title: Reassessing hysterectomy.
abstract: Hysterectomy is widely used for treating a variety of gynecologic conditions. Most hysterectomies are elective and are performed to treat benign indications for which there are other effective alternatives. Observational studies are increasingly highlighting the effects of hysterectomy and concomitant oophorectomy on a variety of long-term health outcomes including fracture risk, pelvic floor dysfunction, all-cause mortality, cardiovascular disease, and neurologic function. Individualizing therapy and discussing appropriate alternatives to hysterectomy is an important responsibility for all health care providers.
authors.affiliation: Department of Obstetrics and Gynecology, Mayo Clinic, USA.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Stewart
authors.forename: Lynne T
authors.initials: LT
authors.lastname: Shuster
authors.forename: Walter A
authors.initials: WA
authors.lastname: Rocca
mesh_terms: D003430:Cross-Sectional Studies; D005260:Female; D005831:Genital Diseases, Female / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D007044:Hysterectomy / Q000379:methods* / Q000706:statistics & numerical data; D007889:Leiomyoma / Q000453:epidemiology / Q000601:surgery; D008595:Menorrhagia / Q000453:epidemiology / Q000601:surgery; D008910:Minnesota; D010353:Patient Education as Topic; D016896:Treatment Outcome; D055357:Uterine Artery Embolization / Q000379:methods / Q000706:statistics & numerical data; D014594:Uterine Neoplasms / Q000453:epidemiology / Q000601:surgery; D014600:Utilization Review