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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.

This report is part of the RAND Corporation monograph report series. The monograph/report was a product of the RAND Corporation from 1993 to 2003. RAND monograph/reports presented major research findings that addressed the challenges facing the public and private sectors. They included executive summaries, technical documentation, and synthesis pieces.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.