A case for evidence based patient education: Differences in short term and long term patient outcomes for total vs. subtotal hysterectomy using a systematic review of literature

<p>One of the important decisions that must be made for many benign cases indicating hysterectomy is the choice between total hysterectomy and subtotal hysterectomy. In this article, a systematic review of literature regarding short- and long-term health and quality-of-life patient outcomes is completed, in an effort to provide an evidence-based patient educational resource for medical professionals to provide women facing a decision about treatment options for benign gynecologic conditions. An additional goal of the author, after evaluation and synthesization of the literature, is to suggest differences between subtotal and total hysterectomies that may require further research prior to being able to strongly suggest one type of surgery over the other.</p

Odds ratios showing the likelihood of isolates being methicillin-resistant in <i>Staphylococcus pseudintermedius</i> isolates from dogs in Australia for different combinations of site of infection in the host and exposure of the host to prior antimicrobial treatment.

<p>Odds ratios showing the likelihood of isolates being methicillin-resistant in <i>Staphylococcus pseudintermedius</i> isolates from dogs in Australia for different combinations of site of infection in the host and exposure of the host to prior antimicrobial treatment.</p

Antimicrobial agents and MIC breakpoints (μg/mL) used in this study based on CLSI VET01S and ECOFFs criteria.

<p>Antimicrobial agents and MIC breakpoints (μg/mL) used in this study based on CLSI VET01S and ECOFFs criteria.</p

Resistance profile per antimicrobial class found in clinical <i>Staphylococcus aureus</i> isolates from horses, dogs and cats in Australia (2013–2014)

<p>Resistance profile per antimicrobial class found in clinical <i>Staphylococcus aureus</i> isolates from horses, dogs and cats in Australia (2013–2014)</p

MIC distribution and frequency of resistance (%R) among clinical <i>Staphylococcus pseudintermedius</i> isolated from dogs (n = 616) and cats (n = 13) in Australia^a.

<p>MIC distribution and frequency of resistance (%R) among clinical <i>Staphylococcus pseudintermedius</i> isolated from dogs (n = 616) and cats (n = 13) in Australia<a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0176379#t002fn001" target="_blank">^a</a>.</p

MIC distribution and frequency of resistance (%R) among clinical <i>Staphylococcus aureus</i> isolated from horses (n = 53), dogs (n = 47), and cats (n = 17) in Australia^b.

<p>MIC distribution and frequency of resistance (%R) among clinical <i>Staphylococcus aureus</i> isolated from horses (n = 53), dogs (n = 47), and cats (n = 17) in Australia<a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0176379#t003fn002" target="_blank">^b</a>.</p

Univariate analysis of risk-factor variables from <i>Staphylococcus pseudintermedius</i> isolates from dogs in Australia (n = 555).

<p>Odds ratios define the risk of isolates being classified as methicillin-resistant strains.</p

Resistance profile per antimicrobial class found in clinical <i>Staphylococcus pseudintermedius</i> isolates in Australia (2013–2014)

<p>Resistance profile per antimicrobial class found in clinical <i>Staphylococcus pseudintermedius</i> isolates in Australia (2013–2014)</p