Pain and return to daily activities after uterine artery embolization and hysterectomy in the treatment of symptomatic uterine fibroids: results from the randomized EMMY trial

Wouter J K Hehenkamp; Nicole A Volkers; Erwin Birnie; Jim A Reekers; Willem M Ankum

doi:10.1007/s00270-005-0195-9

Pain and return to daily activities after uterine artery embolization and hysterectomy in the treatment of symptomatic uterine fibroids: results from the randomized EMMY trial

Wouter J K Hehenkamp, Nicole A Volkers, Erwin Birnie, Jim A Reekers, Willem M Ankum

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

PURPOSE: To evaluate the safety and efficacy of uterine artery embolization (UAE) and hysterectomy for symptomatic uterine fibroids by means of a randomized controlled trial. The present paper analyses short-term outcomes, i.e., pain and return to daily activities.

METHODS: Patients were randomized (1:1) to UAE or hysterectomy. Pain was assessed during admission and after discharge, both quantitatively and qualitatively, using a numerical rating scale and questionnaires. Time to return to daily activities was assessed by questionnaire.

RESULTS: Seventy-five patients underwent hysterectomy and 81 patients underwent UAE. UAE patients experienced significantly less pain during the first 24 hr after treatment (p = 0.012). Non-white patients had significantly higher pain scores. UAE patients returned significantly sooner to daily activities than hysterectomy patients (for paid work: 28.1 versus 63.4 days; p < 0.001). In conclusion, pain appears to be less after UAE during hospital stay. Return to several daily activities was in favor of UAE in comparison with hysterectomy.

Original language	English
Pages (from-to)	179-87
Number of pages	9
Journal	CardioVascular and Interventional Radiology
Volume	29
Issue number	2
DOIs	https://doi.org/10.1007/s00270-005-0195-9
Publication status	Published - 2006

Access to Document

10.1007/s00270-005-0195-9

Cite this

@article{a2b439eb1b654542bfd843b963613365,

title = "Pain and return to daily activities after uterine artery embolization and hysterectomy in the treatment of symptomatic uterine fibroids: results from the randomized EMMY trial",

abstract = "PURPOSE: To evaluate the safety and efficacy of uterine artery embolization (UAE) and hysterectomy for symptomatic uterine fibroids by means of a randomized controlled trial. The present paper analyses short-term outcomes, i.e., pain and return to daily activities.METHODS: Patients were randomized (1:1) to UAE or hysterectomy. Pain was assessed during admission and after discharge, both quantitatively and qualitatively, using a numerical rating scale and questionnaires. Time to return to daily activities was assessed by questionnaire.RESULTS: Seventy-five patients underwent hysterectomy and 81 patients underwent UAE. UAE patients experienced significantly less pain during the first 24 hr after treatment (p = 0.012). Non-white patients had significantly higher pain scores. UAE patients returned significantly sooner to daily activities than hysterectomy patients (for paid work: 28.1 versus 63.4 days; p < 0.001). In conclusion, pain appears to be less after UAE during hospital stay. Return to several daily activities was in favor of UAE in comparison with hysterectomy.",

keywords = "Activities of Daily Living, Adult, Embolization, Therapeutic, Female, Humans, Hysterectomy, Leiomyoma/therapy, Middle Aged, Netherlands, Pain Measurement, Regression Analysis, Statistics, Nonparametric, Surveys and Questionnaires, Treatment Outcome, Uterine Neoplasms/therapy, Uterus/blood supply",

author = "Hehenkamp, {Wouter J K} and Volkers, {Nicole A} and Erwin Birnie and Reekers, {Jim A} and Ankum, {Willem M}",

year = "2006",

doi = "10.1007/s00270-005-0195-9",

language = "English",

volume = "29",

pages = "179--87",

journal = "CardioVascular and Interventional Radiology",

issn = "0174-1551",

publisher = "Springer Verlag",

number = "2",

}

Pain and return to daily activities after uterine artery embolization and hysterectomy in the treatment of symptomatic uterine fibroids : results from the randomized EMMY trial. / Hehenkamp, Wouter J K; Volkers, Nicole A; Birnie, Erwin et al.

In: CardioVascular and Interventional Radiology, Vol. 29, No. 2, 2006, p. 179-87.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Pain and return to daily activities after uterine artery embolization and hysterectomy in the treatment of symptomatic uterine fibroids

T2 - results from the randomized EMMY trial

AU - Hehenkamp, Wouter J K

AU - Volkers, Nicole A

AU - Birnie, Erwin

AU - Reekers, Jim A

AU - Ankum, Willem M

PY - 2006

Y1 - 2006

N2 - PURPOSE: To evaluate the safety and efficacy of uterine artery embolization (UAE) and hysterectomy for symptomatic uterine fibroids by means of a randomized controlled trial. The present paper analyses short-term outcomes, i.e., pain and return to daily activities.METHODS: Patients were randomized (1:1) to UAE or hysterectomy. Pain was assessed during admission and after discharge, both quantitatively and qualitatively, using a numerical rating scale and questionnaires. Time to return to daily activities was assessed by questionnaire.RESULTS: Seventy-five patients underwent hysterectomy and 81 patients underwent UAE. UAE patients experienced significantly less pain during the first 24 hr after treatment (p = 0.012). Non-white patients had significantly higher pain scores. UAE patients returned significantly sooner to daily activities than hysterectomy patients (for paid work: 28.1 versus 63.4 days; p < 0.001). In conclusion, pain appears to be less after UAE during hospital stay. Return to several daily activities was in favor of UAE in comparison with hysterectomy.

AB - PURPOSE: To evaluate the safety and efficacy of uterine artery embolization (UAE) and hysterectomy for symptomatic uterine fibroids by means of a randomized controlled trial. The present paper analyses short-term outcomes, i.e., pain and return to daily activities.METHODS: Patients were randomized (1:1) to UAE or hysterectomy. Pain was assessed during admission and after discharge, both quantitatively and qualitatively, using a numerical rating scale and questionnaires. Time to return to daily activities was assessed by questionnaire.RESULTS: Seventy-five patients underwent hysterectomy and 81 patients underwent UAE. UAE patients experienced significantly less pain during the first 24 hr after treatment (p = 0.012). Non-white patients had significantly higher pain scores. UAE patients returned significantly sooner to daily activities than hysterectomy patients (for paid work: 28.1 versus 63.4 days; p < 0.001). In conclusion, pain appears to be less after UAE during hospital stay. Return to several daily activities was in favor of UAE in comparison with hysterectomy.

KW - Activities of Daily Living

KW - Adult

KW - Embolization, Therapeutic

KW - Female

KW - Humans

KW - Hysterectomy

KW - Leiomyoma/therapy

KW - Middle Aged

KW - Netherlands

KW - Pain Measurement

KW - Regression Analysis

KW - Statistics, Nonparametric

KW - Surveys and Questionnaires

KW - Treatment Outcome

KW - Uterine Neoplasms/therapy

KW - Uterus/blood supply

U2 - 10.1007/s00270-005-0195-9

DO - 10.1007/s00270-005-0195-9

M3 - Article

C2 - 16447002

SN - 0174-1551

VL - 29

SP - 179

EP - 187

JO - CardioVascular and Interventional Radiology

JF - CardioVascular and Interventional Radiology

IS - 2

ER -