Table 2.
Patient satisfaction, recovery, and recommendations by surgical technique.
| Characteristics Total N=6262 |
Abdominal N=2614 |
Vaginal N=666 |
Laparoscopic N=1717 |
Robotic N=1186 |
Single-incision laparoscopic N=79 |
P valuea | |
|
|
n (%) | n (%) | n (%) | n (%) | n (%) |
|
|
| Overall hysterectomy results |
|
|
|
|
|
<.001 |
|
|
|
Extremely satisfied | 1081 (41.35) | 317 (47.60) | 862 (50.20) | 661 (55.73) | 40 (50.63) |
|
| Satisfied | 1346 (51.49) | 305 (45.80) | 762 (44.38) | 483 (40.73) | 31 (39.24) |
|
|
| Dissatisfied | 187 (7.15) | 44 (6.61) | 93 (5.42) | 42 (3.54) | 8 (10.13) |
|
|
| Time to return to normal activities |
|
|
|
|
<.001 | ||
|
|
Extremely satisfied | 487 (18.63) | 185 (27.78) | 497 (28.95) | 400 (33.73) | 31 (39.24) |
|
|
|
Satisfied | 1640 (62.74) | 395(59.31) | 989 (57.60) | 635 (53.54) | 40 (50.63) |
|
|
|
Dissatisfied | 487 (18.63) | 86 (12.91) | 231 (13.45) | 151 (12.73) | 8 (10.13) |
|
| Pain and discomfort after hysterectomy |
|
|
|
<.001 | |||
| Extremely satisfied | 445 (17.02) | 189 (28.38) | 444 (25.86) | 413 (34.82) | 24 (30.38) |
|
|
|
|
Satisfied | 1539 (58.88) | 355 (53.30) | 1015 (59.11) | 616 (51.94) | 45 (56.96) |
|
|
|
Dissatisfied | 630 (24.10) | 122 (18.32) | 258 (15.03) | 157 (13.24) | 10 (12.66) |
|
| Invasiveness of hysterectomy |
|
|
|
|
|
<.001 | |
| Extremely satisfied | 475 (18.17) | 291 (43.69) | 735 (42.81) | 616 (51.94) | 41 (51.90) |
|
|
|
|
Satisfied | 1782 (68.17) | 339 (50.90) | 927 (53.99) | 536 (45.19) | 35 (44.30) |
|
|
|
Dissatisfied | 357 (13.66) |
36 (5.41) |
55 (3.20) | 34 (2.87) | 3 (3.80) |
|
| Complications associated with hysterectomy |
|
|
|
<.001 | |||
| Extremely satisfied | 777 (29.72) | 240 (36.04) | 645 (37.57) | 527 (44.44) | 40 (50.63) |
|
|
|
|
Satisfied | 1342 (51.34) | 316 (47.45) | 849 (49.45) | 527 (44.44) | 31 (39.24) |
|
|
|
Dissatisfied | 495 (18.94) | 110 (16.52) | 223 (12.99) | 132 (11.13) | 8 (10.13) |
|
| Length of hospital stay |
|
|
|
|
|
<.001 | |
| Extremely satisfied | 656 (25.10) | 265 (39.79) | 735 (42.81) | 602 (50.76) | 39 (49.37) |
|
|
|
|
Satisfied | 1716 (65.65) | 347 (52.10) | 870 (50.67) | 530 (44.69) | 37 (46.84) |
|
|
|
Dissatisfied | 242 (9.26) | 54 (8.11) | 112 (6.52) | 54 (4.55) | 3 (3.80) |
|
| Recurrence of problem after hysterectomy |
|
|
|
<.001 | |||
| Extremely satisfied | 1384 (52.95) | 364 (54.65) | 976 (56.84) | 722 (60.88) | 43 (54.43) |
|
|
|
|
Satisfied | 1058 (40.47) | 240 (36.04) | 601 (35.00) | 406 (34.23) | 27 (34.18) |
|
|
|
Dissatisfied | 172 (6.58) | 62 (9.31) | 140 (8.15) | 58 (4.89) | 9 (11.39) |
|
|
Return to walking
|
|
|
|
|
|
<.001 | |
| Within 2 days | 1036 (39.74) | 302 (45.62) | 870 (50.97) | 645 (54.94) | 34 (43.04) |
|
|
| After 2 days | 1571 (60.26) | 360 (54.38) | 837 (49.03) | 529 (45.06) | 45 (56.96) |
|
|
| N/A | 7 | 4 | 10 | 12 | 0 |
|
|
|
Return to driving
|
|
|
|
|
|
<.001 | |
| Within 1 week | 307 (12.23) | 196 (30.43) | 561 (33.71) | 398 (34.43) | 31 (39.74) | ||
| After 1 week | 2204 (87.77) | 448 (69.57) | 1103 (66.29) | 758 (65.57) | 47 (60.26) |
|
|
| N/A | 103 | 22 | 53 | 30 | 1 |
|
|
|
Return to work
|
|
|
|
|
|
<.001 | |
| Within 4 weeks | 458 (20.70) | 211 (40.81) | 722 (50.10) | 534 (53.67) | 37 (57.81) |
|
|
| After 4 weeks | 1755 (79.30) | 306 (59.19) | 719 (49.90) | 461 (46.33) | 27 (42.19) |
|
|
| N/A | 401 | 149 | 276 | 191 | 15 |
|
|
| Would recommend the same type of hysterectomy |
|
|
|
<.001 | |||
|
|
Definitely | 725 (27.74) | 376 (56.46) | 984 (57.31) | 828 (69.81) | 48 (60.76) |
|
|
|
Likely | 1241 (47.48) | 223 (33.48) | 613 (35.70) | 302 (25.46) | 22 (27.85) |
|
|
|
Unlikely | 648 (24.79) | 67 (10.06) | 120 (6.99) | 56 (4.72) | 9 (11.39) |
|
| Would choose the same type of hysterectomy again |
|
|
|
<.001 | |||
| Yes | 1020 (39.02) | 482 (72.37) | 1231 (71.7) | 1030 (86.85) | 55 (69.62) |
|
|
| No/not sure | 1594 (60.98) | 184 (27.63) | 486 (28.3) | 156 (13.15) | 24 (30.38) |
|
|
a P value based on the overall chi-square test of the characteristic by surgical modality.