Long-term health-related quality of life and symptom severity following hysterectomy, myomectomy, or uterine artery embolization for the treatment of symptomatic uterine fibroids
Few studies have directly compared different surgical procedures for uterine fibroids with respect to long-term health-related quality of life outcomes and symptom improvement. We examined differences in change from baseline to 1-, 2-, and 3-year follow-up in health-related quality of life and sympt...
Saved in:
Published in | American journal of obstetrics and gynecology Vol. 229; no. 3; pp. 275.e1 - 275.e17 |
---|---|
Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
01.09.2023
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Few studies have directly compared different surgical procedures for uterine fibroids with respect to long-term health-related quality of life outcomes and symptom improvement.
We examined differences in change from baseline to 1-, 2-, and 3-year follow-up in health-related quality of life and symptom severity among patients who underwent abdominal myomectomy, laparoscopic or robotic myomectomy, abdominal hysterectomy, laparoscopic or robotic hysterectomy, or uterine artery embolization.
The COMPARE-UF registry is a multiinstitutional prospective observational cohort study of women undergoing treatment for uterine fibroids. A subset of 1384 women aged 31 to 45 years who underwent either abdominal myomectomy (n=237), laparoscopic myomectomy (n=272), abdominal hysterectomy (n=177), laparoscopic hysterectomy (n=522), or uterine artery embolization (n=176) were included in this analysis. We obtained demographics, fibroid history, and symptoms by questionnaires at enrollment and at 1, 2, and 3 years posttreatment. We used the UFS-QoL (Uterine Fibroid Symptom and Quality of Life) questionnaire to ascertain symptom severity and health-related quality of life scores among participants. To account for potential baseline differences across treatment groups, a propensity score model was used to derive overlap weights and compare total health-related quality of life and symptom severity scores after enrollment with a repeated measures model. For this health-related quality of life tool, a specific minimal clinically important difference has not been determined, but on the basis of previous research, a difference of 10 points was considered as a reasonable estimate. Use of this difference was agreed upon by the Steering Committee at the time when the analysis was planned.
At baseline, women undergoing hysterectomy and uterine artery embolization reported the lowest health-related quality of life scores and highest symptom severity scores compared with those undergoing abdominal myomectomy or laparoscopic myomectomy (P<.001). Those undergoing hysterectomy and uterine artery embolization reported the longest duration of fibroid symptoms with a mean of 6.3 years (standard deviation, 6.7; P<.001). The most common fibroid symptoms were menorrhagia (75.3%), bulk symptoms (74.2%), and bloating (73.2%). More than half (54.9%) of participants reported anemia, and 9.4% women reported a history of blood transfusion. Across all modalities, total health-related quality of life and symptom severity score markedly improved from baseline to 1-year with the largest improvement in the laparoscopic hysterectomy group (Uterine Fibroids Symptom and Quality of Life: delta= [+] 49.2; symptom severity: delta= [-] 51.3). Those undergoing abdominal myomectomy, laparoscopic myomectomy, and uterine artery embolization also demonstrated significant improvement in health-related quality of life (delta= [+]43.9, [+]32.9, [+]40.7, respectively) and symptom severity (delta= [-]41.4, [-] 31.5, [-] 38.5, respectively) at 1 year, and the improvement persisted from baseline for uterine-sparing procedures during second (Uterine Fibroids Symptom and Quality of Life: delta= [+]40.7, [+]37.4, [+]39.3 SS: delta= [-] 38.5, [-] 32.0, [-] 37.7 and third year (Uterine Fibroids Symptom and Quality of Life: delta= [+] 40.9, [+]39.9, [+]41.1 and SS: delta= [-] 33.9, [-]36.5, [-] 33.0, respectively), posttreatment intervals, however with a trend toward decline in degree of improvement from years 1 and 2. Differences from baseline were greatest for hysterectomy; however, this may reflect the relative importance of bleeding in the Uterine Fibroids Symptom and Quality of Life, rather than clinically meaningful symptom recurrence among women undergoing uterus-sparing treatments.
All treatment modalities were associated with significant improvements in health-related quality of life and symptom severity reduction 1-year posttreatment. However, abdominal myomectomy, laparoscopic myomectomy and uterine artery embolization indicated a gradual decline in symptom improvement and health-related quality of life by third year after the procedure. |
---|---|
AbstractList | Few studies have directly compared different surgical procedures for uterine fibroids with respect to long-term health-related quality of life outcomes and symptom improvement.
We examined differences in change from baseline to 1-, 2-, and 3-year follow-up in health-related quality of life and symptom severity among patients who underwent abdominal myomectomy, laparoscopic or robotic myomectomy, abdominal hysterectomy, laparoscopic or robotic hysterectomy, or uterine artery embolization.
The COMPARE-UF registry is a multiinstitutional prospective observational cohort study of women undergoing treatment for uterine fibroids. A subset of 1384 women aged 31 to 45 years who underwent either abdominal myomectomy (n=237), laparoscopic myomectomy (n=272), abdominal hysterectomy (n=177), laparoscopic hysterectomy (n=522), or uterine artery embolization (n=176) were included in this analysis. We obtained demographics, fibroid history, and symptoms by questionnaires at enrollment and at 1, 2, and 3 years posttreatment. We used the UFS-QoL (Uterine Fibroid Symptom and Quality of Life) questionnaire to ascertain symptom severity and health-related quality of life scores among participants. To account for potential baseline differences across treatment groups, a propensity score model was used to derive overlap weights and compare total health-related quality of life and symptom severity scores after enrollment with a repeated measures model. For this health-related quality of life tool, a specific minimal clinically important difference has not been determined, but on the basis of previous research, a difference of 10 points was considered as a reasonable estimate. Use of this difference was agreed upon by the Steering Committee at the time when the analysis was planned.
