{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T22:33:26Z","timestamp":1793572406865,"version":"4.5.0"},"reference-count":29,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T00:00:00Z","timestamp":1725235200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002794","name":"Cancerfonden","doi-asserted-by":"publisher","award":["21 1408 Pj"],"award-info":[{"award-number":["21 1408 Pj"]}],"id":[{"id":"10.13039\/501100002794","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The evidence on complication rates after gynecological surgery is based on multiple types of studies, and the level of evidence is generally low. We aimed to validate the registration of complications in the Swedish National Quality Register of Gynecological Surgery (GynOp), by cross\u2010linkage to multiple national registers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>A national register\u2010based study using prospectively collected data was conducted, including women who had surgery on the uterus or adnexa for benign indications from January 1, 2017, to December 31, 2020. In Sweden, complications after gynecological surgery are registered in GynOp, and if the complication has rendered any interaction with healthcare, it is also in national health registers. The GynOp register, the National Patient Register, the Prescribed Drugs Register, and the Cause of Death Register were cross\u2010linked. Complications in GynOp and complications according to ICD10 were analyzed, as well as the cause of death if occurring within 3\u2009months of surgery and prescription of antibiotics \u226430\u2009days. Comparisons between the registries were descriptive.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period 32\u2009537 surgeries were performed, of which 26\u2009214 (80.6%) were minimally invasive. Complications were reported in GynOp for 569 women (1.7%) at surgery, 1045 (3.2%) while admitted, and 3868 (13.7%) from discharge to 3\u2009months after surgery. In comparison, according to the Patient Register, 2254 women (6.9%) had postoperative complications within 3\u2009months of discharge (difference of 6.8 percentage points [95% confidence interval 6.2\u20137.2]). Furthermore, 4117 individuals (12.7%) had a prescription of antibiotics \u226430\u2009days which could indicate a postoperative infection. The rates of hemorrhage, wound dehiscence, and thrombosis were comparable between GynOp and the Patient Register while diagnoses not leading to contact with specialized care had higher rates in the quality register. The coverage of complications was 79.1% in GynOp and 46.1% in the Patient Register, using the total number of complications from both registers as the denominator.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A higher frequency of complications is captured in GynOp than in the National Patient Register. Patient\u2010reported outcomes assessed by a physician are beneficial in identifying complications indicating the importance of structured pre\u2010defined follow\u2010up over a set period.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14960","type":"journal-article","created":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T21:28:20Z","timestamp":1725312500000},"page":"2221-2231","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Complications after benign gynecologic surgery\u2014How are they captured in register\u2010based research? A national register study in Sweden"],"prefix":"10.1111","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6616-5914","authenticated-orcid":false,"given":"Elin","family":"Collins","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences, Obstetrics and Gynecology Ume\u00e5 University  Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Per","family":"Liv","sequence":"additional","affiliation":[{"name":"Department of Public Health and Clinical Medicine, Section of Sustainable Health Ume\u00e5 University  Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1647-5388","authenticated-orcid":false,"given":"Annika","family":"Strandell","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Furberg","sequence":"additional","affiliation":[{"name":"Department of Clinical Microbiology, Infectious Diseases Ume\u00e5 University  Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Ehrstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences. Division of Obstetrics and Gynecology Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathias","family":"P\u00e5lsson","sequence":"additional","affiliation":[{"name":"Women's Department Carlanderska Hospital  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7865-4560","authenticated-orcid":false,"given":"Annika","family":"Idahl","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Obstetrics and Gynecology Ume\u00e5 University  Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,2]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318296c732"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200206000-00007"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-008-9471-6"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0145759"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.22.00596"},{"key":"e_1_2_13_7_1","unstructured":"Socialstyrelsen Bilaga Det statistiska registrets framst\u00e4llning och kvalitet\u2010 Patientregistret. 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