American Journal of Obstetrics & Gynecology
Volume 202, Issue 2 , Pages 137.e1-137.e5 , February 2010

Improving quality of care: development of a risk-adjusted perioperative morbidity model for vaginal hysterectomy

Presented at the 29th Annual Scientific Meeting of the American Urogynecologic Society, Chicago, IL, Sept. 4-6, 2008.

  • Christine A. Heisler, MD

      Affiliations

    • Division of Gynecologic Surgery, Mayo Clinic, Rochester, MN
    • ,
  • Giovanni D. Aletti, MD

      Affiliations

    • Division of Gynecologic Surgery, Mayo Clinic, Rochester, MN
    • ,
  • Amy L. Weaver, MS

      Affiliations

    • Division of Biomedical Informatics and Biostatistics, Mayo Clinic, Rochester, MN
    • ,
  • L. Joseph Melton III, MD

      Affiliations

    • Divisions of Epidemiology and Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, MN
    • ,
  • William A. Cliby, MD

      Affiliations

    • Division of Gynecologic Surgery, Mayo Clinic, Rochester, MN
    • ,
  • John B. Gebhart, MD, MS

      Affiliations

    • Division of Gynecologic Surgery, Mayo Clinic, Rochester, MN
    • Corresponding Author InformationReprints: John B. Gebhart, MD, MS, Division of Gynecologic Surgery, Mayo Clinic, 200 First St. S.W., Rochester, MN 55905

Received 26 January 2009 ,Revised 24 April 2009 ,Accepted 24 June 2009.

References 

  1. Makinen J, Johansson J, Tomas C, et al. Morbidity of 10 110 hysterectomies by type of approach. Hum Reprod. 2001;16:1473–1478
  2. Bai SW, An JM, Shin JS, Park JH, Kim SK, Park KH. Comparison of perioperative complications between reconstructive pelvic surgery and general gynecologic surgery. Yonsei Med J. 2004;45:281–286
  3. Lambrou NC, Buller JL, Thompson JR, Cundiff GW, Chou B, Montz FJ. Prevalence of perioperative complications among women undergoing reconstructive pelvic surgery. Am J Obstet Gynecol. 2000;183:1355–1358
  4. Harrell FE, Lee KL, Mark DB. Multivariable prognostic models: issues in developing models, evaluating assumptions and adequacy, and measuring and reducing errors. Stat Med. 1996;15:361–387
  5. Rowell KS, Turrentine FE, Hutter MM, Khuri SF, Henderson WG. Use of national surgical quality improvement program data as a catalyst for quality improvement. J Am Coll Surg. 2007;204:1293–1300
  6. Khuri SF. Safety, quality, and the national surgical quality improvement program. Am Surg. 2006;72:994–998
  7. Aletti GD, Santillan A, Eisenhauer EL, et al. A new frontier for quality of care in gynecologic oncology surgery: multi-institutional assessment of short-term outcomes for ovarian cancer using a risk-adjusted model. Gynecol Oncol. 2007;107:99–106

 Supported in part by research Grant RA-30582 from the National Institutes of Health, US Public Health Service.

 Cite this article as: Heisler CA, Aletti GD, Weaver AL, et al. Improving quality of care: development of a risk-adjusted perioperative morbidity model for vaginal hysterectomy. Am J Obstet Gynecol 2010;202:137.e1-5.

PII: S0002-9378(09)00703-0

doi: 10.1016/j.ajog.2009.06.059

American Journal of Obstetrics & Gynecology
Volume 202, Issue 2 , Pages 137.e1-137.e5 , February 2010

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