At baseline, women undergoing hysterectomy and uterine artery embolization reported the lowest health-related quality of life scores and highest symptom severity scores compared with those undergoing abdominal myomectomy or laparoscopic myomectomy (P<.001). Those undergoing hysterectomy and uterine artery embolization reported the longest duration of fibroid symptoms with a mean of 6.3 years (standard deviation, 6.7; P<.001). The most common fibroid symptoms were menorrhagia (75.3%), bulk symptoms (74.2%), and bloating (73.2%). More than half (54.9%) of participants reported anemia, and 9.4% women reported a history of blood transfusion. Across all modalities, total health-related quality of life and symptom severity score markedly improved from baseline to 1-year with the largest improvement in the laparoscopic hysterectomy group (Uterine Fibroids Symptom and Quality of Life: delta= [+] 49.2; symptom severity: delta= [-] 51.3). Those undergoing abdominal myomectomy, laparoscopic myomectomy, and uterine artery embolization also demonstrated significant improvement in health-related quality of life (delta= [+]43.9, [+]32.9, [+]40.7, respectively) and symptom severity (delta= [-]41.4, [-] 31.5, [-] 38.5, respectively) at 1 year, and the improvement persisted from baseline for uterine-sparing procedures during second (Uterine Fibroids Symptom and Quality of Life: delta= [+]40.7, [+]37.4, [+]39.3 SS: delta= [-] 38.5, [-] 32.0, [-] 37.7 and third year (Uterine Fibroids Symptom and Quality of Life: delta= [+] 40.9, [+]39.9, [+]41.1 and SS: delta= [-] 33.9, [-]36.5, [-] 33.0, respectively), posttreatment intervals, however with a trend toward decline in degree of improvement from years 1 and 2. Differences from baseline were greatest for hysterectomy; however, this may reflect the relative importance of bleeding in the Uterine Fibroids Symptom and Quality of Life, rather than clinically meaningful symptom recurrence among women undergoing uterus-sparing treatments.
All treatment modalities were associated with significant improvements in health-related quality of life and symptom severity reduction 1-year posttreatment. However, abdominal myomectomy, laparoscopic myomectomy and uterine artery embolization indicated a gradual decline in symptom improvement and health-related quality of life by third year after the procedure. Few studies have directly compared different surgical procedures for uterine fibroids with respect to long-term health-related quality of life outcomes and symptom improvement.BACKGROUNDFew studies have directly compared different surgical procedures for uterine fibroids with respect to long-term health-related quality of life outcomes and symptom improvement.We examined differences in change from baseline to 1-, 2-, and 3-year follow-up in health-related quality of life and symptom severity among patients who underwent abdominal myomectomy, laparoscopic or robotic myomectomy, abdominal hysterectomy, laparoscopic or robotic hysterectomy, or uterine artery embolization.OBJECTIVEWe examined differences in change from baseline to 1-, 2-, and 3-year follow-up in health-related quality of life and symptom severity among patients who underwent abdominal myomectomy, laparoscopic or robotic myomectomy, abdominal hysterectomy, laparoscopic or robotic hysterectomy, or uterine artery embolization.The COMPARE-UF registry is a multiinstitutional prospective observational cohort study of women undergoing treatment for uterine fibroids. A subset of 1384 women aged 31 to 45 years who underwent either abdominal myomectomy (n=237), laparoscopic myomectomy (n=272), abdominal hysterectomy (n=177), laparoscopic hysterectomy (n=522), or uterine artery embolization (n=176) were included in this analysis. We obtained demographics, fibroid history, and symptoms by questionnaires at enrollment and at 1, 2, and 3 years posttreatment. We used the UFS-QoL (Uterine Fibroid Symptom and Quality of Life) questionnaire to ascertain symptom severity and health-related quality of life scores among participants. To account for potential baseline differences across treatment groups, a propensity score model was used to derive overlap weights and compare total health-related quality of life and symptom severity scores after enrollment with a repeated measures model. For this health-related quality of life tool, a specific minimal clinically important difference has not been determined, but on the basis of previous research, a difference of 10 points was considered as a reasonable estimate. Use of this difference was agreed upon by the Steering Committee at the time when the analysis was planned.STUDY DESIGNThe COMPARE-UF registry is a multiinstitutional prospective observational cohort study of women undergoing treatment for uterine fibroids. A subset of 1384 women aged 31 to 45 years who underwent either abdominal myomectomy (n=237), laparoscopic myomectomy (n=272), abdominal hysterectomy (n=177), laparoscopic hysterectomy (n=522), or uterine artery embolization (n=176) were included in this analysis. We obtained demographics, fibroid history, and symptoms by questionnaires at enrollment and at 1, 2, and 3 years posttreatment. We used the UFS-QoL (Uterine Fibroid Symptom and Quality of Life) questionnaire to ascertain symptom severity and health-related quality of life scores among participants. To account for potential baseline differences across treatment groups, a propensity score model was used to derive overlap weights and compare total health-related quality of life and