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Association between appendicectomy in females and subsequent pregnancy rate: a cohort study.
MedLine Citation:
PMID:  22683011     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To study whether subsequent pregnancy rate is reduced after appendicectomy. DESIGN: A cohort study was carried out in the General Practice Research Database, a United Kingdom primary care database. SETTING: University hospital. PATIENT(S): Female patients who underwent appendicectomy between 1986 and 2009 and appropriate comparators were followed until first pregnancy. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): The association between appendicectomy and subsequent pregnancy was determined by Cox regression models. RESULT(S): The analyses included 76,426 appendicectomy patients, with 152,852 comparators from the database. There were 30,030 pregnancies (39.3%) in the appendicectomy cohort and 43,321 (28.3%) in the comparator cohort during a mean (SD) follow-up of 10.5 (6.6) years. Adjusted hazard ratios for subsequent birth rates were 1.54 (95% confidence interval, 1.52-1.56). CONCLUSION(S): Appendicectomy was associated with increased subsequent pregnancy rate in this study. This suggests that a history of appendicectomy is not associated with impaired fertility.
Authors:
Li Wei; Thomas Macdonald; Sami Shimi
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-6-7
Journal Detail:
Title:  Fertility and sterility     Volume:  -     ISSN:  1556-5653     ISO Abbreviation:  -     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-6-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Medicines Monitoring Unit, Division of Medical Sciences, School of Medicine, Ninewells Hospital and Medical School, University of Dundee, Dundee, Scotland.
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