Determinants of hysterectomy and oophorectomy in women attending menopause clinics in Italy

D. De Aloysio, P. Di Donato, N. A. Giulini, B. Modena, G. Cicchetti, G. Comitini, G. Gentile, P. Cristiani, A. Careccia, E. Esposito, C. Gigli, G. Mandruzzato, F. Petraglia, F. Bertelli, G. Del Frate, S. Garofalo, L. Marino, M. R. Costa, S. Quaranta, C. M. BossiP. Amantea, U. Omodei, M. Vaccari, M. Luerti, F. Repetti, G. Zandonini, F. Raspagliesi, F. Dolci, V. Zacchi, S. Bennici, G. Polizzotti, S. Bottino, F. Raffaelli, C. Minervini, D. Colombo, C. Belloni, A. Viani, G. Cecchini, S. Winkler, B. A. Samaja, E. Pasinetti, M. Penotti, C. Malanetto, M. Massobrio, C. Campagnoli, G. Dolfin, P. Tartaglino, D. Mossotto, P. Pesando, L. Pacilli, P. D. Rattazzi, E. Arisi, M. Gamper, D. Salvatores, E. Bocchin, G. Stellin, G. Meli, V. Azzini, F. Tirozzi, G. Buoso, R. Fraioli, V. Marsoni, C. Cetera, R. Sposetti, U. Bellati, C. Angeloni, M. Buonerba, S. Garzarelli, C. Santilli, M. Mucci, Q. Di Nisio, L. Falasca, D. Ferrante, E. Cirese, P. A. Todaro, C. Romanini, L. Spagnuolo, A. Lanzone, C. Donadio, M. Fabiani, E. Baldaccini, S. Votano, G. B. Serra, P. Bellardini, L. Massacesi, G. Donini, R. A. Genazzani, G. Scarselli, P. Curiel, V. De Leo, A. Melani, V. Levi D'Ancona, G. Giarre, E. Di Gioia, P. Ciccarelli, C. Donati Sarti, G. Balsotti, P. Pupita, F. Parazzini

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Objective: To analyse determinants of hysterectomy for benign uterine conditions with or without oophorectomy in Italy, a country with among the lowest rates of hysterectomy worldwide. Methods: Between 1997 and 1999, a large cross sectional study was conducted on the characteristics of women around menopause attending a network of first level outpatients menopause clinics in Italy for general counselling about menopause or treatment of menopausal symptoms. A total of 25 644 women entered the study. Characteristics of women who underwent and women who did not undergo hysterectomy and oophorectomy were compared. Results: Out of the 25 644 women considered, 4727 were hysterectomized (18.4%). Mean age at surgery was 46.8 years. The OR of hysterectomy decreased with increasing educational level: in comparison with women with primary and none education, the OR of hysterectomy was 0.8 (95% CI 0.7-0.9) and 0.6 (95% CI 0.5-0.7) respectively for women with intermediate or high/university degree. Body mass index (BMI, kg m-2) was related to the frequency of hysterectomy; in comparison with women with BMI ≤ 23.8, the OR of hysterectomy was 1.2 (95% CI 1.1-1.3) and 1.4 (95% CI 1.2- 1.5) respectively for women with a BMI 23.8-27.2 and > 27.2. The frequency, of bilateral oophorectomy increased with age at hysterectomy: in comparison with women who have had hysterectomy when aged ≤ 43 years, the OR of bilateral oophorectomy during hysterectomy was respectively 1.9, 3.4 and 4.3 in women who had hysterectomy at age 44-47, 48-51 and ≥ 52 years. The frequency of bilateral oophorectomy was lower in more educated women: in comparison with women reporting none or primary degree, the OR was 1.0 and 0.8 respectively for women with intermediate and high/university degree. Conclusions: The results of this analysis indicate that hysterectomy for benign conditions is more frequently performed in less educated women, in nulliparae and in women with higher BMI. During hysterectomy for benign conditions, bilateral oophorectomy is more frequent in less educated women and its frequency increases with women's age. (C) 2000 Elsevier Science Ireland Ltd.

