Hysterectomy among women with HIV: Indications and incidence

L. Stewart Massad, Charlesnika Evans, Kathleen Weber, Helen E. Cejtin, Elizabeth T. Golub, Kathy DiGilio, Amy Alpern, D. Heather Watts

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

OBJECTIVE: To describe hysterectomy rates and indications among women with HIV and to compare them with at-risk HIV-seronegative women. METHODS: Reports of hysterectomy were collected from 3752 participants in a prospective cohort study of women with HIV and comparison uninfected women. Available operative notes were retrieved and abstracted. Comparisons were made using the Fisher exact, χ, Wilcoxon 2-sample, and Student's t tests. RESULTS: Incident hysterectomy was performed for 106 (4.5%) of 2361 HIV-seropositive women, most often for cervical neoplasia, and for 24 (2.9%) of 837 HIV-seronegative women (P = 0.04). The incidence of hysterectomy was 7.7 per 1000 person-years for HIV-seropositive women and 5.3 per 1000 person-years for HIV-seronegative women (P = 0.09). HIV-seropositive and HIV-seronegative women undergoing incident hysterectomy were similar, except for a higher likelihood of an abnormal preoperative Papanicolaou test result in the former (P = 0.001). Surgical indications did not differ by serostatus. CONCLUSION: Women with HIV are more likely than uninfected women to require a hysterectomy, most often for cervical neoplasia.

Original languageEnglish
Pages (from-to)566-568
Number of pages3
JournalJournal of Acquired Immune Deficiency Syndromes
Volume44
Issue number5
DOIs
StatePublished - Apr 2007

Keywords

  • HIV in women
  • Hysterectomy

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