1. A Comparative Analysis of Health-Related Quality of Life 1 Year Following Myomectomy or Uterine Artery Embolization: Findings from the COMPARE-UF Registry.
- Author
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Anchan, Raymond, Wojdyla, Daniel, Bortoletto, Pietro, Terry, Kathryn, Disler, Emily, Milne, Ankrish, Gargiulo, Antonio, Petrozza, John, Brook, Olga, Srouji, Serene, Morton, Cynthia, Greenberg, James, Wegienka, Ganesa, Stewart, Elizabeth, Nicholson, Wanda, Thomas, Laine, Venable, Sateria, Laughlin-Tommaso, Shannon, Diamond, Michael, Maxwell, G, Marsh, Erica, Myers, Evan, Vines, Anissa, Wise, Lauren, Wallace, Kedra, Spies, James, and Jacoby, Vanessa
- Subjects
hysterectomy ,myomectomy ,quality of life ,uterine artery embolization ,uterine fibroids ,Female ,Humans ,Hysterectomy ,Leiomyoma ,Prospective Studies ,Quality of Life ,Registries ,Treatment Outcome ,Uterine Artery Embolization ,Uterine Myomectomy ,Uterine Neoplasms - Abstract
Objective: To compare 12-month post-treatment health-related quality of life (HR-QoL) and symptom severity (SS) changes among patients with symptomatic uterine fibroids (SUF) not seeking fertility and undergo a hysterectomy, abdominal myomectomy (AM), or uterine artery embolization (UAE). Materials and Methods: The Comparing Options for Management: Patient-Centered Results for Uterine Fibroids (COMPARE-UF) Registry is a multi-institutional prospective observational cohort study of patients treated for SUF. A subset of 1465 women 31-45 years of age, who underwent either hysterectomy (n = 741), AM (n = 446), or UAE (n = 155) were included in this analysis. Demographics, fibroid history, and symptoms were obtained by baseline questionnaires and at 1 year post-treatment. Results were stratified by all treatments and propensity score weighting to adjust for differences in baseline characteristics. Results: Women undergoing UAE reported the lowest baseline HR-QoL and highest SS scores (mean = 40.6 [standard deviation (SD) = 23.8]; 62.3 [SD = 24.2]) followed by hysterectomy (44.3 [24.3]; 59.8 [SD = 24.1]). At 12 months, women who underwent a hysterectomy experienced the largest change in both HR-QoL (48.7 [26.2]) and SS (51.9 [25.6]) followed by other uterine-sparing treatments. Propensity score weighting revealed all treatments produced substantial improvement, with hysterectomy patients reporting the highest HR-QoL score (92.0 [17.8]) compared with myomectomy (86.7 [17.2]) and UAE (82.6 [21.5]) (p
- Published
- 2023