{"id":8004,"date":"2019-08-13T00:00:00","date_gmt":"2019-08-13T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/news-releases\/women-with-anemia-at-greater-risk-of-complications-after-elective-hysterectomy-or-fibroid-removal\/"},"modified":"2023-06-14T18:19:47","modified_gmt":"2023-06-14T22:19:47","slug":"women-with-anemia-at-greater-risk-of-complications-after-elective-hysterectomy-or-fibroid-removal","status":"publish","type":"news_release","link":"https:\/\/www.ices.on.ca\/fr\/news-releases\/women-with-anemia-at-greater-risk-of-complications-after-elective-hysterectomy-or-fibroid-removal\/","title":{"rendered":"Women with anemia at greater risk of complications after elective hysterectomy or fibroid removal"},"content":{"rendered":"<p>Nearly one in four women who undergo an elective hysterectomy or myomectomy for non-cancerous conditions are anemic, which increases their risk of complications like blood transfusion, infection or readmission into hospital, according to a new study by researchers at <strong>ICES<\/strong>, a non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues.<\/p>\n<p>\nHysterectomy is one of the most common surgeries performed worldwide with over 40,000 procedures performed in Canada every year.&#xa0; Myomectomy is a surgical procedure that removes uterine fibroids (non-cancerous growths) without removing the uterus, it is usually performed in women wishing to enhance or preserve future fertility.<\/p>\n<div>\n<div class=\"download-section alignwide infographic-download\" id=\"block_2ec2395f91f956e41c6fae2906cd8c05\" data-style=\"deep-blue\">\n\t<div class=\"download-section-content\">\n\t\t\t\t<h2>\n\t\t\tInfographic\t\t<\/h2>\n\t\t\n\t\t\t<\/div>\n\t<div class=\"download-section-buttons\">\n\t\t\t\t\t\t<a class=\"download-section-buttons-primary\" href=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/03\/MurjiAnemia.jpg\" target=\"_blank\"\n\t\t\tdownload\t\t\taria-label=\"Download Infographic (opens in a new tab)\"\t\t>\n\t\t\tDownload Infographic\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" role=\"presentation\">\n<path d=\"M2.78003 18.8301C2.14282 18.8301 1.59713 18.603 1.14297 18.1488C0.688813 17.6947 0.46212 17.1494 0.462893 16.5129V13.0372H2.78003V16.5129H16.6829V13.0372H19V16.5129C19 17.1502 18.7729 17.6958 18.3188 18.15C17.8646 18.6042 17.3193 18.8308 16.6829 18.8301H2.78003ZM9.73145 14.1958L3.9386 8.40295L5.5606 6.72303L8.57288 9.73531V0.292969H10.89V9.73531L13.9023 6.72303L15.5243 8.40295L9.73145 14.1958Z\" fill=\"#151D5D\"\/>\n<\/svg>\n\t\t<\/a>\n\t\t\n\t\t\t\t\t\t<a class=\"download-section-buttons-secondary\" href=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/03\/MurjiAnemia.jpg\" target=\"_blank\" aria-label=\"Click to View (opens in a new tab)\">\n\t\t\tClick to View\t\t<\/a>\n\t\t\t<\/div>\n<\/div>\n<\/div>\n<p>\n&#x201c;We need to better understand why one in four women arrive anemic on the day of surgery so that we can optimize surgical outcomes. Anemia is easy to diagnose, simple to treat for the majority of iron-deficiency anemia, and untreated anemia has consistently been shown to be associated with adverse outcomes,&#x201d; says Dr. Ally Murji, lead author of the study, ICES Scholar and gynecologist at Mount Sinai Hospital.<\/p>\n<p>\nThe researchers looked at data for more than 16,000 women in Ontario who underwent elective hysterectomy or myomectomy for benign conditions from 2013 to 2015 and found:<\/p>\n<ul class=\"list-style\">\n<li>23 per cent undergoing elective surgery were anemic (hemoglobin &lt;120g\/L) before the surgery.<\/li>\n<li>The risk of death, post-operative complications and return to hospital within 30-days after surgery was higher in anemic women compared to non-anemic women (41 vs. 36 per cent).<\/li>\n<li>The risk of transfusion was significantly higher in anemic patients, where for every 12 women with anemia, one received a blood transfusion.<\/li>\n<li>There was almost a four-fold increase in the probability of transfusion when pre-operative hemoglobin decreased from 130g\/L to 100g\/L.