Seven‐year survival analysis in women with unsuspected uterine malignancy after laparotomic versus laparoscopic hysterectomy: A national claim data retrospective cohort study

2021 ◽  
Author(s):  
Jin‐Sung Yuk ◽  
Jung H. Lee
Keyword(s):  
Cohort Study ◽  
Survival Analysis ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Laparoscopic Hysterectomy ◽  
Claim Data

scholarly journals Survival analysis for patients with cancer in Gaza applying for Israeli permits to exit the Gaza Strip for health care: a retrospective cohort study of patients from 2008 to 2017

The Lancet ◽  
2021 ◽  
Vol 398 ◽  
pp. S20
Author(s):  
Benjamin Bouquet ◽  
Francesco Barone-Adesi ◽  
Mohamed Lafi ◽  
Kathryn Quanstrom ◽  
Federica Riccardi ◽  
...  
Keyword(s):  
Health Care ◽  
Cohort Study ◽  
Survival Analysis ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Gaza Strip ◽  
Patients With Cancer ◽  
The Gaza Strip

scholarly journals Comparison of Total Laparoscopic Hysterectomy with Abdominal Total Hysterectomy in Patients with Benign Disease: A Retrospective Cohort Study

2019 ◽  
Vol 62 (4) ◽  
pp. 273-277 ◽  
Author(s):  
Hiroki Nagata ◽  
Hiroaki Komatsu ◽  
Yohei Nagaya ◽  
Satoru Tsukihara ◽  
Masako Sarugami ◽  
...  
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Laparoscopic Hysterectomy ◽  
Benign Disease ◽  
Total Laparoscopic Hysterectomy ◽  
Total Hysterectomy

scholarly journals Corneal graft survival analysis after penetrating keratoplasty in a retrospective cohort study

2021 ◽  
pp. 12-20
Author(s):  
B.E. Malyugin ◽  
◽  
S.N. Sakhnov ◽  
V.V. Myasnikova ◽  
A.V. Klokov ◽  
...  
Keyword(s):  
Cohort Study ◽  
Survival Analysis ◽  
High Risk ◽  
Graft Survival ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Penetrating Keratoplasty ◽  
Corneal Transplantation ◽  
Minimal Risk ◽  
General Group

Purpose. To assess the results of penetrating keratoplasty and identify the risk factors for the graft disease (GD) development. Material and methods. Data of 582 patients after corneal transplantation performed in the period since 2011 to 2019 for keratoconus (41%), as well for corneal leucorrhoea and dystrophies (59%), aggravated by concomitant pathology, the so-called high-risk keratoplasty (HRK) were analyzed in a retrospective cohort study. We estimated the functional results and incidence of GD. The calculation of the t-criterion; cross-tabulation method; Kaplan–Meier survival analysis and multivariate analysis were applied. Results. As a result of penetrating keratoplasty, the BCVA (best corrected visual acuity) in patients with keratoconus increased by 20%; in patients with HRK – by 8%. In the general group the graft survival rate was 72%, while the 8-year successful graft engraftment in patients with keratoconus comprised 91%, with HRK – 60%. A significant relationship of the GD development with preoperative diagnosis and rekeratoplasty was determined. The risk of GD incidence was minimal in patients under 30 years of age and maximum in patients aged from 50 to 70 years. Survival rates for corneal transplants were better in men than in women. Conclusion. Penetrating keratoplasty in patients with keratoconus provides a good functional result with a minimal risk of GD development. With penetrating keratoplasty in high-risk patients, the effectiveness of surgical interventions is significantly lower (by ~30%). Key words: keratoconus, penetrating keratoplasty, corneal transplantation, survival analysis

scholarly journals Economic evaluation of different routes of surgery for the management of endometrial cancer: a retrospective cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e045888
Author(s):  
Esther L Moss ◽  
George Morgan ◽  
Antony Martin ◽  
Panos Sarhanis ◽  
Thomas Ind
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Laparoscopic Hysterectomy ◽  
Secondary Outcome ◽  
Surgical Approaches ◽  
Marginal Effect ◽  
Provider Volume ◽  
Surgical Modality ◽  
Lh Rh

