{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T12:32:38Z","timestamp":1769689958515,"version":"3.49.0"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,3,19]],"date-time":"2015-03-19T00:00:00Z","timestamp":1426723200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002301","name":"Estonian Research Council","doi-asserted-by":"crossref","award":["IUT5-1"],"award-info":[{"award-number":["IUT5-1"]}],"id":[{"id":"10.13039\/501100002301","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe hysterectomy rates in different age groups, indications and proportion of surgery types over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Nationwide register\u2010based study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Estonia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Women who had hysterectomies for benign indications from 2004 to 2011.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>For each case, diagnosis according to <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u201010, type of surgery according to Nordic Medico\u2010Statistical Committee, age, and time of operation were retrieved from the Estonian Health Insurance Fund database. Mid\u2010year female population statistics were obtained from Statistics Estonia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Rate of hysterectomies per 100\u00a0000 women, proportions of different operation types, and main indications for hysterectomies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The total number of hysterectomies was 12\u00a0336, with a yearly mean of 1542. The rate of hysterectomies per 100\u00a0000 women\/year decreased between 2004 and 2011 from 239.1 to 204.9. The proportion of abdominal hysterectomies decreased from 86.0 to 56.1% and the proportion of laparoscopic hysterectomies increased from 6.3 to 34.7%, while the proportion of vaginal hysterectomies remained more or less stable (7.8\u20139.1%). Most hysterectomies (74.4%) occurred in the age group 35\u201354\u00a0years. The main indications for hysterectomies were leiomyoma (61.5%), female genital prolapse (9.0%) and endometriosis (8.8%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Population rates and indications for hysterectomies in Estonia were similar to those in most Nordic countries, but the proportion of abdominal hysterectomies was higher and that of vaginal hysterectomy lower. The rates of laparoscopic and vaginal hysterectomies should be increased.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.12614","type":"journal-article","created":{"date-parts":[[2015,2,24]],"date-time":"2015-02-24T14:57:45Z","timestamp":1424789865000},"page":"489-493","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Hysterectomy types in Estonia are still different from the Nordic countries"],"prefix":"10.1111","volume":"94","author":[{"given":"Piret","family":"Veerus","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics National Institute for Health Development Tallinn Estonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katrin","family":"Lang","sequence":"additional","affiliation":[{"name":"Department of Public Health University of Tartu Tartu Estonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karolin","family":"Toompere","sequence":"additional","affiliation":[{"name":"Department of Public Health University of Tartu Tartu Estonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fred","family":"Kirss","sequence":"additional","affiliation":[{"name":"Tartu University Women's Clinic Tartu Estonia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,3,19]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"e1","article-title":"Inpatient hysterectomy surveillance in the United States, 2000\u20132004","volume":"198","author":"Whiteman MK","year":"2008","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2009.01130.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-012-2415-2"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2011.01309.x"},{"key":"e_1_2_8_6_1","volume-title":"Hysterectomy for benign indications in Finland","author":"Brummer TH","year":"2012"},{"key":"e_1_2_8_7_1","volume-title":"Nordic\/Baltic Health Statistics 2006","author":"Nordic Medico\u2010Statistical Committee (NOMESCO)","year":"2008"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340802596017"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2011.01199.x"},{"key":"e_1_2_8_10_1","unstructured":"Health Statistics in the Nordic countries. 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