<\/li>\n<li>The risk of adverse outcomes increased in women 55 years and older with anemia, who were at even higher risk of transfusion, surgical site infection and return to hospital.<\/li>\n<\/ul>\n<p>\n&#x201c;We were surprised to find that 42 per cent of women scheduled for elective hysterectomy or myomectomy were not tested for anemia 60 days before their surgery. These women with &#x2018;unknown&#x2019; anemia status were at increased risk of perioperative transfusion compared to women who were tested and found not to be anemic pre-operatively,&#x201d; says <a href=\"\/ices-scientists\/lorraine-lipscombe\/\">Dr. Lorraine Lipscombe<\/a>, senior author on the study, adjunct scientist at ICES, scientist at Women&#x2019;s College Research Institute and director, division of endocrinology at Women&#x2019;s College Hospital.<\/p>\n<p>\nThe researchers say surgeons should ensure that their patients have been tested for anemia since medical interventions exist to correct anemia prior to these gynecological procedures in order to improve outcomes and reduce complications.<\/p>\n<p><em><br \/>\nAuthor block: Ally Murji, Melody Lam, Britney Allen, Lucie Richard, Salimah Z. Shariff, Peter C. Austin, Jeannie Callum, Lorraine Lipscombe.<\/em><\/p>\n<p>\nThe study &#x201c;Risks of preoperative anemia in women undergoing elective hysterectomy and myomectomy,&#x201d; was published in the <em>American Journal of Obstetrics &amp; Gynecology<\/em>.<\/p>\n<p>\nFor more information, please contact:<br \/>\nDeborah Creatura<br \/>\nMedia Advisor, ICES<br \/>\n<a href=\"mailto:deborah.creatura@ices.on.ca\">deborah.creatura@ices.on.ca<\/a><br \/>\n(o) 416-480-4780 or (c) 647-406-5996<\/p>\n<div><div class=\"about-ices-shortcode\"><p><strong>ICES<\/strong> is an independent, non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. Our unbiased evidence provides measures of health system performance, a clearer understanding of the shifting healthcare needs of Ontarians, and a stimulus for discussion of practical solutions to optimize scarce resources. ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. In October 2018, the institute formerly known as the Institute for Clinical Evaluative Sciences formally adopted the initialism ICES as its official name. For the latest ICES news, follow us on Twitter: <a href=\"https:\/\/twitter.com\/ICESOntario\" target=\"_blank\" rel=\"noopener\">@ICESOntario<\/a><\/p>\n<\/div><\/div>\n<p><strong><br \/>\nWomen&#x2019;s College Hospital (WCH)<\/strong> is a leader in health for women, health equity and health system solutions &#x2013; a hospital designed to keep people out of the hospital. Guided by our strategic plan, Healthcare Revolutionized 2018-2022, we are setting a new pace for radical redesign in our health system, anchored by our bold vision to revolutionize healthcare for a healthier more equitable world. We are developing groundbreaking innovations that address the most pressing issues related to population health, patient experience and system costs. We advocate for health equity because we know that a healthy society requires a level playing field where everyone has access to timely, high quality, efficient and compassionate care. We are creating new models of technology-enabled and virtual care to improve access, pioneering health system solutions that drive efficiencies. As an academic hospital, fully affiliated with the University of Toronto, we are leading world-class research and training the healthcare providers of the future.&#xa0;<\/p>\n<p><strong><br \/>\nMount Sinai Hospital<\/strong>, part of Sinai Health System, is as an internationally recognized 442-bed acute care academic health sciences centre affiliated with the University of Toronto.