symptom severity scores after enrollment with a repeated measures model. For this health-related quality of life tool, a specific minimal clinically important difference has not been determined, but on the basis of previous research, a difference of 10 points was considered as a reasonable estimate. Use of this difference was agreed upon by the Steering Committee at the time when the analysis was planned.At baseline, women undergoing hysterectomy and uterine artery embolization reported the lowest health-related quality of life scores and highest symptom severity scores compared with those undergoing abdominal myomectomy or laparoscopic myomectomy (P<.001). Those undergoing hysterectomy and uterine artery embolization reported the longest duration of fibroid symptoms with a mean of 6.3 years (standard deviation, 6.7; P<.001). The most common fibroid symptoms were menorrhagia (75.3%), bulk symptoms (74.2%), and bloating (73.2%). More than half (54.9%) of participants reported anemia, and 9.4% women reported a history of blood transfusion. Across all modalities, total health-related quality of life and symptom severity score markedly improved from baseline to 1-year with the largest improvement in the laparoscopic hysterectomy group (Uterine Fibroids Symptom and Quality of Life: delta= [+] 49.2; symptom severity: delta= [-] 51.3). Those undergoing abdominal myomectomy, laparoscopic myomectomy, and uterine artery embolization also demonstrated significant improvement in health-related quality of life (delta= [+]43.9, [+]32.9, [+]40.7, respectively) and symptom severity (delta= [-]41.4, [-] 31.5, [-] 38.5, respectively) at 1 year, and the improvement persisted from baseline for uterine-sparing procedures during second (Uterine Fibroids Symptom and Quality of Life: delta= [+]40.7, [+]37.4, [+]39.3 SS: delta= [-] 38.5, [-] 32.0, [-] 37.7 and third year (Uterine Fibroids Symptom and Quality of Life: delta= [+] 40.9, [+]39.9, [+]41.1 and SS: delta= [-] 33.9, [-]36.5, [-] 33.0, respectively), posttreatment intervals, however with a trend toward decline in degree of improvement from years 1 and 2. Differences from baseline were greatest for hysterectomy; however, this may reflect the relative importance of bleeding in the Uterine Fibroids Symptom and Quality of Life, rather than clinically meaningful symptom recurrence among women undergoing uterus-sparing treatments.RESULTSAt baseline, women undergoing hysterectomy and uterine artery embolization reported the lowest health-related quality of life scores and highest symptom severity scores compared with those undergoing abdominal myomectomy or laparoscopic myomectomy (P<.001). Those undergoing hysterectomy and uterine artery embolization reported the longest duration of fibroid symptoms with a mean of 6.3 years (standard deviation, 6.7; P<.001). The most common fibroid symptoms were menorrhagia (75.3%), bulk symptoms (74.2%), and bloating (73.2%). More than half (54.9%) of participants reported anemia, and 9.4% women reported a history of blood transfusion. Across all modalities, total health-related quality of life and symptom severity score markedly improved from baseline to 1-year with the largest improvement in the laparoscopic hysterectomy group (Uterine Fibroids Symptom and Quality of Life: delta= [+] 49.2; symptom severity: delta= [-] 51.3). Those undergoing abdominal myomectomy, laparoscopic myomectomy, and uterine artery embolization also demonstrated significant improvement in health-related quality of life (delta= [+]43.9, [+]32.9, [+]40.7, respectively) and symptom severity (delta= [-]41.4, [-] 31.5, [-] 38.5, respectively) at 1 year, and the improvement persisted from baseline for uterine-sparing procedures during second (Uterine Fibroids Symptom and Quality of Life: delta= [+]40.7, [+]37.4, [+]39.3 SS: delta= [-] 38.5, [-] 32.0, [-] 37.7 and third year (Uterine Fibroids Symptom and Quality of Life: delta= [+] 40.9, [+]39.9, [+]41.1 and SS: delta= [-] 33.9, [-]36.5, [-] 33.0, respectively), posttreatment intervals, however with a trend toward decline in degree of improvement from years 1 and 2. Differences from baseline were greatest for hysterectomy; however, this may reflect the relative importance of bleeding in the Uterine Fibroids Symptom and Quality of Life, rather than clinically meaningful symptom recurrence among women undergoing uterus-sparing treatments.All treatment modalities were associated with significant improvements in health-related quality of life and symptom severity reduction 1-year posttreatment. However, abdominal myomectomy, laparoscopic myomectomy and uterine artery embolization indicated a gradual decline in symptom improvement and health-related quality of life by third year after the procedure.CONCLUSIONAll treatment modalities were associated with significant improvements in health-related quality of life and symptom severity reduction 1-year posttreatment. However, abdominal myomectomy, laparoscopic myomectomy and uterine artery embolization indicated a gradual decline in symptom improvement and health-related quality of life by third year after the procedure. |
Author | Milne, Ankrish Vines, Anissa I Greenberg, James Gargiulo, Antonio Wegienka, Ganesa Anchan, Raymond M Nicholson, Wanda K Maxwell, G Larry Myers, Evan R Petrozza, John Brook, Olga Zhang, Shuaiqi Bortoletto, Pietro Laughlin-Tommaso, Shannon Wojdyla, Daniel Srouji, Serene Morton, Cynthia C Stewart, Elizabeth A Diamond, Michael P Spies, James B Thomas, Laine Marsh, Erica E Wise, Lauren A Terry, Kathryn Disler, Emily Wallace, Kedra Jacoby, Vanessa L Venable, Sateria |
