The Danish Hysterectomy and Hysteroscopy Database
Authors Topsoee MF, Ibfelt EH, Settnes A
Received 1 December 2015
Accepted for publication 25 January 2016
Published 25 October 2016 Volume 2016:8 Pages 515—520
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Colin Mak
Peer reviewer comments 2
Editor who approved publication: Professor Henrik Toft Sørensen
Märta Fink Topsoee,1 Else Helene Ibfelt,2 Annette Settnes1
1Department of Obstetrics and Gynecology, North Zealand Hospital, University of Copenhagen, 2Registry Support Centre (East) – Epidemiology and Biostatistics, Research Centre for Prevention and Health, Glostrup University Hospital, Nordre Ringvej, Glostrup, Denmark
Aim of the database: The steering committee of the Danish Hysterectomy and Hysteroscopy Database (DHHD) has defined the objective of the database: the aim is firstly to reduce complications, readmissions, reoperations; secondly to specify the need for hospitalization after hysterectomy; thirdly to secure quality assessment of hysterectomy and hysteroscopy by setting standards and national guidelines; and finally to intensify the monitoring of laparoscopic surgery and explore long-term side effects after hysterectomy.
Study population: We include all women in Denmark who have had elective benign uterine surgery since 2003. The surgery includes hysterectomy and operative hysteroscopy. In the latter, we include resection of the endometrium and submucosal leiomyomas and ablations of the endometrium.
Main variables: Detailed information about the hysterectomy and hysteroscopy operation techniques, cooperations, and indications is registered directly in the National Patient Register (NPR), as well as relevant lifestyle factors and confounders. It is mandatory to register information about complications and readmissions in the NPR. Data included in DHHD are directly extracted from the NPR.
Descriptive data: Annually approximately 4,300 hysterectomies and 3,200 operative hysteroscopies are performed in Denmark. Since the establishment of the database in 2003, 50,000 hysterectomies have been registered. DHHD’s nationwide cooperation and research have led to national guidelines and regimes. Annual national meetings and nationwide workshops have been organized.
Conclusion: The use of vaginal and laparoscopic hysterectomy methods has increased during the past decade and the overall complication rate and hospital stay have declined. The regional variation in operation methods has also decreased.
Keywords: epidemiology, laparoscopy, gynecology, complication, clinical quality register
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