&#xa0; Clinical strengths include women&#x2019;s and infants&#x2019; health, chronic disease management, specialized cancer care, emergency medicine, and geriatrics. Mount Sinai has been designated with Exemplary Status from Accreditation Canada and every aspect of patient care is anchored in a rigorous quality plan and monitoring of safety and quality goals. Mount Sinai is the first hospital in Canada to receive Magnet&#xae; status for nursing excellence and patient care. The Hospital is considered to be a top employer in Canada, receiving multiple awards for its employment and culture centred programs. <a href=\"http:\/\/www.mountsinai.ca\" title=\"opens external link\">www.mountsinai.ca<\/a>.<\/p>\n<p>\n<span class=\"bold\">The Dalla Lana School of Public Health<\/span> is a Faculty of the University of Toronto that originated as one of the Schools of Hygiene begun by the Rockefeller Foundation in 1927. The School went through a dramatic renaissance after the 2003 SARS crisis and it is now the largest public health school in Canada, with more than 850 faculty, 1,000 students, and research and training partnerships with institutions throughout Toronto and the world. With &#x24;35.9 million in research funding per year, the School supports discovery in global health, tobacco impacts on health, occupational disease and disability, air pollution, inner city and Indigenous health, among many other areas. For more information, visit us at <a href=\"http:\/\/www.dlsph.utoronto.ca\/\" title=\"opens external link\">dlsph.utoronto.ca<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nearly one in four women who undergo an elective hysterectomy or myomectomy for non-cancerous conditions are anemic, which increases their risk of complications like blood transfusion, infection or readmission into hospital, according to a new study by researchers at ICES, a non-profit research institute that uses population-based health information to produce knowledge on a broad [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[21],"class_list":["post-8004","news_release","type-news_release","status-publish","hentry","topic-women-or-gender-based-research"],"acf":{"infographic":[9555],"journal_article":[5762],"research_report":[],"atlas":[],"research_program":[6746],"site":[6735],"ices_scientist":[1295],"announce_or_event":[],"video":[],"iitn_type":false,"iitn_title":"","iitn_short_title":"","iitn_source_link_url":"","iitn_source_link_text":"","sitecore_item_id":"1261E9C4-52C7-4DC8-8902-DBEB5A4E595A","sitecore_item_name":"Women-with-anemia-at-greater-risk-of-complications-after-elective-hysterectomy-or-fibroid-removal","sitecore_field_values":"{\n  \"Content\": \"<p>Nearly one in four women who undergo an elective hysterectomy or myomectomy for non-cancerous conditions are anemic, which increases their risk of complications like blood transfusion, infection or readmission into hospital, according to a new study by researchers at <strong>ICES<\/strong>, a non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues.<\/p>n<p>nHysterectomy is one of the most common surgeries performed worldwide with over 40,000 procedures performed in Canada every year.&nbsp; Myomectomy is a surgical procedure that removes uterine fibroids (non-cancerous growths) without removing the uterus, it is usually performed in women wishing to enhance or preserve future fertility.<\/p>n<p><a href=\"~\/media\/751213036B02478D885B8527B1517517.ashx\" onclick=\"_gaq.push(['_trackEvent','Download', 'MurjiAnemiaInfographicAugust2019',this.href]);\"><img height=\"219\" alt=\"1 in 4 women undergoing elective hysterectomy or fibroid removal are anemic, raising risk of complications\" width=\"350\" src=\"~\/media\/2C40F4A90FBE4FD08F85C840F589DE61.ashx\" \/><\/a><span class=\"grey\" style=\"font-size: 12px; font-weight: bold; display: block; color: #5b5656;\">Click image to enlarge<\/span><\/p>n<p>n&ldquo;We need to better understand why one in four women arrive anemic on the day of surgery so that we can optimize surgical outcomes. Anemia is easy to diagnose, simple to treat for the majority of iron-deficiency anemia, and untreated anemia has consistently been shown to be associated with adverse outcomes,&rdquo; says Dr. Ally Murji, lead author of the study, ICES Scholar and gynecologist at Mount Sinai Hospital.