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This document reports the methods and results of an expert panel process convened to develop ratings of appropriateness of hysterectomy for non-emergency, non-oncology indications. The ratings were developed as part of a project to evaluate alternative methods for improving clinical decisionmaking regarding hysterectomy. The indications and ratings reflect the findings of a nine-member panel of physicians who rated the indications twice. The initial ratings were made individually and without group discussion. The second round of ratings were made during a two-day meeting, within the framework of a modified Delphi methods that is often used to bring groups closer to agreement.

Table of Contents

  • Chapter One

    Cervical Displasia

  • Chapter Two


  • Chapter Three

    Abnormal Uterine Bleeding (of Unknown Etiology)

  • Chapter Four

    Asymptomatic Leiomyomata

  • Chapter Five

    Leiomyomata and Bleeding but No Pain/Discomfort

  • Chapter Six

    Leiomyomata and Pain/Discomfort but No Abnormal Bleeding

  • Chapter Seven

    Leiomyomata with Bleeding and Pain/Discomfort

  • Chapter Eight

    This Chapter Was Not Used

  • Chapter Nine

    Postmenopausal Patients with Leiomyomata

  • Chapter Ten

    Pelvic Pain and Adhesions

  • Chapter Eleven


  • Chapter Twelve

    Chronic, Non-Cyclic Pelvic Pain

  • Chapter Thirteen

    Endometrial Hyperplasia

  • Chapter Fourteen

    Pelvic Relaxation with No Urinary Incontinence, No Pelvic Pressure/Pain

  • Chapter Fifteen

    Pelvic Relaxation and Urinary Incontinence

  • Chapter Sixteen

    Pelvic Relaxation and Pressure/Pain

  • Chapter Seventeen

    Unilateral Adnexal Mass

  • Chapter Eighteen

    Family History of Ovarian Carcinoma

  • Chapter Nineteen


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