Sociodemographic characteristics associated with indications for surgical menopause in women: a retrospective study

Özberk, Hülya; Kurt, Sefa; Özmen, Samican; Çetinbaş, Cansu Tuğçe; Özberk, İsmail

doi:10.1590/1806-9282.20230398

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Revista da Associação Médica Brasileira

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Original Article • Rev. Assoc. Med. Bras. 69 (11) • 2023 • https://doi.org/10.1590/1806-9282.20230398 copy

Sociodemographic characteristics associated with indications for surgical menopause in women: a retrospective study

Authorship SCIMAGO INSTITUTIONS RANKINGS

SUMMARY

OBJECTIVE:

The aim of this study was to evaluate the surgical menopause indications and sociodemographic characteristics of women.

METHODS:

In this retrospective study, we analyzed the sociodemographic characteristics of women with indications for surgical menopause in 2010–2020. The R Version 4.1.1 (2021-08-10) software and logistic regression analysis were used to evaluate the data.

RESULTS:

A total of 704 women's data were obtained in this study. Surgical menopause indications were found to stem from bleeding (46.0%), cancer (28.3%), cancer risk (18.9%), and other causes (6.8%). Surgical menopause indications originating from cancer were increased by 0.08 times (95%CI 0.01–0.68) due to smoking, 0.45 times (95%CI 0.23–0.88) due to regular drug use, and 0.36 times (95%CI 0.19–0.69) due to the presence of chronic disease (p<0.05).

CONCLUSION:

More than half of the women with surgical menopause indications were between 41 and 46 years of age. Additionally, 54.9% of the women had a chronic disease. Therefore, it is recommended to plan preventive health services for morbidity and mortality risks that may develop due to surgical menopause.

KEYWORDS:
Gynecologic neoplasm; Gynecological surgery; Menopause; Women's health

		n	%
Age (43.92±3.56 years)
	23–40 years	95	13.5
	41–46 years	450	63.9
	47 years	90	12.8
	48–50 years	69	9.8
Marital status
	Married	652	92.6
	Single	52	7.4
Educational status (n=29)
	Literate	4	13.8
	Primary school	9	31.1
	Secondary school	11	37.9
	University	5	17.2
Family type
	Live alone	34	4.8
	With spouse	15	2.1
	Nuclear family	655	93.1
Smoking history (n=63)
	Yes	63	8.9
	No	641	91.1
Presence of chronic disease (n=387)
	Hypothyroidism	86	22.2
	Hypertension	66	17.1
	Type II diabetes mellitus	27	7.0
	Breast cancer	69	17.8
	Asthma-chronic obstructive pulmonary disease	34	8.8
	Hypertension and type II diabetes mellitus	41	10.6
	Others	64	16.5
Regular drug use (n=284)
	Thyroid hormones	75	26.4
	Anti-hypertensive drugs	79	27.9
	Antidiabetic drugs	32	11.2
	Tamoxifen	57	20.1
	Anti-hypertensive and antidiabetic drugs	41	14.4
Mode of delivery (n=594)
	Vaginal delivery	340	57.2
	Cesarean section	211	35.5
	Vaginal delivery and cesarean section	43	7.3

Variable	Surgical menopause indications
	Causes of bleeding		Cancer		Cancer risk		Other indications
	n	%	n	%	n	%	n	%
	324	46.0	199	28.3	133	18.9	48	6.8
	Odds ratio (95%CI)	p	Odds ratio (95%CI)	p	Odds ratio (95%CI)	p
Smoking history^b b Model chi-square: 83.817; p<0.000, −2 log likelihood: 1309.779, Pseudo R2 (Nagelkerke): 0.180,	0.17 (0.02–1.34)	0.093	0.08 (0.01–0.68)	0.021	0.21 (0.02–1.60)	0.216	1^a a 1: Reference category,
Regular drug use^b b Model chi-square: 83.817; p<0.000, −2 log likelihood: 1309.779, Pseudo R2 (Nagelkerke): 0.180,	0.76 (0.39–1.46)	0.414	0.45 (0.23–0.88)	0.020	0.80 (0.37–1.63)	0.547
Presence of chronic disease^b b Model chi-square: 83.817; p<0.000, −2 log likelihood: 1309.779, Pseudo R2 (Nagelkerke): 0.180,	0.65 (0.35–1.21)	0.177	0.36 (0.19–0.69)	0.002	0.72 (0.37–1.41)	0.345
	Age
	48–50 years		47 years		41–46 years		23–40 years
	n	%	n	%	n	%	n	%
	69	9.8	90	12.8	450	63.9	95	13.5
	Odds ratio (95%CI)	p	Odds ratio (95%CI)	p	Odds ratio (95%CI)	p
Regular drug use^c c Hosmer and Lemeshow test: 0.327, Nagelkerke R square: 0.093, p: 0.003, χ2: 32.463; df: 9. Bold values indicate data with statistical significance.	1.16 (0.60–2.25)	0.645	1.48 (0.81–2.71)	0.198	1.81 (1.14–2.89)	0.012	1^a a 1: Reference category,

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[1] *Corresponding author: hulya.ozberk@deu.edu.tr