<\/p>n<p>nThe researchers looked at data for more than 16,000 women in Ontario who underwent elective hysterectomy or myomectomy for benign conditions from 2013 to 2015 and found:<\/p>n<ul class=\"list-style\">n    <li>23 per cent undergoing elective surgery were anemic (hemoglobin &lt;120g\/L) before the surgery.<\/li>n    <li>The risk of death, post-operative complications and return to hospital within 30-days after surgery was higher in anemic women compared to non-anemic women (41 vs. 36 per cent).<\/li>n    <li>The risk of transfusion was significantly higher in anemic patients, where for every 12 women with anemia, one received a blood transfusion.<\/li>n    <li>There was almost a four-fold increase in the probability of transfusion when pre-operative hemoglobin decreased from 130g\/L to 100g\/L.<\/li>n    <li>The risk of adverse outcomes increased in women 55 years and older with anemia, who were at even higher risk of transfusion, surgical site infection and return to hospital.<\/li>n<\/ul>n<p>n&ldquo;We were surprised to find that 42 per cent of women scheduled for elective hysterectomy or myomectomy were not tested for anemia 60 days before their surgery. These women with &lsquo;unknown&rsquo; anemia status were at increased risk of perioperative transfusion compared to women who were tested and found not to be anemic pre-operatively,&rdquo; says <a href=\"~\/link.aspx?_id=DC2C9ADEED704834A8ACA7271C6E48F5&amp;_z=z\">Dr. Lorraine Lipscombe<\/a>, senior author on the study, adjunct scientist at ICES, scientist at Women&rsquo;s College Research Institute and director, division of endocrinology at Women&rsquo;s College Hospital.<\/p>n<p>nThe researchers say surgeons should ensure that their patients have been tested for anemia since medical interventions exist to correct anemia prior to these gynecological procedures in order to improve outcomes and reduce complications.<\/p>n<p><em>nAuthor block: Ally Murji, Melody Lam, Britney Allen, Lucie Richard, Salimah Z. Shariff, Peter C. Austin, Jeannie Callum, Lorraine Lipscombe.<\/em><\/p>n<p>nThe study &ldquo;Risks of preoperative anemia in women undergoing elective hysterectomy and myomectomy,&rdquo; was published in the <em>American Journal of Obstetrics &amp; Gynecology<\/em>.<\/p>n<p>nFor more information, please contact:<br \/>nDeborah Creatura<br \/>nMedia Advisor, ICES<br \/>n<a href=\"mailto:deborah.creatura@ices.on.ca\">deborah.creatura@ices.on.ca<\/a><br \/>n(o) 416-480-4780 or (c) 647-406-5996<\/p>n<p><em><span style=\"color: #002060;\">ICES is an independent, non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. Our unbiased evidence provides measures of health system performance, a clearer understanding of the shifting healthcare needs of Ontarians, and a stimulus for discussion of practical solutions to optimize scarce resources. ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. In October 2018, the institute formerly known as the Institute for Clinical Evaluative Sciences formally adopted the initialism ICES as its official name. For the latest ICES news, follow us on Twitter: <a href=\"http:\/\/www.twitter.com\/ICESOntario\">@ICESOntario<\/a><\/span><\/em><\/p>n<p><strong>nWomen&rsquo;s College Hospital (WCH)<\/strong> is a leader in health for women, health equity and health system solutions &ndash; a hospital designed to keep people out of the hospital. Guided by our strategic plan, Healthcare Revolutionized 2018-2022, we are setting a new pace for radical redesign in our health system, anchored by our bold vision to revolutionize healthcare for a healthier more equitable world. We are developing groundbreaking innovations that address the most pressing issues related to population health, patient experience and system costs. We advocate for health equity because we know that a healthy society requires a level playing field where everyone has access to timely, high quality, efficient and compassionate care. We are creating new models of technology-enabled and virtual care to improve access, pioneering health system solutions that drive efficiencies. As an academic hospital, fully affiliated with the University of Toronto, we are leading world-class research and training the healthcare providers of the future.