Original languageEnglish
Pages (from-to)19-25
Number of pages7
JournalMaturitas
Volume36
Issue number1
DOIs
Publication statusPublished - Jul 31 2000

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Ovariectomy
Menopause
Hysterectomy
Surgery
Italy
Education
Ambulatory Care Facilities

Keywords

  • Determinants
  • Epidemiology
  • Hysterectomy

ASJC Scopus subject areas

  • Ageing
  • Obstetrics and Gynaecology

Cite this

De Aloysio, D., Di Donato, P., Giulini, N. A., Modena, B., Cicchetti, G., Comitini, G., ... Parazzini, F. (2000). Determinants of hysterectomy and oophorectomy in women attending menopause clinics in Italy. Maturitas, 36(1), 19-25. https://doi.org/10.1016/S0378-5122(00)00135-3

Determinants of hysterectomy and oophorectomy in women attending menopause clinics in Italy. / De Aloysio, D.; Di Donato, P.; Giulini, N. A.; Modena, B.; Cicchetti, G.; Comitini, G.; Gentile, G.; Cristiani, P.; Careccia, A.; Esposito, E.; Gigli, C.; Mandruzzato, G.; Petraglia, F.; Bertelli, F.; Del Frate, G.; Garofalo, S.; Marino, L.; Costa, M. R.; Quaranta, S.; Bossi, C. M.; Amantea, P.; Omodei, U.; Vaccari, M.; Luerti, M.; Repetti, F.; Zandonini, G.; Raspagliesi, F.; Dolci, F.; Zacchi, V.; Bennici, S.; Polizzotti, G.; Bottino, S.; Raffaelli, F.; Minervini, C.; Colombo, D.; Belloni, C.; Viani, A.; Cecchini, G.; Winkler, S.; Samaja, B. A.; Pasinetti, E.; Penotti, M.; Malanetto, C.; Massobrio, M.; Campagnoli, C.; Dolfin, G.; Tartaglino, P.; Mossotto, D.; Pesando, P.; Pacilli, L.; Rattazzi, P. D.; Arisi, E.; Gamper, M.; Salvatores, D.; Bocchin, E.; Stellin, G.; Meli, G.; Azzini, V.; Tirozzi, F.; Buoso, G.; Fraioli, R.; Marsoni, V.; Cetera, C.; Sposetti, R.; Bellati, U.; Angeloni, C.; Buonerba, M.; Garzarelli, S.; Santilli, C.; Mucci, M.; Di Nisio, Q.; Falasca, L.; Ferrante, D.; Cirese, E.; Todaro, P. A.; Romanini, C.; Spagnuolo, L.; Lanzone, A.; Donadio, C.; Fabiani, M.; Baldaccini, E.; Votano, S.; Serra, G. B.; Bellardini, P.; Massacesi, L.; Donini, G.; Genazzani, R. A.; Scarselli, G.; Curiel, P.; De Leo, V.; Melani, A.; Levi D'Ancona, V.; Giarre, G.; Di Gioia, E.; Ciccarelli, P.; Donati Sarti, C.; Balsotti, G.; Pupita, P.; Parazzini, F.

In: Maturitas, Vol. 36, No. 1, 31.07.2000, p. 19-25.