ObjectivesThe benefits of minimally invasive surgery (MIS) for endometrial carcinoma (EC) are well established although the financial impact of robotic-assisted hysterectomy (RH) compared with laparoscopic hysterectomy (LH) is disputed.DesignRetrospective cohort study.SettingEnglish National Health Service hospitals 2011–2017/2018.Participants35 304 women having a hysterectomy for EC identified from Hospital Episode Statistics.Primary and secondary outcome measuresThe primary outcome was the association between route of surgery on cost at intervention, 30, 90 and 365 days for women undergoing an open hysterectomy (OH) or MIS (LH/RH) for EC in England. The average marginal effect was calculated to compare RH versus OH and RH versus LH which adjusted for any differences in the characteristics of the surgical approaches. Secondary outcomes were to analyse costing data for each surgical approach by age, Charlson Comorbidity Index (CCI) and hospital MIS rate classification.ResultsA total of 35 304 procedures were performed, 20 405 (57.8%) were MIS (LH: 18 604 and RH: 1801), 14 291 (40.5%) OH. Mean cost for LH was significantly less than RH, whereas RH was significantly less than OH at intervention, 30, 90 and 365 days (p<0.001). Over time, patients who underwent RH had increasing CCI scores and by the 2015/2016 year had a higher average CCI than LH. Comparing the cost of LH and RH against CCI score identified that the costs closely reflected the patients’ CCI. Increasing disparity was also seen between the MIS and OH costs with rising age. When exploring the association between provider volume, MIS rate and surgical costs, there was an association with the higher the MIS rate the lower the average cost.ConclusionsFurther research is needed to investigate costs in matched patient cohorts to determine the optimum surgical modality in different populations.

scholarly journals Analysis of a Standardized Technique for Laparoscopic Cuff Closure following 1924 Total Laparoscopic Hysterectomies

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Katherine A. O’Hanlan ◽  
Pamela L. Emeney ◽  
Alfred Peters ◽  
Margaret S. Sten ◽  
Stacey P. McCutcheon ◽  
...  
Keyword(s):  
Tensile Strength ◽  
Cohort Study ◽  
Small Bowel ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Task Force ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Vaginal Cuff ◽  
Uterosacral Ligaments

Objective. To review the vaginal cuff complications from a large series of total laparoscopic hysterectomies in which the laparoscopic culdotomy closure was highly standardized.Methods. Retrospective cohort study (Canadian Task Force Classification II-3) of consecutive total and radical laparoscopic hysterectomy patients with all culdotomy closures performed laparoscopically was conducted using three guidelines: placement of all sutures 5 mm deep from the vaginal edge with a 5 mm interval, incorporation of the uterosacral ligaments with the pubocervical fascia at each angle, and, whenever possible, suturing the bladder peritoneum over the vaginal cuff edge utilizing two suture types of comparable tensile strength. Four outcomes are reviewed: dehiscence, bleeding, infection, and adhesions.Results. Of 1924 patients undergoing total laparoscopic hysterectomy, 44 patients (2.29%) experienced a vaginal cuff complication, with 19 (0.99%) requiring reoperation. Five patients (0.26%) had dehiscence after sexual penetration on days 30–83, with 3 requiring reoperation. Thirteen patients (0.68%) developed bleeding, with 9 (0.47%) requiring reoperation. Twenty-three (1.20%) patients developed infections, with 4 (0.21%) requiring reoperation. Three patients (0.16%) developed obstructive small bowel adhesions to the cuff requiring laparoscopic lysis.Conclusion. A running 5 mm deep × 5 mm apart culdotomy closure that incorporates the uterosacral ligaments with the pubocervical fascia, with reperitonealization when possible, appears to be associated with few postoperative vaginal cuff complications.

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