Author_xml | – sequence: 1 givenname: Raymond M surname: Anchan fullname: Anchan, Raymond M email: ranchan@bwh.harvard.edu organization: Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Department of Biostatistics, Yale School of Public Health, New Haven CT. Electronic address: ranchan@bwh.harvard.edu – sequence: 2 givenname: James B surname: Spies fullname: Spies, James B organization: Department of Radiology, Georgetown University School of Medicine, Washington, DC – sequence: 3 givenname: Shuaiqi surname: Zhang fullname: Zhang, Shuaiqi organization: Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC – sequence: 4 givenname: Daniel surname: Wojdyla fullname: Wojdyla, Daniel organization: Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC – sequence: 5 givenname: Pietro surname: Bortoletto fullname: Bortoletto, Pietro organization: The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medical College, New York, NY – sequence: 6 givenname: Kathryn surname: Terry fullname: Terry, Kathryn organization: Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA – sequence: 7 givenname: Emily surname: Disler fullname: Disler, Emily organization: Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA – sequence: 8 givenname: Ankrish surname: Milne fullname: Milne, Ankrish organization: Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA – sequence: 9 givenname: Antonio surname: Gargiulo fullname: Gargiulo, Antonio organization: Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA – sequence: 10 givenname: John surname: Petrozza fullname: Petrozza, John organization: Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, MA – sequence: 11 givenname: Olga surname: Brook fullname: Brook, Olga organization: Department of Radiology, Beth Israel Deaconess Medical Center, Boston, MA – sequence: 12 givenname: Serene surname: Srouji fullname: Srouji, Serene organization: Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA – sequence: 13 givenname: Cynthia C surname: Morton fullname: Morton, Cynthia C organization: Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Broad Institute of MIT and Harvard, Cambridge, MA; Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, United Kingdom – sequence: 14 givenname: James surname: Greenberg fullname: Greenberg, James organization: Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA – sequence: 15 givenname: Ganesa surname: Wegienka fullname: Wegienka, Ganesa organization: Department of Public Health Sciences, Henry Ford Health System, Detroit, MI – sequence: 16 givenname: Elizabeth A surname: Stewart fullname: Stewart, Elizabeth A organization: Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN; Department of Surgery, Mayo Clinic, Rochester, MN – sequence: 17 givenname: Wanda K surname: Nicholson fullname: Nicholson, Wanda K organization: Department of Obstetrics & Gynecology, Center for Women's Health Research, and Center for Health Promotion and Disease Prevention, The University of North Carolina at Chapel Hill, Chapel Hill, NC – sequence: 18 givenname: Laine surname: Thomas fullname: Thomas, Laine organization: Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC; Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC – sequence: 19 givenname: Sateria surname: Venable fullname: Venable, Sateria organization: The Fibroid Foundation, Bethesda, MD – sequence: 20 givenname: Shannon surname: Laughlin-Tommaso fullname: Laughlin-Tommaso, Shannon organization: Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN; Department of Surgery, Mayo Clinic, Rochester, MN – sequence: 21 givenname: Michael P surname: Diamond fullname: Diamond, Michael P organization: Department of Obstetrics and Gynecology, Augusta University, Augusta, GA – sequence: 22 givenname: G Larry surname: Maxwell fullname: Maxwell, G Larry organization: Department of Obstetrics and Gynecology, Inova Fairfax Hospital, Falls Church, VA – sequence: 23 givenname: Erica E surname: Marsh fullname: Marsh, Erica E organization: Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI – sequence: 24 givenname: Evan R surname: Myers fullname: Myers, Evan R organization: Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC – sequence: 25 givenname: Anissa I surname: Vines fullname: Vines, Anissa I organization: Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC – sequence: 26 givenname: Lauren A surname: Wise fullname: Wise, Lauren A organization: Department of Epidemiology, Boston University School of Public Health, Boston, MA – sequence: 27 givenname: Kedra surname: Wallace fullname: Wallace, Kedra organization: Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, MS – sequence: 28 givenname: Vanessa L surname: Jacoby fullname: Jacoby, Vanessa L organization: Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, CA; Department of Radiology, Georgetown University School of Medicine, Washington, DC |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37244458$$D View this record in MEDLINE/PubMed |
BookMark | eNo9kUtv3CAUhVGVqpmk_QNdVCy7qF3AL7ysor6kkbJp1wjjywwjHhPArZyf1V9YrEyy4qJzznele27QlQ8eEHpPSU0J7T-fankKh5oR1tSkqwkjr9COknGoet7zK7QjhLBqbAZ-jW5SOm1fNrI36LoZWNu2Hd-hf_vgD1WG6PARpM3HKoKVGWb8sEhr8oqDxtZowNLPOK3unIPDCf5A3EQdrA1_jT_g45oKBVSR10_YrcE9zyHipUjGF0Ysw4rBTcGaR5lN8AURcT4CzhFkduDztvGyqDjUS1ibKQYzp7fotZY2wbvLe4t-f_v66-5Htb___vPuy75STdfnipOB0oZD0xE6z3ziSimq9SiV7MamZR0ZxqnVjHNFdDfMdB57PZBZSc0mMkFziz4-cc8xPCyQsnAmKbBWeghLEoyzctCOs75Y2ZNVxZBSBC3O0TgZV0GJ2LoSJ7F1JbauBOlE6aqEPlz4y-Rgfok8l9P8B8hhmQo |