Research output: Contribution to journalArticle

De Aloysio, D, Di Donato, P, Giulini, NA, Modena, B, Cicchetti, G, Comitini, G, Gentile, G, Cristiani, P, Careccia, A, Esposito, E, Gigli, C, Mandruzzato, G, Petraglia, F, Bertelli, F, Del Frate, G, Garofalo, S, Marino, L, Costa, MR, Quaranta, S, Bossi, CM, Amantea, P, Omodei, U, Vaccari, M, Luerti, M, Repetti, F, Zandonini, G, Raspagliesi, F, Dolci, F, Zacchi, V, Bennici, S, Polizzotti, G, Bottino, S, Raffaelli, F, Minervini, C, Colombo, D, Belloni, C, Viani, A, Cecchini, G, Winkler, S, Samaja, BA, Pasinetti, E, Penotti, M, Malanetto, C, Massobrio, M, Campagnoli, C, Dolfin, G, Tartaglino, P, Mossotto, D, Pesando, P, Pacilli, L, Rattazzi, PD, Arisi, E, Gamper, M, Salvatores, D, Bocchin, E, Stellin, G, Meli, G, Azzini, V, Tirozzi, F, Buoso, G, Fraioli, R, Marsoni, V, Cetera, C, Sposetti, R, Bellati, U, Angeloni, C, Buonerba, M, Garzarelli, S, Santilli, C, Mucci, M, Di Nisio, Q, Falasca, L, Ferrante, D, Cirese, E, Todaro, PA, Romanini, C, Spagnuolo, L, Lanzone, A, Donadio, C, Fabiani, M, Baldaccini, E, Votano, S, Serra, GB, Bellardini, P, Massacesi, L, Donini, G, Genazzani, RA, Scarselli, G, Curiel, P, De Leo, V, Melani, A, Levi D'Ancona, V, Giarre, G, Di Gioia, E, Ciccarelli, P, Donati Sarti, C, Balsotti, G, Pupita, P & Parazzini, F 2000, 'Determinants of hysterectomy and oophorectomy in women attending menopause clinics in Italy', Maturitas, vol. 36, no. 1, pp. 19-25. https://doi.org/10.1016/S0378-5122(00)00135-3
De Aloysio D, Di Donato P, Giulini NA, Modena B, Cicchetti G, Comitini G et al. Determinants of hysterectomy and oophorectomy in women attending menopause clinics in Italy. Maturitas. 2000 Jul 31;36(1):19-25. https://doi.org/10.1016/S0378-5122(00)00135-3
De Aloysio, D. ; Di Donato, P. ; Giulini, N. A. ; Modena, B. ; Cicchetti, G. ; Comitini, G. ; Gentile, G. ; Cristiani, P. ; Careccia, A. ; Esposito, E. ; Gigli, C. ; Mandruzzato, G. ; Petraglia, F. ; Bertelli, F. ; Del Frate, G. ; Garofalo, S. ; Marino, L. ; Costa, M. R. ; Quaranta, S. ; Bossi, C. M. ; Amantea, P. ; Omodei, U. ; Vaccari, M. ; Luerti, M. ; Repetti, F. ; Zandonini, G. ; Raspagliesi, F. ; Dolci, F. ; Zacchi, V. ; Bennici, S. ; Polizzotti, G. ; Bottino, S. ; Raffaelli, F. ; Minervini, C. ; Colombo, D. ; Belloni, C. ; Viani, A. ; Cecchini, G. ; Winkler, S. ; Samaja, B. A. ; Pasinetti, E. ; Penotti, M. ; Malanetto, C. ; Massobrio, M. ; Campagnoli, C. ; Dolfin, G. ; Tartaglino, P. ; Mossotto, D. ; Pesando, P. ; Pacilli, L. ; Rattazzi, P. D. ; Arisi, E. ; Gamper, M. ; Salvatores, D. ; Bocchin, E. ; Stellin, G. ; Meli, G. ; Azzini, V. ; Tirozzi, F. ; Buoso, G. ; Fraioli, R. ; Marsoni, V. ; Cetera, C. ; Sposetti, R. ; Bellati, U. ; Angeloni, C. ; Buonerba, M. ; Garzarelli, S. ; Santilli, C. ; Mucci, M. ; Di Nisio, Q. ; Falasca, L. ; Ferrante, D. ; Cirese, E. ; Todaro, P. A. ; Romanini, C. ; Spagnuolo, L. ; Lanzone, A. ; Donadio, C. ; Fabiani, M. ; Baldaccini, E. ; Votano, S. ; Serra, G. B. ; Bellardini, P. ; Massacesi, L. ; Donini, G. ; Genazzani, R. A. ; Scarselli, G. ; Curiel, P. ; De Leo, V. ; Melani, A. ; Levi D'Ancona, V. ; Giarre, G. ; Di Gioia, E. ; Ciccarelli, P. ; Donati Sarti, C. ; Balsotti, G. ; Pupita, P. ; Parazzini, F. / Determinants of hysterectomy and oophorectomy in women attending menopause clinics in Italy. In: Maturitas. 2000 ; Vol. 36, No. 1. pp. 19-25.
