrics, Division of Obstetrics and Gynecology, Oslo University Hospital , Oslo,","place":["Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,26]]},"reference":[{"key":"2026092611023222900_ckag176-B1","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1111\/1471-0528.15539","article-title":"Route of hysterectomy: a retrospective, cohort study in English NHS hospitals from 2011 to 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hysterectomies","volume":"15","author":"Abenhaim","year":"2008","journal-title":"J Minim Invasive Gynecol"},{"key":"2026092611023222900_ckag176-B8","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1016\/j.jmig.2018.05.017","article-title":"Relationship between race\/ethnicity and hysterectomy outcomes for benign gynecologic conditions","volume":"26","author":"Bougie","year":"2019","journal-title":"J Minim Invasive Gynecol"},{"key":"2026092611023222900_ckag176-B9","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1016\/j.jmig.2013.08.709","article-title":"Disparities in use of laparoscopic hysterectomies: a nationwide analysis","volume":"21","author":"Patel","year":"2014","journal-title":"J Minim Invasive Gynecol"},{"key":"2026092611023222900_ckag176-B10","doi-asserted-by":"publisher","first-page":"572","DOI":"10.1016\/j.ajog.2017.07.036","article-title":"Social determinants of access to minimally invasive hysterectomy: reevaluating the relationship between race and 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