CitedBy_id | crossref_primary_10_1016_j_jeud_2024_100080 crossref_primary_10_1016_j_fertnstert_2023_10_004 crossref_primary_10_1016_j_ejogrb_2024_02_005 crossref_primary_10_1055_a_2175_5425 crossref_primary_10_1016_j_jmig_2023_07_001 crossref_primary_10_1016_j_fertnstert_2024_04_041 |
Cites_doi | 10.1097/GCO.0000000000000070 10.2147/IJWH.S43591 10.1186/1477-7525-6-99 10.1148/radiol.10090977 10.1097/AOG.0b013e318299a6cf 10.1016/0029-7844(96)00218-9 10.1093/humupd/dmt058 10.2214/AJR.04.1767 10.1097/GRF.0000000000000162 10.1016/j.ogc.2005.12.002 10.1007/s00270-007-9195-2 10.1097/01.AOG.0000182582.64088.84 10.1093/humupd/dmw023 10.1016/S0140-6736(00)03622-9 10.1016/j.fertnstert.2019.10.028 10.1093/humrep/17.2.253 10.1016/j.ajog.2018.05.004 10.1007/s00270-005-0195-9 10.1016/j.ajog.2019.09.052 10.1089/jwh.2017.6752 10.1097/01.AOG.0000285997.38553.4b 10.1097/GRF.0000000000000164 10.1080/01621459.2016.1260466 10.1016/j.ejogrb.2018.07.032 10.1067/mob.2003.99 10.1097/AOG.0b013e3181ed36b3 10.1097/AOG.0000000000003354 10.1097/RMR.0b013e3180337e1f 10.1089/jwh.2018.7076 10.1016/j.jvir.2012.12.002 10.2217/cer-2018-0049 10.1016/j.bpobgyn.2008.04.002 10.1056/NEJMct0806942 10.1089/jwh.2013.4334 10.1089/jwh.2020.8634 10.1097/AOG.0b013e3182602c7d 10.1056/NEJMcp1411029 10.1016/j.bpobgyn.2015.11.013 |
ContentType | Journal Article |
Copyright | Copyright © 2023. Published by Elsevier Inc. |
Copyright_xml | – notice: Copyright © 2023. Published by Elsevier Inc. |
DBID | CGR CUY CVF ECM EIF NPM AAYXX CITATION 7X8 |
DOI | 10.1016/j.ajog.2023.05.020 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef MEDLINE - Academic |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef MEDLINE - Academic |
DatabaseTitleList | MEDLINE MEDLINE - Academic |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1097-6868 |
EndPage | 275.e17 |
ExternalDocumentID | 10_1016_j_ajog_2023_05_020 37244458 |
Genre | Research Support, U.S. Gov't, Non-P.H.S Research Support, Non-U.S. Gov't Journal Article Observational Study |
GrantInformation_xml | – fundername: AHRQ HHS grantid: P50 HS023418 |
GroupedDBID | --- --K --M -ET .1- .55 .FO .GJ .XZ .~1 0R~ 0SF 1B1 1CY 1P~ 1~. 1~5 23M 2KS 354 3O- 4.4 457 4CK 4G. 53G 5GY 5RE 5VS 6J9 7-5 85S 8F7 8P~ AACTN AAEDT AAEDW AAIKC AAIKJ AAKOC AALRI AAMNW AAOAW AAQFI AAQQT AAQXK AAWTL AAXKI AAXUO AAYJJ ABBQC ABCQX ABFNM ABFRF ABJNI ABMAC ABMZM ABOCM ABPMR ABXDB ACDAQ ACGFO ACGFS ACRLP ADBBV ADEZE ADMUD ADOJD ADVLN AEBSH AEFWE AEKER AENEX AEVXI AFCHL AFCTW AFFNX AFJKZ AFKWA AFRHN AFTJW AFXIZ AGHFR AGNAY AGUBO AGYEJ AI. AIEXJ AIKHN AITUG AJOXV AJRQY AJUYK AKRWK ALMA_UNASSIGNED_HOLDINGS AMFUW AMRAJ ANZVX ASPBG AVWKF AXJTR AZFZN BKOJK BLXMC BNPGV C45 C5W CAG CGR COF CS3 CUY CVF EBS ECM EFJIC EIF EJD EO8 EX3 F5P FDB FEDTE FGOYB FIRID FNPLU FYGXN G-Q G8K GBLVA HVGLF HZ~ IH2 IHE J1W K-O KOM LPU M41 MO0 N4W N9A NCXOZ NEJ NPM NQ- O-L O9- OAUVE OBH OCB OGEVE OHH OHT OMK OQ. OVD P-8 P-9 P2P PC. PH~ Q38 R2- RIG ROL RPZ RXW SDF SEL SES SEW SJN SPCBC SSH SSZ T5K TAE TEORI TWZ UDS UGJ UHB UHS UHU UKR UNMZH UV1 VH1 VVN WH7 WOQ WOW X6Y X7M XFW YFH YOC YYQ YZZ Z5R ZGI ZXP ZY1 ~G- ~H1 AAYXX CITATION 7X8 |
ID | FETCH-LOGICAL-c356t-8071138e3501dd8b8ccc1ff9aca593425079b4f288c0f57d1d96f70dcaf2b0be3 |
ISSN | 0002-9378 1097-6868 |
IngestDate | Wed Aug 07 12:42:36 EDT 2024 Thu Sep 26 18:44:18 EDT 2024 Wed Oct 02 05:22:25 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 3 |
Keywords | quality of life uterine fibroids myomectomy uterine artery embolization hysterectomy |
Language | English |
License | Copyright © 2023. Published by Elsevier Inc. |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c356t-8071138e3501dd8b8ccc1ff9aca593425079b4f288c0f57d1d96f70dcaf2b0be3 |
Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23 |
PMID | 37244458 |
PQID | 2820025826 |
PQPubID | 23479 |
ParticipantIDs | proquest_miscellaneous_2820025826 crossref_primary_10_1016_j_ajog_2023_05_020 pubmed_primary_37244458 |
PublicationCentury | 2000 |
PublicationDate | 2023-09-00 20230901 |
PublicationDateYYYYMMDD | 2023-09-01 |
PublicationDate_xml | – month: 09 year: 2023 text: 2023-09-00 |
PublicationDecade | 2020 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States |
PublicationTitle | American journal of obstetrics and gynecology |
PublicationTitleAlternate | Am J Obstet Gynecol |
PublicationYear | 2023 |
References | Spies (10.1016/j.ajog.2023.05.020_bib25) 2002; 99 Li (10.1016/j.ajog.2023.05.020_bib26) 2018; 113 De La Cruz (10.1016/j.ajog.2023.05.020_bib7) 2017; 95 Goodwin (10.1016/j.ajog.2023.05.020_bib44) 2009; 361 Laughlin-Tommaso (10.1016/j.ajog.2023.05.020_bib47) 2020; 222 Mara (10.1016/j.ajog.2023.05.020_bib38) 2008; 31 Li (10.1016/j.ajog.2023.05.020_bib27) 2019; 188 Nicholson (10.1016/j.ajog.2023.05.020_bib30) 2019; 134 Wegienka (10.1016/j.ajog.2023.05.020_bib36) 2021; 30 Bhave Chittawar (10.1016/j.ajog.2023.05.020_bib32) 2014; 10 Vilos (10.1016/j.ajog.2023.05.020_bib42) 2015; 37 Bukulmez (10.1016/j.ajog.2023.05.020_bib6) 2006; 33 Mendelsohn (10.1016/j.ajog.2023.05.020_bib20) 2018; 7 Singh (10.1016/j.ajog.2023.05.020_bib14) 2007; 53 Wise (10.1016/j.ajog.2023.05.020_bib2) 2016; 59 Fennessy (10.1016/j.ajog.2023.05.020_bib17) 2006; 17 Stewart (10.1016/j.ajog.2023.05.020_bib10) 2001; 357 Spies (10.1016/j.ajog.2023.05.020_bib16) 2010; 116 LaMorte (10.1016/j.ajog.2023.05.020_bib35) 1993; 82 Zupi (10.1016/j.ajog.2023.05.020_bib37) 2016; 34 Mara (10.1016/j.ajog.2023.05.020_bib41) 2014; 6 Spies (10.1016/j.ajog.2023.05.020_bib15) 2005; 106 Kaump (10.1016/j.ajog.2023.05.020_bib46) 2013; 24 Wu (10.1016/j.ajog.2023.05.020_bib22) 