A comparison of patient-reported outcomes among Canadian women having hysterectomies

Purpose Many indications for hysterectomy can negatively affect patients’ quality of life. This study uses patient-reported outcomes to measure changes in self-reported health among hysterectomy patients. Method A prospective cohort of 294 hysterectomy patients completed patient-reported outcomes preoperatively and six months postoperatively in Vancouver, Canada. Patient-reported outcomes measured pelvic health, sexual function, pain, and depression. Changes in health were compared with paired t -tests, and multi-variable regression analysis measured associations between patient and clinical factors with postoperative outcomes Results Many patients reported improvements in health. Unadjusted analysis found that 65% of participants reported less pelvic distress, 55% reported less pain, and 47% reported less depression symptoms postoperatively. Multivariable regression analysis found that poorer preoperative health was associated with poorer postoperative outcomes in all domains of health measured ( p -value