THE PREVALENCE, INDICATIONS, OUTCOMES OF THE MOST COMMON MAJOR GYNECOLOGICAL SURGERIES IN KAZAKHSTAN AND RECOMMENDATIONS FOR POTENTIAL IMPROVEMENTS INTO PUBLIC HEALTH AND CLINICAL PRACTICE: ANALYSIS OF THE NATIONAL ELECTRONIC HEALTHCARE SYSTEM (2014–2019)
Date
2022
Authors
Sakko, Yesbolat
Aimagambetova, Gulzhanat
Terzic, Milan
Ukybassova, Talshyn
Bapayeva, Gauri
Gusmanov, Arnur
Zhakhina, Gulnur
Zhantuyakova, Almira
Gaipov, Abduzhappar
Journal Title
Journal ISSN
Volume Title
Publisher
International Journal of Environmental Research and Public Health
Abstract
Objectives: Major gynecological surgeries are indicated for the treatment of female genital
pathologies. It is key to examine trends in gynecologic surgical procedures and updated recommendations
by international gynecological societies to find opportunities for improvement of local
guidelines. To date, a very limited number of reports have been published on the epidemiology of
gynecological surgeries in Kazakhstan. Moreover, some local guidelines for gynecological conditions
do not comply with the international recommendations. Thus, this study aims to investigate the
prevalence, indications, and outcomes of the most common major gynecological surgeries by analyzing
large-scale Kazakhstani healthcare data, and identifying possible opportunities for improvement
of the local public health and clinical practice. Methods: A descriptive, population-based study
among women who underwent a gynecological surgery in healthcare settings across the Republic of
Kazakhstan during the period of 2014–2019 was performed. Data were collected from the Unified
Nationwide Electronic Health System (UNEHS). Results: In total, 80,401 surgery cases were identified
and analyzed in the UNEHS database for a period of 6 years (2014–2019). The median age of the
participants was 40 years old, with 61.1% in reproductive age. The most prevalent intervention was a
unilateral salpingectomy—29.4%, with 72.6% patients aged between 18–34 years. The proportion
of different types of hysterectomies was 49.4%. In 20% of cases, subtotal abdominal hysterectomy
was performed due to uterine leiomyoma. The proportion of laparoscopic procedures in Kazakhstani
gynecological practice is as low—11.59%. Conclusions: The Kazakhstani public health and gynecological
care sector should reinforce implementation of contemporary treatment methods and up-to-date
policies and guidelines. The overall trends in surgical procedures performed for gynecological
pathologies, including uterine leiomyoma and ectopic pregnancy treatment, should be changed in
favor of the minimally invasive methods in order to adopt a fertility-sparing approach.
Description
Keywords
Type of access: Open Access, hysterectomy; salpingectomy, oophorectomy, salpingo-oophorectomy, public health, epidemiology
Citation
Sakko, Y., Aimagambetova, G., Terzic, M., Ukybassova, T., Bapayeva, G., Gusmanov, A., Zhakhina, G., Zhantuyakova, A., & Gaipov, A. (2022b). The Prevalence, Indications, Outcomes of the Most Common Major Gynecological Surgeries in Kazakhstan and Recommendations for Potential Improvements into Public Health and Clinical Practice: Analysis of the National Electronic Healthcare System (2014–2019). International Journal of Environmental Research and Public Health, 19(22), 14679. https://doi.org/10.3390/ijerph192214679