{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T11:22:50Z","timestamp":1742383370262},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T00:00:00Z","timestamp":1488326400000},"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":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>We identified risk factors for trachelectomy after supracervical hysterectomy (<jats:styled-content style=\"fixed-case\">SCH<\/jats:styled-content>) due to persistence of symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>A retrospective case\u2013control study in a university\u2010affiliated hospital. Seventeen women who underwent a trachelectomy following <jats:styled-content style=\"fixed-case\">SCH<\/jats:styled-content> for nonmalignant indications between June 2002 and October 2014 were compared with 68 randomly selected women (controls) who underwent a <jats:styled-content style=\"fixed-case\">SCH<\/jats:styled-content> within the same time period. Demographics and clinical characteristics were compared between the study and control groups. Univariate analysis identified potential risk factors for trachelectomy following <jats:styled-content style=\"fixed-case\">SCH<\/jats:styled-content>. Univariate logistic regression models predicted which patients would have a trachelectomy following <jats:styled-content style=\"fixed-case\">SCH<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The occurrence of trachelectomy following <jats:styled-content style=\"fixed-case\">SCH<\/jats:styled-content> during the study period was 0.9% (17\/1892). The study group was younger than the control group (mean age 38 \u00b1 6 years vs. 44 \u00b1 5 years; <jats:italic>p<\/jats:italic> &lt; 0.001). Patients who had a history of endometriosis [odds ratio (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>) 6.23, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.11\u201340.5, <jats:italic>p<\/jats:italic> = 0.038] had increased risk for trachelectomy. Pathology diagnosed endometriosis only among women in the study group. Preoperative diagnosis of abnormal uterine bleeding (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 0.22, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.06\u20130.075, <jats:italic>p<\/jats:italic> = 0.016), anemia (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 0.12, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.01\u20130.53; <jats:italic>p<\/jats:italic> = 0.003), and fibroid uterus (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 0.24, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.07\u20130.82, <jats:italic>p<\/jats:italic> = 0.024) reduced the risk for future trachelectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Young age and endometriosis are significant risk factors for trachelectomy following <jats:styled-content style=\"fixed-case\">SCH<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.13099","type":"journal-article","created":{"date-parts":[[2017,1,20]],"date-time":"2017-01-20T23:02:53Z","timestamp":1484953373000},"page":"421-425","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Risk factors for trachelectomy following supracervical hysterectomy"],"prefix":"10.1111","volume":"96","author":[{"given":"Ziv","family":"Tsafrir","sequence":"first","affiliation":[{"name":"Division of Minimally Invasive Gynecology Department of Obstetrics and Gynecology Henry Ford Health System Detroit MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joelle","family":"Aoun","sequence":"additional","affiliation":[{"name":"Division of Minimally Invasive Gynecology Department of Obstetrics and Gynecology Henry Ford Health System Detroit MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleni","family":"Papalekas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Beaumont Health System Royal Oak MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Taylor","sequence":"additional","affiliation":[{"name":"Division of Biostatistics Public Health Sciences Henry Ford Health System Detroit MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Schiff","sequence":"additional","affiliation":[{"name":"Division of Advanced Laparoscopy and Pelvic Pain Department of Obstetrics and Gynecology University of North Carolina Chapel Hill NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evan","family":"Theoharis","sequence":"additional","affiliation":[{"name":"Division of Minimally Invasive Gynecology Department of Obstetrics and Gynecology Henry Ford Health System Detroit MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Eisenstein","sequence":"additional","affiliation":[{"name":"Division of Minimally Invasive Gynecology Department of Obstetrics and Gynecology Henry Ford Health System Detroit MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0950-3552(97)80056-9"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8545(00)80034-0"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016348309155778"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016348509155151"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016348309155779"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.06.096"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2006.00229.x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa013336"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2013.08.001"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)58684-1"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2001.00252.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10397-009-0529-8"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2011.04.021"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(97)90054-6"},{"key":"e_1_2_8_16_1","first-page":"711","article-title":"The retained cervical stump. 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