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The report presents recommendations based on appropriateness ratings of indications for hysterectomy. The recommendations were developed to provide an authoritative guide to help physicians decide whether to recommend hysterectomy for non-emergency, non-malignant disease. Readers are assumed to be knowledgeable about the full spectrum of gynecological disease and its management, including indications for and interpretation of diagnostic tests, and are qualified to provide pre-, intra-, and post-operative care. The recommendations, which represent expert judgments about the appropriateness of hysterectomy for a large number of clinical scenarios, were developed by a working group of obstetricians/gynecologists. The appropriateness ratings and the literature review that accompany these recommendations are provided in two companion documents.

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