The need for hysterectomy in black, Hispanic and Asian women are fifty percent less than white women, research says. The variation of patient, financial, and hospital characteristics is reserved for the findings. A multivariate regression analysis controlled for demographic factors (age, race/ethnicity, insurance); patient factors (cancer diagnosis, fibroids, endometriosis, prolapse, menstrual disorders, age, severity of comorbidities, obesity); and hospital factors (urban/rural, teaching status, size, and region of country).
A probe was conducted among Hispanic women due to lack in information on this account, which is the outcome of the absence of accurate information on the ethnicity in national surveys, and because other data imply to under-use medical services among Hispanic women.
The researchers based their analyses on respondents’ self-reported history of hysterectomy and identification with any of a variety of Hispanic subgroups. To determine women’s level of acculturation, they examined whether the interview was conducted in Spanish, English or a combination of the two. There are three categories of women in the research: born on foreign soil and living in the United States for fewer than 10 years, born on foreign soil and living in the United States for 10 years or more, and born in the United States.
The researchers found significant discoveries: Hispanic women have less education and less income than white women, of which all factors with important effects on the rate of hysterectomy and there is no evidence of the ethnicity alone reports for the differences they found. The association between level of acculturation and hysterectomy, however, indicates that ethnicity may indeed have an independent effect. It was also theorized by the researchers that although hysterectomy is used to treat conditions that are dangerous, white women overly-used hysterectomy while Hispanic women rarely use it.
Before undergoing a any type hysterectomy including robotic surgery, FDA tells patients to talk to their respective doctor in order to determine if da Vinci is the best surgical procedure for them. Many patients experienced dangerous complications and filed lawsuits against surgeons for malpractice.
References:
ncbi.nlm.nih.gov/pmc/articles/PMC1447735/
oncologypractice.com/oncologyreport/single-view/race-ethnicity-influence-chances-of-minimally-invasive-hysterectomy/f9b2ad3f5bd62119b52881f173b70edc.html
guttmacher.org/pubs/journals/3515503.html