OBJECTIVE: To describe hysterectomy rates and indications among women with HIV and to compare them with at-risk HIV-seronegative women. METHODS: Reports of hysterectomy were collected from 3752 participants in a prospective cohort study of women with HIV and comparison uninfected women. Available operative notes were retrieved and abstracted. Comparisons were made using the Fisher exact, chi, Wilcoxon 2-sample, and Student's t tests. RESULTS: Incident hysterectomy was performed for 106 (4.5%) of 2361 HIV-seropositive women, most often for cervical neoplasia, and for 24 (2.9%) of 837 HIV-seronegative women (P = 0.04). The incidence of hysterectomy was 7.7 per 1000 person-years for HIV-seropositive women and 5.3 per 1000 person-years for HIV-seronegative women (P = 0.09). HIV-seropositive and HIV-seronegative women undergoing incident hysterectomy were similar, except for a higher likelihood of an abnormal preoperative Papanicolaou test result in the former (P = 0.001). Surgical indications did not differ by serostatus. CONCLUSION: Women with HIV are more likely than uninfected women to require a hysterectomy, most often for cervical neoplasia.
Hysterectomy among women with HIV: indications and incidence. Publishing Authors By Initials
Hysterectomy among women with HIV: indications and incidence. Journal Published:
PUBLICATION TYPE: Research Support, N.I.H., Extr
Journal: Journal of acquired immune deficiency syndromes (1
VOLUME: 44
Page Numbers: 566-8
Journal Abbreviation:
ISSN: 1525-4135
DAY: 15
MONTH: Apr
YEAR: 2007
Hysterectomy among women with HIV: indications and incidence. Information
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LANGUAGE: eng
NlmUniqueID: 100892005
Hysterectomy among women with HIV: indications and incidence. Keywords Mesh Terms:
KEYWORDS: United States
MESH TERMS: surgery
Chemical & Substance for Abstract: Hysterectomy among women with HIV: indications and incidence. Information
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Grant and Affiliation Information for Hysterectomy among women with HIV: indications and incidence.
AFFILIATION: Department of Obstetrics and Gynecology, Southern Illinois University School of Medicine, Springfield, IL 62794, USA. lsmassad@ameritech.net
Country: United States
AGENCY: United States NIAID
GRANT: U01 AI 42590
ACRONYM: AI
MEDLINETA: J Acquir Immune Defic Syndr
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