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abstract = "Objective: To analyse determinants of hysterectomy for benign uterine conditions with or without oophorectomy in Italy, a country with among the lowest rates of hysterectomy worldwide. Methods: Between 1997 and 1999, a large cross sectional study was conducted on the characteristics of women around menopause attending a network of first level outpatients menopause clinics in Italy for general counselling about menopause or treatment of menopausal symptoms. A total of 25 644 women entered the study. Characteristics of women who underwent and women who did not undergo hysterectomy and oophorectomy were compared. Results: Out of the 25 644 women considered, 4727 were hysterectomized (18.4{\%}). Mean age at surgery was 46.8 years. The OR of hysterectomy decreased with increasing educational level: in comparison with women with primary and none education, the OR of hysterectomy was 0.8 (95{\%} CI 0.7-0.9) and 0.6 (95{\%} CI 0.5-0.7) respectively for women with intermediate or high/university degree. Body mass index (BMI, kg m-2) was related to the frequency of hysterectomy; in comparison with women with BMI ≤ 23.8, the OR of hysterectomy was 1.2 (95{\%} CI 1.1-1.3) and 1.4 (95{\%} CI 1.2- 1.5) respectively for women with a BMI 23.8-27.2 and > 27.2. The frequency, of bilateral oophorectomy increased with age at hysterectomy: in comparison with women who have had hysterectomy when aged ≤ 43 years, the OR of bilateral oophorectomy during hysterectomy was respectively 1.9, 3.4 and 4.3 in women who had hysterectomy at age 44-47, 48-51 and ≥ 52 years. The frequency of bilateral oophorectomy was lower in more educated women: in comparison with women reporting none or primary degree, the OR was 1.0 and 0.8 respectively for women with intermediate and high/university degree. Conclusions: The results of this analysis indicate that hysterectomy for benign conditions is more frequently performed in less educated women, in nulliparae and in women with higher BMI. During hysterectomy for benign conditions, bilateral oophorectomy is more frequent in less educated women and its frequency increases with women's age. (C) 2000 Elsevier Science Ireland Ltd.",
keywords = "Determinants, Epidemiology, Hysterectomy",
author = "{De Aloysio}, D. and {Di Donato}, P. and Giulini, {N. A.} and B. Modena and G. Cicchetti and G. Comitini and G. Gentile and P. Cristiani and A. Careccia and E. Esposito and C. Gigli and G. Mandruzzato and F. Petraglia and F. Bertelli and {Del Frate}, G. and S. Garofalo and L. Marino and Costa, {M. R.} and S. Quaranta and Bossi, {C. M.} and P. Amantea and U. Omodei and M. Vaccari and M. Luerti and F. Repetti and G. Zandonini and F. Raspagliesi and F. Dolci and V. Zacchi and S. Bennici and G. Polizzotti and S. Bottino and F. Raffaelli and C. Minervini and D. Colombo and C. Belloni and A. Viani and G. Cecchini and S. Winkler and Samaja, {B. A.} and E. Pasinetti and M. Penotti and C. Malanetto and M. Massobrio and C. Campagnoli and G. Dolfin and P. Tartaglino and D. Mossotto and P. Pesando and L. Pacilli and Rattazzi, {P. D.} and E. Arisi and M. Gamper and D. Salvatores and E. Bocchin and G. Stellin and G. Meli and V. Azzini and F. Tirozzi and G. Buoso and R. Fraioli and V. Marsoni and C. Cetera and R. Sposetti and U. Bellati and C. Angeloni and M. Buonerba and S. Garzarelli and C. Santilli and M. Mucci and {Di Nisio}, Q. and L. Falasca and D. Ferrante and E. Cirese and Todaro, {P. A.} and C. Romanini and L. Spagnuolo and A. Lanzone and C. Donadio and M. Fabiani and E. Baldaccini and S. Votano and Serra, {G. B.} and P. Bellardini and L. Massacesi and G. Donini and Genazzani, {R. A.} and G. Scarselli and P. Curiel and {De Leo}, V. and A. Melani and {Levi D'Ancona}, V. and G. Giarre and {Di Gioia}, E. and P. Ciccarelli and {Donati Sarti}, C. and G. Balsotti and P. Pupita and F. Parazzini",
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TY - JOUR