2007; 110 Okolo (10.1016/j.ajog.2023.05.020_bib1) 2008; 22 Bucek (10.1016/j.ajog.2023.05.020_bib11) 2006; 186 Gargiulo (10.1016/j.ajog.2023.05.020_bib28) 2012; 120 Stewart (10.1016/j.ajog.2023.05.020_bib29) 2015; 372 Gupta (10.1016/j.ajog.2023.05.020_bib40) 2012 Wallace (10.1016/j.ajog.2023.05.020_bib24) 2020; 113 Hehenkamp (10.1016/j.ajog.2023.05.020_bib45) 2006; 29 Marsh (10.1016/j.ajog.2023.05.020_bib9) 2018; 27 Baird (10.1016/j.ajog.2023.05.020_bib3) 2003; 188 Wright (10.1016/j.ajog.2023.05.020_bib21) 2013; 122 Donnez (10.1016/j.ajog.2023.05.020_bib31) 2016; 22 Davis (10.1016/j.ajog.2023.05.020_bib34) 2018; 27 10.1016/j.ajog.2023.05.020_bib19 Spies (10.1016/j.ajog.2023.05.020_bib43) 2016; 59 Clark (10.1016/j.ajog.2023.05.020_bib18) 2014; 26 Harding (10.1016/j.ajog.2023.05.020_bib48) 2008; 6 Sparic (10.1016/j.ajog.2023.05.020_bib4) 2016; 9 Stewart (10.1016/j.ajog.2023.05.020_bib5) 2013; 22 Hervé (10.1016/j.ajog.2023.05.020_bib8) 2018; 229 Iverson (10.1016/j.ajog.2023.05.020_bib12) 1996; 88 Stewart (10.1016/j.ajog.2023.05.020_bib23) 2018; 219 Kroencke (10.1016/j.ajog.2023.05.020_bib39) 2010; 255 Segars (10.1016/j.ajog.2023.05.020_bib33) 2014; 20 Lumsden (10.1016/j.ajog.2023.05.020_bib13) 2002; 17 |
References_xml | – volume: 26 start-page: 151 year: 2014 ident: 10.1016/j.ajog.2023.05.020_bib18 article-title: Reproductive impact of MRI-guided focused ultrasound surgery for fibroids: a systematic review of the evidence publication-title: Curr Opin Obstet Gynecol doi: 10.1097/GCO.0000000000000070 contributor: fullname: Clark – volume: 99 start-page: 290 year: 2002 ident: 10.1016/j.ajog.2023.05.020_bib25 article-title: The UFS-QOL, a new disease-specific symptom and health-related quality of life questionnaire for leiomyomata publication-title: Obstet Gynecol contributor: fullname: Spies – volume: 6 start-page: 623 year: 2014 ident: 10.1016/j.ajog.2023.05.020_bib41 article-title: Embolization of uterine fibroids from the point of view of the gynecologist: pros and cons publication-title: Int J Womens Health doi: 10.2147/IJWH.S43591 contributor: fullname: Mara – volume: 6 start-page: 99 year: 2008 ident: 10.1016/j.ajog.2023.05.020_bib48 article-title: The responsiveness of the uterine fibroid symptom and health-related quality of life questionnaire (UFS-QOL) publication-title: Health Qual Life Outcomes doi: 10.1186/1477-7525-6-99 contributor: fullname: Harding – volume: 255 start-page: 834 year: 2010 ident: 10.1016/j.ajog.2023.05.020_bib39 article-title: Uterine artery embolization for leiomyomas: percentage of infarction predicts clinical outcome publication-title: Radiology doi: 10.1148/radiol.10090977 contributor: fullname: Kroencke – volume: 122 start-page: 233 year: 2013 ident: 10.1016/j.ajog.2023.05.020_bib21 article-title: Nationwide trends in the performance of inpatient hysterectomy in the United States publication-title: Obstet Gynecol doi: 10.1097/AOG.0b013e318299a6cf contributor: fullname: Wright – volume: 88 start-page: 415 year: 1996 ident: 10.1016/j.ajog.2023.05.020_bib12 article-title: Relative morbidity of abdominal hysterectomy and myomectomy for management of uterine leiomyomas publication-title: Obstet Gynecol doi: 10.1016/0029-7844(96)00218-9 contributor: fullname: Iverson – volume: 82 start-page: 897 year: 1993 ident: 10.1016/j.ajog.2023.05.020_bib35 article-title: Morbidity associated with abdominal myomectomy publication-title: Obstet Gynecol contributor: fullname: LaMorte – volume: 20 start-page: 309 year: 2014 ident: 10.1016/j.ajog.2023.05.020_bib33 article-title: Proceedings from the Third National Institutes of Health International Congress on Advances in Uterine Leiomyoma Research: comprehensive review, conference summary and future recommendations publication-title: Hum Reprod Update doi: 10.1093/humupd/dmt058 contributor: fullname: Segars – volume: 186 start-page: 877 year: 2006 ident: 10.1016/j.ajog.2023.05.020_bib11 article-title: Mid- and long-term quality-of-life assessment in patients undergoing uterine fibroid embolization publication-title: AJR Am J Roentgenol doi: 10.2214/AJR.04.1767 contributor: fullname: Bucek – volume: 59 start-page: 93 year: 2016 ident: 10.1016/j.ajog.2023.05.020_bib43 article-title: Current role of uterine artery embolization in the management of uterine fibroids publication-title: Clin Obstet Gynecol doi: 10.1097/GRF.0000000000000162 contributor: fullname: Spies – volume: 33 start-page: 69 year: 2006 ident: 10.1016/j.ajog.2023.05.020_bib6 article-title: Clinical features of myomas publication-title: Obstet Gynecol Clin North Am doi: 10.1016/j.ogc.2005.12.002 contributor: fullname: Bukulmez – volume: 31 start-page: 73 year: 2008 ident: 10.1016/j.ajog.2023.05.020_bib38 article-title: Midterm clinical and first reproductive results of a randomized controlled trial comparing uterine fibroid embolization and myomectomy publication-title: Cardiovasc Intervent Radiol doi: 10.1007/s00270-007-9195-2 contributor: fullname: Mara – volume: 106 start-page: 933 year: 2005 ident: 10.1016/j.ajog.2023.05.020_bib15 article-title: Long-term outcome of uterine artery embolization of leiomyomata publication-title: Obstet Gynecol doi: 10.1097/01.AOG.0000182582.64088.84 contributor: fullname: Spies – volume: 22 start-page: 665 year: 2016 ident: 10.1016/j.ajog.2023.05.020_bib31 article-title: Uterine fibroid management: from the present to the future publication-title: Hum Reprod Update doi: 10.1093/humupd/dmw023 contributor: fullname: Donnez – volume: 95 start-page: 100 year: 2017 ident: 10.1016/j.ajog.2023.05.020_bib7 