MARC details
| 000 -LEADER |
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| fixed length control field |
04193nam a22005897a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
210310s20212021 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1553-4650 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1016/j.jmig.2021.02.010 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
S1553-4650(21)00090-X [pii] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
33617984 |
| 245 ## - TITLE STATEMENT |
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| Title |
Hysterectomy Complications Relative to Hemoglobin A1c- Identifying a Threshold for Surgical Planning. |
| 251 ## - Source |
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| Source |
Journal of Minimally Invasive Gynecology. 28(10):1735-1742.e1, 2021 10. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
J Minim Invasive Gynecol. 28(10):1735-1742.e1, 2021 10. |
| 252 ## - Abbreviated Source |
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| Former abbreviated source |
J Minim Invasive Gynecol. 2021 Feb 19 |
| 253 ## - Journal Name |
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| Journal name |
Journal of minimally invasive gynecology |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2021 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2022 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
aheadofprint |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
ppublish |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2021-03-10 |
| 268 ## - Previous citation |
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| -- |
Journal of Minimally Invasive Gynecology. 2021 Feb 19 |
| 269 ## - Original dates |
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| Original fiscal year |
FY2021 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CONCLUSION: Diabetes diagnosis and measurement of preoperative hemoglobin A1c provide risk stratification for postoperative complications after hysterectomy, with the highest observed effect among diabetics with a preoperative hemoglobin A1c >=9%. Copyright (c) 2021. Published by Elsevier Inc. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
DESIGN: Retrospective cohort study. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
INTERVENTIONS: Hysterectomy. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
MAIN RESULTS: We identified 41,286 hysterectomies performed at 70 hospitals included for analysis. The sensitivity analysis identified four groups of risk for postoperative complications- 1) no diabetes diagnosis and no hemoglobin A1c; 2) no diabetes diagnosis with hemoglobin A1c between 4 and 6.5%; 3) diabetes diagnosis and no hemoglobin A1c or hemoglobin A1c <9%; and 4) diabetes diagnosis with hemoglobin A1c >=9%. In the adjusted model, there was a significant 32% and 34% increased odds of postoperative complications for Groups 2 and 3, respectively, compared to Group 1. There was a more than two-fold increased odds of complications for women with diabetes and a preoperative hemoglobin A1c >=9% compared to Group 1. Diabetes diagnosis with preoperative hemoglobin A1c >=9% were at increased odds compared to diabetes diagnosis with preoperative hemoglobin A1c <9%. Well controlled diabetics appeared to have increased odds of complications with laparoscopic surgery. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
MEASUREMENTS: Data on demographics, preoperative hemoglobin A1c values, surgical approach, composite postoperative complications, readmissions, ER visits, and reoperations was abstracted. The risk of a postoperative complication when diabetes was stratified by preoperative hemoglobin A1c was evaluated in a sensitivity analysis and independent associations were identified in a mixed, multivariate logistic regression model. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
PATIENTS: Women with and without a diabetes diagnosis. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
SETTING: Hospitals in the Michigan Surgical Quality Collaborative between June 4, 2012 to October 17, 2017. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
STUDY OBJECTIVE: To evaluate whether diabetes diagnosis and level of diabetic control as reflected by higher preoperative hemoglobin A1c levels are associated with increased complication rates after hysterectomy, and to identify a threshold of preoperative hemoglobin A1c past which we should consider delaying surgery due to increased risk of complications. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Hysterectomy |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Laparoscopy |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Female |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Humans |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Hysterectomy/ae [Adverse Effects] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Postoperative Complications/di [Diagnosis] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Postoperative Complications/ep [Epidemiology] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Postoperative Complications/et [Etiology] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Reoperation |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Retrospective Studies |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Risk Factors |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive Surgery |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Gutman, Robert E |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Ringel, Nancy |
| 790 ## - Authors |
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| All authors |
Gutman RE, Kamdar N, Morgan DM, Ringel NE |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1016/j.jmig.2021.02.010">https://dx.doi.org/10.1016/j.jmig.2021.02.010</a> |
| Public note |
https://dx.doi.org/10.1016/j.jmig.2021.02.010 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