T1 - Determinants of hysterectomy and oophorectomy in women attending menopause clinics in Italy

AU - De Aloysio, D.

AU - Di Donato, P.

AU - Giulini, N. A.

AU - Modena, B.

AU - Cicchetti, G.

AU - Comitini, G.

AU - Gentile, G.

AU - Cristiani, P.

AU - Careccia, A.

AU - Esposito, E.

AU - Gigli, C.

AU - Mandruzzato, G.

AU - Petraglia, F.

AU - Bertelli, F.

AU - Del Frate, G.

AU - Garofalo, S.

AU - Marino, L.

AU - Costa, M. R.

AU - Quaranta, S.

AU - Bossi, C. M.

AU - Amantea, P.

AU - Omodei, U.

AU - Vaccari, M.

AU - Luerti, M.

AU - Repetti, F.

AU - Zandonini, G.

AU - Raspagliesi, F.

AU - Dolci, F.

AU - Zacchi, V.

AU - Bennici, S.

AU - Polizzotti, G.

AU - Bottino, S.

AU - Raffaelli, F.

AU - Minervini, C.

AU - Colombo, D.

AU - Belloni, C.

AU - Viani, A.

AU - Cecchini, G.

AU - Winkler, S.

AU - Samaja, B. A.

AU - Pasinetti, E.

AU - Penotti, M.

AU - Malanetto, C.

AU - Massobrio, M.

AU - Campagnoli, C.

AU - Dolfin, G.

AU - Tartaglino, P.

AU - Mossotto, D.

AU - Pesando, P.

AU - Pacilli, L.

AU - Rattazzi, P. D.

AU - Arisi, E.

AU - Gamper, M.

AU - Salvatores, D.

AU - Bocchin, E.

AU - Stellin, G.

AU - Meli, G.

AU - Azzini, V.

AU - Tirozzi, F.

AU - Buoso, G.

AU - Fraioli, R.

AU - Marsoni, V.

AU - Cetera, C.

AU - Sposetti, R.

AU - Bellati, U.

AU - Angeloni, C.

AU - Buonerba, M.

AU - Garzarelli, S.

AU - Santilli, C.

AU - Mucci, M.

AU - Di Nisio, Q.

AU - Falasca, L.

AU - Ferrante, D.

AU - Cirese, E.

AU - Todaro, P. A.

AU - Romanini, C.

AU - Spagnuolo, L.

AU - Lanzone, A.

AU - Donadio, C.

AU - Fabiani, M.

AU - Baldaccini, E.

AU - Votano, S.

AU - Serra, G. B.

AU - Bellardini, P.

AU - Massacesi, L.

AU - Donini, G.

AU - Genazzani, R. A.

AU - Scarselli, G.

AU - Curiel, P.

AU - De Leo, V.

AU - Melani, A.

AU - Levi D'Ancona, V.

AU - Giarre, G.

AU - Di Gioia, E.

AU - Ciccarelli, P.

AU - Donati Sarti, C.

AU - Balsotti, G.

AU - Pupita, P.

AU - Parazzini, F.