article-title: Uterine fibroids: diagnosis and treatment publication-title: Am Fam Physician contributor: fullname: De La Cruz – volume: 357 start-page: 293 year: 2001 ident: 10.1016/j.ajog.2023.05.020_bib10 article-title: Uterine fibroids publication-title: Lancet doi: 10.1016/S0140-6736(00)03622-9 contributor: fullname: Stewart – volume: 113 start-page: 618 year: 2020 ident: 10.1016/j.ajog.2023.05.020_bib24 article-title: Comparative effectiveness of hysterectomy versus myomectomy on one-year health-related quality of life in women with uterine fibroids publication-title: Fertil Steril doi: 10.1016/j.fertnstert.2019.10.028 contributor: fullname: Wallace – volume: 17 start-page: 253 year: 2002 ident: 10.1016/j.ajog.2023.05.020_bib13 article-title: Embolization versus myomectomy versus hysterectomy: which is best, when? publication-title: Hum Reprod doi: 10.1093/humrep/17.2.253 contributor: fullname: Lumsden – volume: 219 start-page: 95.e1 year: 2018 ident: 10.1016/j.ajog.2023.05.020_bib23 article-title: The Comparing Options for Management: PAtient-centered REsults for Uterine Fibroids (COMPARE-UF) registry: rationale and design publication-title: Am J Obstet Gynecol doi: 10.1016/j.ajog.2018.05.004 contributor: fullname: Stewart – volume: 29 start-page: 179 year: 2006 ident: 10.1016/j.ajog.2023.05.020_bib45 article-title: Pain and return to daily activities after uterine artery embolization and hysterectomy in the treatment of symptomatic uterine fibroids: results from the randomized EMMY trial publication-title: Cardiovasc Intervent Radiol doi: 10.1007/s00270-005-0195-9 contributor: fullname: Hehenkamp – volume: 222 start-page: 345.e1 year: 2020 ident: 10.1016/j.ajog.2023.05.020_bib47 article-title: Short-term quality of life after myomectomy for uterine fibroids from the COMPARE-UF Fibroid Registry publication-title: Am J Obstet Gynecol doi: 10.1016/j.ajog.2019.09.052 contributor: fullname: Laughlin-Tommaso – volume: 27 start-page: 1204 year: 2018 ident: 10.1016/j.ajog.2023.05.020_bib34 article-title: Reintervention rates after myomectomy, endometrial ablation, and uterine artery embolization for patients with uterine fibroids publication-title: J Womens Health (Larchmt) doi: 10.1089/jwh.2017.6752 contributor: fullname: Davis – volume: 110 start-page: 1091 year: 2007 ident: 10.1016/j.ajog.2023.05.020_bib22 article-title: Hysterectomy rates in the United States, 2003 publication-title: Obstet Gynecol doi: 10.1097/01.AOG.0000285997.38553.4b contributor: fullname: Wu – volume: 59 start-page: 2 year: 2016 ident: 10.1016/j.ajog.2023.05.020_bib2 article-title: Epidemiology of uterine fibroids: from menarche to menopause publication-title: Clin Obstet Gynecol doi: 10.1097/GRF.0000000000000164 contributor: fullname: Wise – volume: 113 start-page: 390 year: 2018 ident: 10.1016/j.ajog.2023.05.020_bib26 article-title: Balancing covariates via propensity score weighting publication-title: J Am Stat Assoc doi: 10.1080/01621459.2016.1260466 contributor: fullname: Li – volume: 229 start-page: 32 year: 2018 ident: 10.1016/j.ajog.2023.05.020_bib8 article-title: Impact of uterine fibroids on quality of life: a national cross-sectional survey publication-title: Eur J Obstet Gynecol Reprod Biol doi: 10.1016/j.ejogrb.2018.07.032 contributor: fullname: Hervé – ident: 10.1016/j.ajog.2023.05.020_bib19 – volume: 188 start-page: 100 year: 2003 ident: 10.1016/j.ajog.2023.05.020_bib3 article-title: High cumulative incidence of uterine leiomyoma in Black and White women: ultrasound evidence publication-title: Am J Obstet Gynecol doi: 10.1067/mob.2003.99 contributor: fullname: Baird – volume: 116 start-page: 641 year: 2010 ident: 10.1016/j.ajog.2023.05.020_bib16 article-title: Outcomes from leiomyoma therapies: comparison with normal controls publication-title: Obstet Gynecol doi: 10.1097/AOG.0b013e3181ed36b3 contributor: fullname: Spies – volume: 134 start-page: 261 year: 2019 ident: 10.1016/j.ajog.2023.05.020_bib30 article-title: Short-term health-related quality of life after hysterectomy compared with myomectomy for symptomatic leiomyomas publication-title: Obstet Gynecol doi: 10.1097/AOG.0000000000003354 contributor: fullname: Nicholson – volume: 17 start-page: 173 year: 2006 ident: 10.1016/j.ajog.2023.05.020_bib17 article-title: A review of magnetic resonance imaging-guided focused ultrasound surgery of uterine fibroids publication-title: Top Magn Reson Imaging doi: 10.1097/RMR.0b013e3180337e1f contributor: fullname: Fennessy – volume: 27 start-page: 1359 year: 2018 ident: 10.1016/j.ajog.2023.05.020_bib9 article-title: Burden, prevalence, and treatment of uterine fibroids: a survey of U.S. women publication-title: J Womens Health (Larchmt) doi: 10.1089/jwh.2018.7076 contributor: fullname: Marsh – volume: 53 start-page: 293 year: 2007 ident: 10.1016/j.ajog.2023.05.020_bib14 article-title: Pregnancy after uterine artery embolization for fibroids publication-title: Can Fam Physician contributor: fullname: Singh – volume: 24 start-page: 459 year: 2013 ident: 10.1016/j.ajog.2023.05.020_bib46 article-title: The impact of uterine artery embolization on ovarian function publication-title: J Vasc Interv Radiol doi: 10.1016/j.jvir.2012.12.002 contributor: fullname: Kaump – volume: 7 start-page: 1209 year: 2018 ident: 10.1016/j.ajog.2023.05.020_bib20 article-title: Comparative effectiveness of uterine fibroids procedures using linked medical record and claims data publication-title: J Comp Eff Res doi: 10.2217/cer-2018-0049 contributor: fullname: Mendelsohn – volume: 22 