Table 3. Estimated effects of surgical approaches on the likelihood of outpatient BH, 2014 (N = 59,628).
| OR (95% CI) | All Population* | Obese† (BMI ≥30) | Adhesions‡ | Uterine Weight >250 g§ |
|
|---|---|---|---|---|---|
| All hospitals | VH vs. AH | 80.52 (70.29–92.24) | 89.29 (60.79–131.14) | 31.82 (15.41–65.70) | 303.16 (160.58–572.33) |
| LH vs. AH | 111.38 (98.91–125.56) | 108.56 (78.13–150.84) | 69.31 (48.06–99.95) | 575.56 (339.16–976.37) | |
| RH vs. AH | 137.27 (121.69–154.85) | 136.99 (98.58–190.38) | 120.75 (83.62–174.37) | 606.34 (358.23->999.99) | |
| RH vs. LH | 1.23 (1.16–1.31) | 1.26 (1.09–1.47) | 1.74 (1.49–2.04) | 1.05 (0.79–1.40) | |
| Robotic BH hospital | VH vs. AH | 74.16 (63.49–86.62) | 105.63 (65.91–169.29) | 20.94 (8.16–53.70) | 233.31 (110.75–491.52) |
| LH vs. AH | 104.58 (91.11–120.05) | 118.51 (78.20–179.59) | 61.81 (40.87–93.47) | 423.14 (229.96–778.61) | |
| RH vs. AH | 129.27 (112.77–148.19) | 160.28 (106.25–241.79) | 104.57 (69.40–157.56) | 632.74 (346.17->999.99) | |
| RH vs. LH | 1.24 (1.16–1.32) | 1.35 (1.15–1.60) | 1.69 (1.42–2.02) | 1.50 (1.08–2.08) |
AH, open/abdominal hysterectomy; BH, benign hysterectomy; BMI, body mass index; CI, confidence interval; g, grams; LH, laparoscopic hysterectomy; OR, odds ratio; RH, robotic hysterectomy; Robotic BH hospital, hospitals with a robot for BH in 2014; VH, vaginal hysterectomy.
*Adjusted for age, race, insurance type, hysterectomy type (total/subtotal), Charlson comorbidity score, indication for surgery (fibroids, endometriosis, pelvic prolapse, uterus bleeding, and chronic pelvic pain), obese, uterine weight (>250 g vs. ≤250 g), physician specialty, teaching, hospital region, hospital area (urban/rural), bed size.
†Adjusted for age, race, insurance type, hysterectomy type (total/subtotal), Charlson comorbidity score, indication for surgery (fibroids, endometriosis, pelvic prolapse, uterus bleeding, and chronic pelvic pain), adhesion, uterine weight (>250 g vs. ≤250 g), physician speciality, physician experience of outpatient minimally invasive surgery, teaching, hospital region, hospital area (urban/rural), bed size.
‡Adjusted for age, race, insurance type, hysterectomy type (total/subtotal), Charlson comorbidity score, indcation for surgery (fibroids, endometriosis, pelvic prolapse, uterus bleeding, and chronic pelvic pain), obese, uterine weight (>250 g vs. ≤250 g), physician speciality, physician experience of outpatient minimally invasive surgery, teaching, hospital region, hospital area (urban/rural), bed size.
§Adjusted for age, race, insurance type, hysterectomy type (total/subtotal), Charlson comorbidity score, indication for surgery (fibroids, endometriosis, pelvic prolapse, uterus bleeding, and chronic pelvic pain), obese, adhesion, physician speciality, physician experience of outpatient minimally invasive surgery, teaching, hospital region, hospital area (urban/rural), bed size.