Re:To myo or not to myo

[Guest guest]

kukalaka wrote:

Most hysts are unneccessary (98%)....

*****

Kuka, can I ask where you got the percentage of 98%? Dr. had posted here

some time ago about some research he did reviewing the indications for

hysterectomy in a group of women and I believe the percentage of cases which

either did not meet the indications for hysterectomy, or which were recommended

hysterectomy based on test and exam results which did not meet the ACOG's

standards for hysterectomy were somewhere in the 70+% range.

Leonie

[Guest guest]

I made a mistake in attributing the research on unnecessary

hysterectomies to Dr. . This research was actually done by

another member of the Board of Directors of NUFF, Dr.

Broder. The reference is below if you'd like to see the abstract.

You may have to cut and paste the URL.

The appropriateness of recommendations for hysterectomy.

Broder MS, Kanouse DE, Mittman BS, Bernstein SJ.

Obstet Gynecol. 2000 Feb;95(2):199-205.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?

cmd=Retrieve&db=PubMed&list_uids=10674580&dopt=Abstract

I also found out that 11% of all hysterectomies are performed for

cancer, which I don't think we would dispute are necessary. The

research headed by Dr. Broder came to the conclusion that 76% of all

hysterectomy recommendations did not meet American College of

Gynecologists standards for hysterectomy. This is still somewhat

different from saying that 76% of all hysterectomies are unnecessary -

- what the researchers found, if I understand this correctly, is that

many doctors went ahead and performed hysterectomies without

performing all the tests and exams that ACOG has established should

be done to arrive at a valid recommendation for hysterectomy. Some

of those hysterectomies, even though all the proper steps were not

followed, may still have actually been necessary.

Kukalaka and I corresponded about where the 98% figure came from, and

she told me that it was from the HERS site. When we went back and

checked, the HERS site actually stated that that figure came from

women who contacted HERS and, after being referred to gynecologists

by HERS for second opinions, found that they did not need

hysterectomies. So these were women who suspected that they might not

need a hysterectomy and consulted HERS for more information, and 98%

of them found out that they were right -- there was less invasive

treatment available.

So it's not surprising that the HERS figure is considerably higher

than what the research by Broder et al. found. Dr. Broder's group

looked at all women who had hysterectomies in certain hospitals, not

just a self-selected group who suspected they didn't need one. Thus

his research subjects included those women who had cancer.

Leonie

> Most hysts are unneccessary (98%)....

>

> *****

> Kuka, can I ask where you got the percentage of 98%? Dr.

had posted here some time ago about some research he did ...