start-page: 571 year: 2008 ident: 10.1016/j.ajog.2023.05.020_bib1 article-title: Incidence, aetiology and epidemiology of uterine fibroids publication-title: Best Pract Res Clin Obstet Gynaecol doi: 10.1016/j.bpobgyn.2008.04.002 contributor: fullname: Okolo – volume: 361 start-page: 690 year: 2009 ident: 10.1016/j.ajog.2023.05.020_bib44 article-title: Uterine fibroid embolization publication-title: N Engl J Med doi: 10.1056/NEJMct0806942 contributor: fullname: Goodwin – volume: 22 start-page: 807 year: 2013 ident: 10.1016/j.ajog.2023.05.020_bib5 article-title: The burden of uterine fibroids for African-American women: results of a national survey publication-title: J Womens Health (Larchmt) doi: 10.1089/jwh.2013.4334 contributor: fullname: Stewart – volume: 188 start-page: 250 year: 2019 ident: 10.1016/j.ajog.2023.05.020_bib27 article-title: Addressing extreme propensity scores via the overlap weights publication-title: Am J Epidemiol contributor: fullname: Li – volume: 30 start-page: 355 year: 2021 ident: 10.1016/j.ajog.2023.05.020_bib36 article-title: Black women are more likely than White women to schedule a uterine-sparing treatment for leiomyomas publication-title: J Womens Health (Larchmt) doi: 10.1089/jwh.2020.8634 contributor: fullname: Wegienka – volume: 120 start-page: 284 year: 2012 ident: 10.1016/j.ajog.2023.05.020_bib28 article-title: Robot-assisted laparoscopic myomectomy compared with standard laparoscopic myomectomy publication-title: Obstet Gynecol doi: 10.1097/AOG.0b013e3182602c7d contributor: fullname: Gargiulo – volume: 372 start-page: 1646 year: 2015 ident: 10.1016/j.ajog.2023.05.020_bib29 article-title: Clinical practice. Uterine fibroids publication-title: . N Engl J Med doi: 10.1056/NEJMcp1411029 contributor: fullname: Stewart – volume: 9 start-page: 424 year: 2016 ident: 10.1016/j.ajog.2023.05.020_bib4 article-title: Epidemiology of uterine myomas: a review publication-title: Int J Fertil Steril contributor: fullname: Sparic – start-page: CD005073 year: 2012 ident: 10.1016/j.ajog.2023.05.020_bib40 article-title: Uterine artery embolization for symptomatic uterine fibroids publication-title: Cochrane Database Syst Rev contributor: fullname: Gupta – volume: 37 start-page: 157 year: 2015 ident: 10.1016/j.ajog.2023.05.020_bib42 article-title: The management of uterine leiomyomas publication-title: J Obstet Gynecol Can contributor: fullname: Vilos – volume: 10 start-page: CD004638 year: 2014 ident: 10.1016/j.ajog.2023.05.020_bib32 article-title: Minimally invasive surgical techniques versus open myomectomy for uterine fibroids publication-title: Cochrane Database Syst Rev contributor: fullname: Bhave Chittawar – volume: 34 start-page: 122 year: 2016 ident: 10.1016/j.ajog.2023.05.020_bib37 article-title: Nonsurgical alternatives for uterine fibroids publication-title: Best Pract Res Clin Obstet Gynaecol doi: 10.1016/j.bpobgyn.2015.11.013 contributor: fullname: Zupi |
SSID | ssj0002292 |
Score | 2.506498 |
Snippet | Few studies have directly compared different surgical procedures for uterine fibroids with respect to long-term health-related quality of life outcomes and... |
SourceID | proquest crossref pubmed |
SourceType | Aggregation Database Index Database |
StartPage | 275.e1 |
SubjectTerms | Female Humans Hysterectomy Leiomyoma - surgery Prospective Studies Quality of Life Treatment Outcome Uterine Artery Embolization Uterine Myomectomy - methods Uterine Neoplasms - surgery |
Title | Long-term health-related quality of life and symptom severity following hysterectomy, myomectomy, or uterine artery embolization for the treatment of symptomatic uterine fibroids |
URI | https://www.ncbi.nlm.nih.gov/pubmed/37244458 https://www.proquest.com/docview/2820025826/abstract/ |
Volume | 229 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3JitswGBbpFEovpXvTDRV6y9h4t3UcygxDyUwvCeRmJFvKOMRWmkko7qEP1WfpA_WXJS8pKUx7MYlAC_4-_5L-FaGPPHd8FseZRWPOLdgChEUc7lsxJ0HgwSdCGz3k1XV0OQ8-L8LFaPRr4LW03zE7-340ruR_UIU2wFVFyf4Dst2g0AC_AV94AsLwvBPGU1ktLSVbTTij1USmwBFSh0o2xvN1IbSF4LYuNztZTmAr5Kpi3UQABeQ3pSq4UemcleiTZfPOy1qW_T-5nai6D-o42jiA1hNeMrk2AZydn2Lvsg6zmsmadLBtZwE3c1nowOIu8W1rMBpksJAMVqMKB-j00cu64tmB8v-sUuHKDTloXaoAnL4o8qbQcq_x_u1LSvd68Zs9Lb4W3V4kV3m9pn2w_VAL4vmdm1cruB0SW1GiS_TY_EibkfaeUbAUQ22Alt1xaHP36LaiNRwrm67k0lbTN9lePaffRFvHgesv6cV8Ok1n54vZPXTfi0moVAL2j97xCFagbfBmdSaUS3sd_jnD4XHpL3eg5iw0e4wemUsMPtOMfIJGvHqKHlwZN41n6GdHTHxITGyIiaXAipgYAMaGK7glJu6IiYfEPMU9LU-x3GLDK6xJiYekhCG2GEiJO1KqGQek7Dq3pHyO5hfns0-XlikOYmV-GO1UEm3X9ROuDON5nrAkyzJXCEIzGhIfdiInJiwQXpJkjgjj3M1JJGInz6jwmMO4_wKdVLLirxCOaJYkxPM4YSRgYcBIEuY88lxBCQgyMkaTFoN0o3PApK1z5CpViKUKsdQJU0BsjD60MKUgqpX9jVZc7m9TL1EeUSFc6MfopcavG8-P4ZwdhMnrO_R-gx72n8BbdLLb7vk7OBrv2PuGab8BnSDHTw |
link.rule.ids | 315,786,790,27957,27958 |
linkProvider | Elsevier |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Long-term+health-related+quality+of+life+and+symptom+severity+following+hysterectomy%2C+myomectomy%2C+or+uterine+artery+embolization+for+the+treatment+of+symptomatic+uterine+fibroids&rft.jtitle=American+journal+of+obstetrics+and+gynecology&rft.au=Anchan%2C+Raymond+M&rft.au=Spies%2C+James+B&rft.au=Zhang%2C+Shuaiqi&rft.au=Wojdyla%2C+Daniel&rft.date=2023-09-01&rft.issn=1097-6868&rft.eissn=1097-6868&rft.volume=229&rft.issue=3&rft.spage=275.e1&rft_id=info:doi/10.1016%2Fj.ajog.2023.05.020&rft.externalDBID=NO_FULL_TEXT |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0002-9378&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0002-9378&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0002-9378&client=summon |