&nbsp;<\/p>n<p><strong>nMount Sinai Hospital<\/strong>, part of Sinai Health System, is as an internationally recognized 442-bed acute care academic health sciences centre affiliated with the University of Toronto.&nbsp; Clinical strengths include women&rsquo;s and infants&rsquo; health, chronic disease management, specialized cancer care, emergency medicine, and geriatrics. Mount Sinai has been designated with Exemplary Status from Accreditation Canada and every aspect of patient care is anchored in a rigorous quality plan and monitoring of safety and quality goals. Mount Sinai is the first hospital in Canada to receive Magnet&reg; status for nursing excellence and patient care. The Hospital is considered to be a top employer in Canada, receiving multiple awards for its employment and culture centred programs. <a href=\"http:\/\/www.mountsinai.ca\" title=\"opens external link\">www.mountsinai.ca<\/a>.<\/p>n<p>n<span class=\"bold\">The Dalla Lana School of Public Health<\/span> is a Faculty of the University of Toronto that originated as one of the Schools of Hygiene begun by the Rockefeller Foundation in 1927. The School went through a dramatic renaissance after the 2003 SARS crisis and it is now the largest public health school in Canada, with more than 850 faculty, 1,000 students, and research and training partnerships with institutions throughout Toronto and the world. With $35.9 million in research funding per year, the School supports discovery in global health, tobacco impacts on health, occupational disease and disability, air pollution, inner city and Indigenous health, among many other areas. For more information, visit us at <a href=\"http:\/\/www.dlsph.utoronto.ca\/\" title=\"opens external link\">dlsph.utoronto.ca<\/a>.<\/p>\",\n  \"Title\": \"Women with anemia at greater risk of complications after elective hysterectomy or fibroid removal\",\n  \"Short title\": \"Women with anemia at greater risk\",\n  \"Teaser image\": \"<image mediaid=\"{A322F4BD-074D-4BD9-A21A-A9A358DE2CFF}\" alt=\"&quot;&quot;\" height=\"\" width=\"\" hspace=\"\" vspace=\"\" \/>\",\n  \"Summary\": \"Nearly one in four women who undergo an elective hysterectomy or myomectomy for non-cancerous conditions are anemic, which increases their risk of complications.\",\n  \"Location\": \"Toronto\",\n  \"ICES Scientists\": \"{DC2C9ADE-ED70-4834-A8AC-A7271C6E48F5}\",\n  \"ICES Locations\": \"{FBE2D1B1-C0BA-423F-8D16-39466B6C1424}\",\n  \"Research Programs\": \"{CFE36C89-C969-4C23-B5E4-1BA9E5BDC273}\",\n  \"Posted Date\": \"20190813T095800\",\n  \"Publication Link\": \"<link text=\"Abstract\" linktype=\"internal\" title=\"opens related abstract\" querystring=\"\" target=\"\" id=\"{20F811EB-08A5-43FC-9BAA-7BB76903B416}\" \/>\",\n  \"Related Link\": \"<link text=\"Infographic\" linktype=\"external\" url=\"~\/Publications\/Infographics?year=2019&amp;page=1#MurjiAnemia\" anchor=\"\" title=\"opens related infographic\" target=\"\" \/>\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Newsroom\/News-Releases\/2019\/Women-with-anemia-at-greater-risk-of-complications-after-elective-hysterectomy-or-fibroid-removal"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Women with anemia at greater risk of complications after elective hysterectomy or fibroid removal<\/title>\n<meta name=\"description\" content=\"Nearly one in four women who undergo an elective hysterectomy or myomectomy for non-cancerous conditions are anemic, which increases their risk of\" \/>\n<meta name=\"robots\" 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