Evidence map›Paper›PMID 41001598›Full record

ArticleO&G open2024

Patient Views and Values Placed on the Uterus.

Olivia H Chang, Ashley Huynh, Nancy Ringel, Patricia L Hudson, Gabriela E Halder, William D Winkleman, Jessica Ton, Emily R W Davidson, Kate Meriwether

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in O&G open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. .O&G open · 2025
    Article
  2. 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

9 authors.

Olivia H ChangCenter for Pelvic Floor Disorders Research, Division of Female Urology and Voiding Dysfunction, Department of Urology, University of California, Irvine, Orange, and the University of California Irvine School of Medicine, Irvine, California; the Department Obstetrics, Gynecology & Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut; Urogynecology and Reconstructive Surgery, Wellspan Health, York, Pennsylvania; the Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas; the Department of Obstetrics, Gynecology and Reproductive Biology, Mount Auburn Hospital, Cambridge, Massachusetts; the Department of Obstetrics and Gynecology, Luminis Health, Annapolis, Maryland; the Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin; and the Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, New Mexico.
Ashley HuynhCenter for Pelvic Floor Disorders Research, Division of Female Urology and Voiding Dysfunction, Department of Urology, University of California, Irvine, Orange, and the University of California Irvine School of Medicine, Irvine, California; the Department Obstetrics, Gynecology & Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut; Urogynecology and Reconstructive Surgery, Wellspan Health, York, Pennsylvania; the Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas; the Department of Obstetrics, Gynecology and Reproductive Biology, Mount Auburn Hospital, Cambridge, Massachusetts; the Department of Obstetrics and Gynecology, Luminis Health, Annapolis, Maryland; the Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin; and the Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, New Mexico.
Nancy RingelCenter for Pelvic Floor Disorders Research, Division of Female Urology and Voiding Dysfunction, Department of Urology, University of California, Irvine, Orange, and the University of California Irvine School of Medicine, Irvine, California; the Department Obstetrics, Gynecology & Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut; Urogynecology and Reconstructive Surgery, Wellspan Health, York, Pennsylvania; the Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas; the Department of Obstetrics, Gynecology and Reproductive Biology, Mount Auburn Hospital, Cambridge, Massachusetts; the Department of Obstetrics and Gynecology, Luminis Health, Annapolis, Maryland; the Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin; and the Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, New Mexico.
Patricia L HudsonCenter for Pelvic Floor Disorders Research, Division of Female Urology and Voiding Dysfunction, Department of Urology, University of California, Irvine, Orange, and the University of California Irvine School of Medicine, Irvine, California; the Department Obstetrics, Gynecology & Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut; Urogynecology and Reconstructive Surgery, Wellspan Health, York, Pennsylvania; the Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas; the Department of Obstetrics, Gynecology and Reproductive Biology, Mount Auburn Hospital, Cambridge, Massachusetts; the Department of Obstetrics and Gynecology, Luminis Health, Annapolis, Maryland; the Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin; and the Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, New Mexico.
Gabriela E HalderCenter for Pelvic Floor Disorders Research, Division of Female Urology and Voiding Dysfunction, Department of Urology, University of California, Irvine, Orange, and the University of California Irvine School of Medicine, Irvine, California; the Department Obstetrics, Gynecology & Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut; Urogynecology and Reconstructive Surgery, Wellspan Health, York, Pennsylvania; the Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas; the Department of Obstetrics, Gynecology and Reproductive Biology, Mount Auburn Hospital, Cambridge, Massachusetts; the Department of Obstetrics and Gynecology, Luminis Health, Annapolis, Maryland; the Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin; and the Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, New Mexico.
William D WinklemanCenter for Pelvic Floor Disorders Research, Division of Female Urology and Voiding Dysfunction, Department of Urology, University of California, Irvine, Orange, and the University of California Irvine School of Medicine, Irvine, California; the Department Obstetrics, Gynecology & Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut; Urogynecology and Reconstructive Surgery, Wellspan Health, York, Pennsylvania; the Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas; the Department of Obstetrics, Gynecology and Reproductive Biology, Mount Auburn Hospital, Cambridge, Massachusetts; the Department of Obstetrics and Gynecology, Luminis Health, Annapolis, Maryland; the Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin; and the Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, New Mexico.
Jessica TonCenter for Pelvic Floor Disorders Research, Division of Female Urology and Voiding Dysfunction, Department of Urology, University of California, Irvine, Orange, and the University of California Irvine School of Medicine, Irvine, California; the Department Obstetrics, Gynecology & Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut; Urogynecology and Reconstructive Surgery, Wellspan Health, York, Pennsylvania; the Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas; the Department of Obstetrics, Gynecology and Reproductive Biology, Mount Auburn Hospital, Cambridge, Massachusetts; the Department of Obstetrics and Gynecology, Luminis Health, Annapolis, Maryland; the Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin; and the Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, New Mexico.
Emily R W DavidsonCenter for Pelvic Floor Disorders Research, Division of Female Urology and Voiding Dysfunction, Department of Urology, University of California, Irvine, Orange, and the University of California Irvine School of Medicine, Irvine, California; the Department Obstetrics, Gynecology & Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut; Urogynecology and Reconstructive Surgery, Wellspan Health, York, Pennsylvania; the Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas; the Department of Obstetrics, Gynecology and Reproductive Biology, Mount Auburn Hospital, Cambridge, Massachusetts; the Department of Obstetrics and Gynecology, Luminis Health, Annapolis, Maryland; the Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin; and the Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, New Mexico.
Kate MeriwetherCenter for Pelvic Floor Disorders Research, Division of Female Urology and Voiding Dysfunction, Department of Urology, University of California, Irvine, Orange, and the University of California Irvine School of Medicine, Irvine, California; the Department Obstetrics, Gynecology & Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut; Urogynecology and Reconstructive Surgery, Wellspan Health, York, Pennsylvania; the Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas; the Department of Obstetrics, Gynecology and Reproductive Biology, Mount Auburn Hospital, Cambridge, Massachusetts; the Department of Obstetrics and Gynecology, Luminis Health, Annapolis, Maryland; the Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin; and the Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, New Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo understand women's views of and values placed on the uterus.

