Hysterectomy - Ratings of appropriateness

Hagenfeldt K, Brorsson B, Bernstein SJ
Record ID 31996008269
Authors' objectives:

The results are to be used for auditing medical practice to determine the appropriateness and necessity of hysterectomy. The panel's ratings of appropriateness of this procedure will be used to determine to what extent there is an overuse of this procedure. Panel meeting was held in December 1993.

Authors' results and conclusions: The report includes (a) a description of methods for rating a comprehensive set of indications for performing hysterectomy and, (b) a presentation of how a panel of Swedish experts rated the appropriateness of indications for hysterectomy. The panel judged 1826 indications for hysterectomy, grouped in 18 chapters according to major medical problem.
Authors' recommendations: The chapters on leiomyomatas and abnormal uterine bleeding comprise the most common types of patients presenting for intervention, and it should be noted that a large number of possible indications were judged as uncertain or inappropriate. This may reflect the construction of the indication matrix, which may have been more detailed than the panellists were used to. Partly it reflects real uncertainty in a situation which requires the interventionist to exactly describe what information is needed for a decision to intervene or not. Other output or dissemination activity: The discussion within professional groups stimulated by this report will certainly influence the way patients are cared for. The planned continuation of the project is also important in this respect.
Project Status: Completed
URL for project: http://www.sbu.se/Published
Year Published: 1995
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Sweden
MeSH Terms
  • Clinical Protocols
  • Hysterectomy
Organisation Name: Swedish Agency for Health Technology Assessment and Assessment of Social Services
Contact Address: P.O. Box 3657, SE-103 59 Stockholm, Sweden. Tel: +46 8 4123200, Fax: +46 8 4113260
Contact Name: registrator@sbu.se
Contact Email: registrator@sbu.se
Copyright: The Swedish Council on Technology Assessment in Health Care
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.