Association Between Body Mass Index and Patient-Centered Outcomes After Hysterectomy

The Journal of reproductive medicine · 2015 · vol. 60(9-10) , pp. 392–6 · PMID:26592064 · W2467734351
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This prospective cohort study of 245 women undergoing hysterectomy found that body mass index was not associated with self-reported pain, well-being scores, or procedure satisfaction three months post-surgery.

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Abstract

OBJECTIVE: To assess whether body mass index (BMI) was associated with self-reported pain, well-being, or procedure satisfaction in the 3 months after hysterectomy. STUDY DESIGN: Prospective cohort study that recruited women undergoing hysterectomy. Data was collected over 1 year for 245 women. RESULTS: BMI was not associated with pain either at baseline or in the 3 months after surgery versus no pain; odds ratio [OR] = 1.0, 95% confidence interval [CI] 0.97-1.03, p = 0.88 for a 1 unit increase in BMI) or being fully satisfied with the procedure (versus not fully satisfied; OR = 1.01, 95% CI 0.97-1.04, p = 0.77 for a 1unit increase in BMI). Similarly, patient's perception of well-being was also not influenced by BMI as reflected in their well-being score (0.98 increase in score, 95% CI 0.95-1.02, p = 0.40, for a 1-unit increase in BMI). CONCLUSION: The data from this prospectively studied cohort of women who had undergone hysterectomy suggest that BMI is not associated with self-report of pain, well-being, -or procedure satisfaction in the 3 month after surgery.

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MeSH descriptors

Hysterectomy Obesity Pain Postoperative Complications Uterine Diseases Adult Body Mass Index Cohort Studies Comorbidity Female Humans Linear Models Middle Aged Obesity Odds Ratio Pain Patient Outcome Assessment Postoperative Complications Prospective Studies Self Report

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