Evidence map›Paper›PMID 40450651›Full record

ArticleArchives of gynecology and obstetrics2025

Association of body mass index with surgical complications after minimally invasive hysterectomy.

Raanan Meyer, Jayne Caron, Kacey M Hamilton, Rebecca J Schneyer, Gabriel Levin, Kelly N Wright, Matthew T Siedhoff

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of gynecology and obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Raanan MeyerDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA, USA. Raanan.Meyer@cshs.org.
Jayne CaronDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Kacey M HamiltonDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Rebecca J SchneyerDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Gabriel LevinDivision of Gynecologic Oncology, Jewish General Hospital, McGill University, Quebec, Canada.
Kelly N WrightDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Matthew T SiedhoffDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo study the association between body mass index (BMI) and short-term postoperative complications of patients undergoing laparoscopic hysterectomy (LH). STUDY

designThis is a cohort study of patients who underwent LH for benign conditions. We used prospectively collected data from the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database from 2012 to 2020. We categorized patients into BMI subgroups and compared 30-day postoperative complication rates, defined by the Clavien-Dindo classification.

results206,944 patients met inclusion criteria. In multivariable regression analysis, when comparing lower and higher BMI subgroups, there was a statistically significant increase in any complications [< / ≥ 35.0 kg/m

conclusionsHigher BMI was associated with a higher risk of any and minor complications than lower BMI in patients undergoing LH, as well as increased operative time. When comparing specific BMI categories, overweight and obesity categories were associated with lower risks of major complications compared to the normal BMI category. WHAT DOES THIS STUDY ADDS TO THE CLINICAL WORK?: Among women undergoing minimally invasive hysterectomy for benign indications, higher BMI classes were associated with lower risk of short-term postoperative complication compared to the normal BMI class. This information can be used in preoperative planning, counseling, and shared-decision making.

Indexed as

Body Mass IndexHysterectomyLaparoscopyObesityPostoperative ComplicationsAdultCohort StudiesFemaleHumansMiddle AgedProspective StudiesRisk FactorsLaparoscopyObesityRobotic surgerySurgical complicationsSurgical volume

Identifiers

PMID40450651
PMCPMC12374870

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.