The DOI matches its Crossref record; 23 of the 23 references it cites were found in a registry or an index.
Clinical utility of postoperative hemoglobin level testing following total laparoscopic hysterectomy
Open accessAbstract
Objective To determine the clinical utility of hemoglobin level testing in guiding postoperative care following total laparoscopic hysterectomies performed for benign indications.Study design Retrospective cohort study.Results A total of 629 women underwent total laparoscopic hysterectomies during the 24 month study period. Only 16 (2.5%) developed symptoms and/or signs suggestive of hemodynamic compromise. When compared to asymptomatic patients, symptomatic patients had a larger decrease in postoperative hemoglobin level (2.66 vs 1.80g/dL, P = .007) and were more likely to undergo blood transfusion, pelvic imaging or reoperation (P < .001). Women with a smaller body mass index and/or higher intraoperative intravenous fluid volume were more likely to have a larger decrease in postoperative hemoglobin level (P < .05). Past surgical history, duration and complexity of the hysterectomy, estimated surgical blood loss, uterine weight, and perioperative use of intravenous ketorolac were not associated with a greater decrease in postoperative hemoglobin (P > .05). Using the University of Pittsburgh Medical Center's annual laparoscopic hysterectomy rate and insurance companies' reimbursement for blood hemoglobin testing, we estimated the national annual cost for hemoglobin testing following total laparoscopic hysterectomy to be $2,804,662.Conclusion Hemoglobin level testing has little clinical benefit following elective total laparoscopic hysterectomy and should be reserved for patients who develop signs or symptoms suggestive of acute anemia. Heath care cost savings can be substantial if this test is no longer routinely requested following total laparoscopic hysterectomies.
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“the declines observed in both groups of our cohort were substantially smaller and were therefore considered clinically insignificant.”
From Perioperative complications of laparoscopic sacrohysteropexy versus sacrocolpopexy with subtotal hysterectomy for pelvic organ prolapse (2026) · cites this paper as [35]
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Cites
Nationwide Trends in the Performance of Inpatient Hysterectomy in the United States
Wright, J. D., Herzog, T. J., Tsui, J., Ananth, C. V., Lewin, S. N., Lu, Y., Neugut, A. I., & Hershman, D. L. (2013) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e318299a6cf · Cited by 784
Hysterectomy Rates in the United States, 2003
Wu, J. M., Wechter, M. E., Geller, E. J., Nguyen, T. V., & Visco, A. G. (2007) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000285997.38553.4b · Cited by 672
Robotically Assisted vs Laparoscopic Hysterectomy Among Women With Benign Gynecologic Disease
Wright, J. D., Ananth, C. V., Lewin, S. N., Burke, W. M., Lu, Y., Neugut, A. I., Herzog, T. J., & Hershman, D. L. (2013) · JAMA · doi:10.1001/jama.2013.186 · Cited by 576
The Usefulness of Preoperative Laboratory Screening
Kaplan, E. B. (1985) · JAMA · doi:10.1001/jama.1985.03350480084025 · Cited by 498
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Medical Technology — A Different View of the Contentious Debate over Costs
Moloney, T. W., & Rogers, D. E. (1979) · New England Journal of Medicine · doi:10.1056/nejm197912273012603 · Cited by 269
Messerli, F. H. (1981) · Archives of Internal Medicine · doi:10.1001/archinte.1981.00340010073016 · Cited by 210
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Same-Day Discharge After Laparoscopic Hysterectomy
Perron-Burdick, M., Yamamoto, M. P., & Zaritsky, E. F. (2011) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e318215dd4e · Cited by 118
Schiavone, M. B., Herzog, T. J., Ananth, C. V., et al. (2012) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2012.09.014 · Cited by 111
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Alanazi, S., Alshammari, N., Jrais, A., Alharbi, N., Alsaadoon, M., Alanazi, Y., & Alsahabi, J. (2026) · BMC Urology · doi:10.1186/s12894-026-02211-4
“The threshold for clinical significance was based on Chamsy et al. [35], who reported a mean symptomatic hemoglobin decrease of 26.6 g/L among laparoscopic hysterectomy patients; the declines observed in both groups of our cohort were substantially smaller and were therefore considered clinically…”
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Metadata
- Authors
- Chamsy, D. J., Louie, M. Y., Lum, D. A., Phelps, A. L., & Mansuria, S. M.
- Affiliations
- University of Pittsburgh Medical Center (US)
- Duquesne University (US)
- Corresponding author
- Mansuria, Suketu M.
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2014-09
- Volume
- 211
- Issue
- 3
- Pages
- 224.e1-224.e7
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W2164479845
- Cited by
- 23
- References
- 23
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 5 · 2020: 3 · 2019: 2 · 2018: 1 · 2017: 2 · 2015: 2
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Hematology › Blood transfusion and management
- Keywords
- total laparoscopic hysterectomy, postoperative anemia, blood transfusion, hemodynamic instability, body mass index, intravenous fluid volume, elective hysterectomy, benign gynecologic surgery
- MeSH terms
- Adult, Female, Hemoglobins, Humans, Hysterectomy, Middle Aged, Laparoscopy, Postoperative Care, Postoperative Period, Retrospective Studies, Cohort Studies, Body Mass Index, Cost Savings
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- Chamsy, D. J., Louie, M. Y., Lum, D. A., Phelps, A. L., & Mansuria, S. M. (2014). Clinical utility of postoperative hemoglobin level testing following total laparoscopic hysterectomy. American Journal of Obstetrics and Gynecology. https://doi.org/10.1016/j.ajog.2014.04.003