PY - 2000/7/31

Y1 - 2000/7/31

N2 - Objective: To analyse determinants of hysterectomy for benign uterine conditions with or without oophorectomy in Italy, a country with among the lowest rates of hysterectomy worldwide. Methods: Between 1997 and 1999, a large cross sectional study was conducted on the characteristics of women around menopause attending a network of first level outpatients menopause clinics in Italy for general counselling about menopause or treatment of menopausal symptoms. A total of 25 644 women entered the study. Characteristics of women who underwent and women who did not undergo hysterectomy and oophorectomy were compared. Results: Out of the 25 644 women considered, 4727 were hysterectomized (18.4%). Mean age at surgery was 46.8 years. The OR of hysterectomy decreased with increasing educational level: in comparison with women with primary and none education, the OR of hysterectomy was 0.8 (95% CI 0.7-0.9) and 0.6 (95% CI 0.5-0.7) respectively for women with intermediate or high/university degree. Body mass index (BMI, kg m-2) was related to the frequency of hysterectomy; in comparison with women with BMI ≤ 23.8, the OR of hysterectomy was 1.2 (95% CI 1.1-1.3) and 1.4 (95% CI 1.2- 1.5) respectively for women with a BMI 23.8-27.2 and > 27.2. The frequency, of bilateral oophorectomy increased with age at hysterectomy: in comparison with women who have had hysterectomy when aged ≤ 43 years, the OR of bilateral oophorectomy during hysterectomy was respectively 1.9, 3.4 and 4.3 in women who had hysterectomy at age 44-47, 48-51 and ≥ 52 years. The frequency of bilateral oophorectomy was lower in more educated women: in comparison with women reporting none or primary degree, the OR was 1.0 and 0.8 respectively for women with intermediate and high/university degree. Conclusions: The results of this analysis indicate that hysterectomy for benign conditions is more frequently performed in less educated women, in nulliparae and in women with higher BMI. During hysterectomy for benign conditions, bilateral oophorectomy is more frequent in less educated women and its frequency increases with women's age. (C) 2000 Elsevier Science Ireland Ltd.

AB - Objective: To analyse determinants of hysterectomy for benign uterine conditions with or without oophorectomy in Italy, a country with among the lowest rates of hysterectomy worldwide. Methods: Between 1997 and 1999, a large cross sectional study was conducted on the characteristics of women around menopause attending a network of first level outpatients menopause clinics in Italy for general counselling about menopause or treatment of menopausal symptoms. A total of 25 644 women entered the study. Characteristics of women who underwent and women who did not undergo hysterectomy and oophorectomy were compared. Results: Out of the 25 644 women considered, 4727 were hysterectomized (18.4%). Mean age at surgery was 46.8 years. The OR of hysterectomy decreased with increasing educational level: in comparison with women with primary and none education, the OR of hysterectomy was 0.8 (95% CI 0.7-0.9) and 0.6 (95% CI 0.5-0.7) respectively for women with intermediate or high/university degree. Body mass index (BMI, kg m-2) was related to the frequency of hysterectomy; in comparison with women with BMI ≤ 23.8, the OR of hysterectomy was 1.2 (95% CI 1.1-1.3) and 1.4 (95% CI 1.2- 1.5) respectively for women with a BMI 23.8-27.2 and > 27.2. The frequency, of bilateral oophorectomy increased with age at hysterectomy: in comparison with women who have had hysterectomy when aged ≤ 43 years, the OR of bilateral oophorectomy during hysterectomy was respectively 1.9, 3.4 and 4.3 in women who had hysterectomy at age 44-47, 48-51 and ≥ 52 years. The frequency of bilateral oophorectomy was lower in more educated women: in comparison with women reporting none or primary degree, the OR was 1.0 and 0.8 respectively for women with intermediate and high/university degree. Conclusions: The results of this analysis indicate that hysterectomy for benign conditions is more frequently performed in less educated women, in nulliparae and in women with higher BMI. During hysterectomy for benign conditions, bilateral oophorectomy is more frequent in less educated women and its frequency increases with women's age. (C) 2000 Elsevier Science Ireland Ltd.

KW - Determinants

KW - Epidemiology

KW - Hysterectomy

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DO - 10.1016/S0378-5122(00)00135-3

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