TABLE 4.
Bilateral oophorectomy (N=675 indication, N=978 no indication) |
Control women (N=675 indication, N=978 no indication) |
Unadjusted modelsb |
Adjusted modelsc |
||||||
---|---|---|---|---|---|---|---|---|---|
Conditiona | N | % | N | % | Odds ratio (95% CI) | P | Odds ratio (95% CI) | P | Interaction P |
Mood disorders | |||||||||
Benign indication | 209 | 31.0 | 138 | 20.4 | 1.73 (1.35-2.22) | <0.001 | 1.69 (1.31-2.18) | <0.001 | 0.58 |
No ovarian indication | 320 | 32.7 | 208 | 21.3 | 1.84 (1.49-2.27) | <0.001 | 1.86 (1.50-2.30) | <0.001 | |
Bipolar disorders | |||||||||
Benign indication | 16 | 2.4 | 3 | 0.4 | 5.33 (1.55-18.30) | 0.008 | 5.58 (1.55-20.08) | 0.008 | 0.02 |
No ovarian indication | 15 | 1.5 | 15 | 1.5 | 1.00 (0.48-2.10) | 1.00 | 0.96 (0.46-2.02) | 0.92 | |
Anxiety disorders | |||||||||
Benign indication | 78 | 11.6 | 73 | 10.8 | 1.08 (0.77-1.50) | 0.67 | 1.04 (0.74-1.47) | 0.82 | 0.12 |
No ovarian indication | 158 | 16.2 | 116 | 11.9 | 1.47 (1.12-1.93) | 0.005 | 1.48 (1.12-1.94) | 0.005 | |
Schizophrenia | |||||||||
Benign indication | 3 | 0.4 | 2 | 0.3 | 1.50 (0.25-8.98) | 0.66 | 1.70 (0.28-10.35) | 0.57 | 0.18 |
No ovarian indication | 4 | 0.4 | 11 | 1.1 | 0.36 (0.12-1.14) | 0.08 | 0.39 (0.12-1.25) | 0.11 | |
Somatoform disorders | |||||||||
Benign indication | 20 | 3.0 | 4 | 0.6 | 5.00 (1.71-14.63) | 0.003 | 4.67 (1.57-13.88) | 0.006 | 0.47 |
No ovarian indication | 14 | 1.4 | 5 | 0.5 | 2.80 (1.01-7.77) | 0.048 | 2.69 (0.96-7.54) | 0.06 | |
Personality disorders | |||||||||
Benign indication | 13 | 1.9 | 5 | 0.7 | 3.00 (0.97-9.30) | 0.06 | 2.80 (0.88-8.86) | 0.08 | 0.43 |
No ovarian indication | 24 | 2.5 | 15 | 1.5 | 1.64 (0.85-3.19) | 0.14 | 1.63 (0.83-3.18) | 0.16 | |
Dissociative disorders | |||||||||
Benign indication | 4 | 0.6 | 3 | 0.4 | 1.33 (0.30-5.96) | 0.71 | 0.97 (0.20-4.64) | 0.97 | 0.61 |
No ovarian indication | 8 | 0.8 | 5 | 0.5 | 1.60 (0.52-4.89) | 0.41 | 1.61 (0.52-5.01) | 0.41 | |
Adjustment disorders | |||||||||
Benign indication | 37 | 5.5 | 53 | 7.9 | 0.67 (0.43-1.04) | 0.08 | 0.70 (0.44-1.11) | 0.13 | 0.007 |
No ovarian indication | 86 | 8.8 | 59 | 6.0 | 1.51 (1.07-2.14) | 0.02 | 1.53 (1.08-2.18) | 0.02 |
Psychiatric conditions before the index date were determined from abstraction of the medical records.
Odds ratios calculated using conditional logistic regression models (matched pairs).
Odds ratios calculated using conditional logistic regression models (matched pairs), adjusted for race (white vs nonwhite), years of education (≤12, 13-16, >16), and quartiles of household income (<$42,000, $42,000-56,999, $57,000-71,999, ≥$72,000). The interaction p-values were calculated using adjusted conditional logistic regression models (matched pairs) which also included a variable for the multiplicative interaction between each psychiatric condition and surgical indication (benign indication vs no ovarian indication). Women missing years of education (benign indication: 3 cases, 15 controls; no ovarian indication: 0 cases, 20 controls) were assigned to the ≤12 years group and women missing household income (benign indication: 3 cases, 2 controls; no ovarian indication: 3 cases, 0 controls) were assigned to the second quartile.