2024, Número 03
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Ginecol Obstet Mex 2024; 92 (03)
Histerectomía abdominal y deterioro de la función física en mujeres adultas mayores colombianas
Monterrosa CA, Castilla-Casalins A, Rincón TD
Idioma: Español
Referencias bibliográficas: 42
Paginas: 114-126
Archivo PDF: 242.24 Kb.
RESUMEN
Objetivo: Estimar, en mujeres adultas mayores colombianas, la asociación entre
histerectomía abdominal con el deterioro de la función física y con la limitación para
las actividades de la vida diaria.
Materiales y Métodos: Estudio transversal llevado a cabo en mujeres colombianas
entre 60 y 75 años que firmaron el consentimiento informado, permitieron mediciones
antropométricas y contestaron un formulario con preguntas acerca de datos sociodemográficos
y clínicos. Se aplicó la subescala de función física del Cuestionario SF-36. Se
realizaron regresiones logísticas bivariadas: limitación para las actividades habituales o
deterioro en la función física (variables dependientes) con el antecedente de histerectomía
con o sin ooforectomía en la pre o posmenopausia (variables independientes).
Además, se aplicaron cuatro modelos de regresión logística ajustada.
Resultados: Se evaluaron 700 mujeres con promedio de edad de 67.0 ± 4.8 años
y 18.9 ± 6.3 años trascurridos a partir de la menopausia. A todas se les practicó histerectomía
con ooforectomía durante los años de premenopausia (4.2%); histerectomía
sin ooforectomía en la premenopausia (18.1%); histerectomía con ooforectomía en la
posmenopausia (2.1%) e histerectomía sin ooforectomía en la posmenopausia (8.4). La
histerectomía con ooforectomía, o sin esta última en la premenopausia, se relacionó
con deterioro de la función física (RM: 2.67; IC95%:1.19-5.97) y 2.02 (IC95%:1.34-
3.09). Igual sucedió con las actividades habituales (p ‹ 0.05). La histerectomía con
preservación o extirpación ovárica durante la posmenopausia no se asoció con deterioro
de la función física (p › 0.05).
Conclusión: En la muestra estudiada se encontró relación entre la histerectomía con
limitación para actividades diarias y con deterioro de la función física. La histerectomía
con o sin ooforectomía practicada durante los años de premenopausia, a diferencia
de la adelantada en posmenopausia, se asoció, significativamente, con deterioro del
funcionamiento físico.
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