methodsThis was a multicenter, mixed methods, prospective cohort study at seven medical centers across the United States involved with the Society of Gynecologic Surgeons' Collaborative Research in Pelvic Surgery Consortium network. Adults with a uterus and a benign gynecologic condition with no intention for pregnancy were recruited. Chart review and patient questionnaires, including the validated VALUS (Value of Uterus) instrument, were completed. Semi-structured audio interviews were performed in a subset of participants to identify themes associated with values of the uterus. Interview transcripts were thematically analyzed using the grounded theory approach until saturation was reached.

resultsQualitative data were collected from 40 participants; 36 (90.0%) completed the VALUS questionnaire, and 20 (50.0%) completed semi-structured interviews. The median age was 51 years, and patients mostly identified as White race (75.0%). Participants' gynecologic conditions included urinary incontinence (57.5%), pelvic pain (42.5%), pelvic organ prolapse (40.0%), and various other gynecologic conditions. Based on the VALUS score, 55.6% (20/36) placed a high value on the uterus and 44.4% (16/36) placed a low value on the uterus. When asked about the value of the uterus, some participants viewed it as an organ for reproduction and fertility and their personhood or womanhood, whereas others thought of it as an organ of no value. Recurring themes around considerations before a hysterectomy procedure included a lack of knowledge regarding the physiologic role of the uterus beyond reproduction, the desire for more knowledge to make informed decisions and to understand the purpose of the hysterectomy procedure and alternatives.

conclusionIn this multicenter, mixed methods analysis, more than half the participants placed a high value on the uterus. The values of the uterus included fertility, personhood, and womanhood, which often was described as changing with patient's age or life circumstances. Our findings highlight the need to include the patient's values of the uterus to foster person-centered care in the treatment of gynecologic disorders when uterine preservation is an option.

Identifiers

PMID41001598
PMCPMC12456592

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.