Predictive factors of return to work after hysterectomy: a retrospective study

Abstract

Purpose Although hysterectomy is one of the most frequently performed gynaecological surgeries, there is a dearth of evidence on perioperative care. The aim of the current study was to identify sociodemographic, surgical-related and work-related predictors of recovery following different approaches of hysterectomy. Methods Eligible patients for this retrospective cohort study were women who underwent vaginal, abdominal or laparoscopic hysterectomy for both benign and malignant gynaecological disease in 2014 in Máxima Medical Centre in the Netherlands. The main outcome measure was full return to work (RTW). Data were collected using a patient survey. Potential prognostic factors for time to RTW were examined in univariate Cox regression analyses. The strongest prognostic factors were combined in a multivariable model. Results In total 83 women were included. Median time to full return to work was 8 weeks (interquartile range [IQR] 6–12). The multivariable analysis showed that higher age (hazard ratio [HR] 1.053, 95% confidence interval [CI] 1.012–1.095) and same day removal of indwelling catheter (HR 0.122, 95% CI 0.028–0.539) were predictors of shorter duration until full RTW after hysterectomy. Conclusions This study provided insight in the predictors of recovery after hysterectomy. By identifying patient specific factors, pre-operative counselling can be individualized, changes can be made in perioperative care and effective interventions can be designed to target those factors.

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“…Considerando que o tempo de hospitalização está estritamente relacionado à evolução da técnica cirúrgica, optou-se por adotar como premissa os dias de internação observados na prática clínica atual, em detrimento dos dados dos estudos que avaliaram a eficácia do medicamento, que datam de 1994 (Lethaby et al, 2017b). Assim, considerou-se o tempo médio de duração da hospitalização para a miomectomia e a histerectomia por via abdominal como sendo de três dias, enquanto para a histerectomia por via vaginal como sendo de dois dias (Dedden et al, 2022). O custo da diária hospitalar foi extraído das bases de dados do Sistema de Informações Hospitalares (SIH) referentes ao valor médio de internações eletivas realizadas no ano de 2023 (R$ 1.773,5).…”