title: Impact of obesity on outcomes of hysterectomy.
abstract: OBJECTIVE
  To evaluate the impact of obesity on complications of hysterectomy.
  
  
  METHODS
  Retrospective cohort study (Canadian Task Force II-2).
  
  
  METHODS
  The Department of Obstetrics and Gynecology, Women and Infants Hospital of Rhode Island, Providence, RI.
  
  
  METHODS
  Patients who had a hysterectomy at WIH between July 2006 and January 2009.
  
  
  METHODS
  Hysterectomy by any mode.
  
  
  RESULTS
  We collected data from medical records of all laparoscopic hysterectomies during the time period and collected data from a random subset of abdominal and vaginal hysterectomies. The independent variable, body mass index, was grouped according to World Health Organization guidelines. A composite of surgical complications was generated. Multivariable logistic regression was used to estimate adjusted odds ratios (ORs) and 95% confidence intervals (CIs). We collected data from 907 hysterectomies, and 29.9% (n = 267) of the population was obese. Eighteen percent of patients (n = 154) had at least 1 complication. Compared to non-obese women, obese women were at increased odds of having any complication (OR 1.62, 95% CI 1.12-2-34). Performing subgroup analyses by mode of hysterectomy and controlling for confounding factors, we were unable to detect differences odds of complications between obese and non-obese women who underwent either an abdominal, vaginal, or laparoscopic hysterectomy.
  
  
  CONCLUSIONS
  In our study, we found that among women who had a hysterectomy, obese women had a higher rate of complications than nonobese women.
authors.affiliation: Women & Infants Hospital, Alpert Medical School of Brown University, Providence, Rhode Island.
authors.forename: Megan D
authors.initials: MD
authors.lastname: McMahon
authors.affiliation: Women & Infants Hospital, Alpert Medical School of Brown University, Providence, Rhode Island.
authors.forename: Dana Marie
authors.initials: DM
authors.lastname: Scott
authors.affiliation: Women & Infants Hospital, Alpert Medical School of Brown University, Providence, Rhode Island.
authors.forename: Erin
authors.initials: E
authors.lastname: Saks
authors.affiliation: Women & Infants Hospital, Alpert Medical School of Brown University, Providence, Rhode Island.
authors.forename: Amanda
authors.initials: A
authors.lastname: Tower
authors.affiliation: Women & Infants Hospital, Alpert Medical School of Brown University, Providence, Rhode Island.
authors.forename: Christina A
authors.initials: CA
authors.lastname: Raker
authors.affiliation: Women & Infants Hospital, Alpert Medical School of Brown University, Providence, Rhode Island. Electronic address: KMatteson@wihri.org.
authors.forename: Kristen A
authors.initials: KA
authors.lastname: Matteson
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D008499:Medical Records; D008875:Middle Aged; D009765:Obesity; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D012189:Retrospective Studies; D012237:Rhode Island; D012307:Risk Factors
keywords: Complications; Hysterectomy; Obesity