Association between patient depression level and hysterectomy satisfaction.
Bossick A, Wegienka G, and Sangha R. Association between patient depression level and hysterectomy satisfaction. J Minim Invasive Gynecol 2017; 24(7):S84.
J Minim Invasive Gynecol
Study Objective: In the U.S., hysterectomy is the most common nonobstetrical surgery for women. However, there have been few investigations into understanding factors, such as depression, related to procedure satisfaction. Design: Prospective Cohort Study. Setting: Henry Ford Health System. Patients: Women planning hysterectomy for non-cancer indications. Intervention: Hysterectomy by any route. Measurements and Main Results: Methods:Women who had planned to have a hysterectomy at Henry Ford health System in Detroit for noncancer reasons, were recruited via telephone for longitudinal study. These are data from 121 women who had their surgery ≥6 months ago. Women reported procedure satisfaction (response of “agreed” or “strongly agreed” vs. “neither agree nor disagree”, “disagree” or “strongly disagree” with the following: “I was satisfied with my decision.”) within 14 days prior to surgery and at 1, 4, and 6-weeks, and 3 and 6-months post-surgery. The Patient Health Questionnaire-9 (PHQ-9) was used to measure depression severity.Wilcoxon signed-rank tests were used to assess associations between PHQ-9 scores and satisfaction at each time-point. Results: Average participant age was 46.7 years (SD = 8.4, range = 30-64 years) and 49.6% self-identified as Black. Mean ± SD PHQ-9 scores at each time point were: 6.2 ± 6.0, 4.0 ± 4.4, 3.4 ± 3.9, 3.2 ± 3.7, 3.7 ± 5.0, and 3.4 ± 4.9. Percentages of women who reported being satisfied at each time point are: 95%, 77.7%, 72.7%, 76.0%, 76.0% and 76.9%. PHQ-9 depression scores were associated with post-surgical satisfaction only at 1-week and 3-months post-surgery (p < .001). Mean depression scores for “satisfied” versus “unsatisfied” participants were: 1 week, 3.6 (SD = 4.4) versus 6.0 (SD = 4.7); and 3 months, 3.18 (SD = 4.6) and 6.3 (SD = 5.4). Conclusion: Recruitment and follow-up are ongoing, thus analyses will continue with a larger sample size as these preliminary data suggest depression may be associated with procedural satisfaction in the early post-surgical period.