Characteristic | <5 years | 5–10 years | >10 years | P value |
Board certified | <0.001 | |||
Yes | 50.0 | 100 | 98.9 | |
No (including eligible) | 50.0 | 0 | 1.1 | |
Hospital setting | 0.358 | |||
Urban teaching | 80.6 | 84.1 | 86.8 | |
Urban non-teaching | 16.7 | 9.1 | 12.1 | |
Rural | 2.8 | 6.8 | 1.1 | |
Multidisciplinary approach | 0.124 | |||
Yes | 69.4 | 86.4 | 85.7 | |
No | 27.8 | 13.6 | 11.0 | |
Do not know | 2.8 | 0 | 3.3 | |
Center-for-excellence | 0.404 | |||
Yes | 16.7 | 31.8 | 34.1 | |
No | 13.9 | 13.6 | 11.0 | |
Do not know | 69.4 | 54.5 | 54.9 | |
Hospital delivery volume | 0.581 | |||
<1000/year | 15.2 | 7.3 | 13.6 | |
1000–1999/year | 18.2 | 17.1 | 12.5 | |
2000–2999/year | 9.1 | 17.1 | 22.7 | |
≥3000/year | 57.6 | 58.5 | 51.1 | |
Hospital region | 0.499 | |||
Northeast | 19.4 | 22.7 | 25.3 | |
Midwest | 13.9 | 25.0 | 17.6 | |
South | 36.1 | 25.0 | 38.5 | |
West | 30.6 | 27.3 | 18.7 | |
Perform hysterectomy for PAS | 0.638 | |||
Yes | 91.7 | 88.6 | 93.4 | |
No | 8.3 | 11.4 | 6.6 | |
Surgeon’s PAS hysterectomy volume | 0.132 | |||
≤2 cases/year | 18.2 | 23.7 | 29.8 | |
3–5 cases/year | 54.5 | 42.1 | 31.0 | |
6–9 cases/year | 21.2 | 10.5 | 19.0 | |
≥10 cases/year | 6.1 | 23.7 | 20.2 | |
Incidence of PAS (past 5 years) | 0.867 | |||
Increasing | 78.8 | 76.3 | 79.8 | |
Not increasing | 3.0 | 7.9 | 7.1 | |
Do not know | 18.2 | 15.8 | 13.1 | |
Hysterectomy setting for PAS | 0.064 | |||
Main operating room | 66.7 | 57.9 | 57.1 | |
L&D operating room | 9.1 | 21.1 | 6.0 | |
Either | 24.2 | 21.1 | 36.9 | |
Level of involvement for hysterectomy | 0.182 | |||
Present from the beginning | 36.4 | 60.5 | 50.0 | |
Sometimes present whole cases | 60.6 | 31.6 | 45.2 | |
Available as needed | 3.0 | 7.9 | 4.8 | |
PAS hysterectomy modality | 0.633 | |||
Total hysterectomy | 75.8 | 73.7 | 67.9 | |
Supracervical hysterectomy | 18.2 | 10.5 | 11.9 | |
Modified hysterectomy | 3.0 | 7.9 | 8.3 | |
Other | 3.0 | 7.9 | 11.9 | |
Ureteral stent | 0.057 | |||
Yes | 27.3 | 31.6 | 15.5 | |
No | 45.5 | 34.2 | 61.9 | |
Depending on the case | 27.3 | 34.2 | 22.6 | |
Intra-arterial balloon | 0.589 | |||
Yes (sometimes/always) | 30.3 | 42.1 | 36.9 | |
No | 69.7 | 57.9 | 63.1 | |
Experience of blood loss >5 L | 0.473 | |||
Yes | 78.8 | 73.7 | 67.9 | |
No | 21.2 | 26.3 | 32.1 | |
Experience of blood loss >10 L | 0.191 | |||
Yes | 36.4 | 48.6 | 31.3 | |
No | 63.6 | 51.4 | 68.7 | |
Practice conservative management | 0.004 | |||
Yes (sometimes/always) | 33.3 | 28.9 | 57.8 | |
No | 66.7 | 71.1 | 42.2 | |
Practice delayed hysterectomy | 0.002 | |||
Yes (sometimes/always) | 30.3 | 26.3 | 56.0 | |
No | 69.7 | 73.7 | 44.0 | |
Interest in hysterectomy for PAS | 0.334 | |||
Yes | 52.8 | 37.2 | 55.6 | |
No | 38.9 | 51.2 | 38.9 | |
Do not know | 8.3 | 11.6 | 5.6 |
Percentages represent among answered for each survey item.
L&D, labor and delivery; PAS, placenta accreta spectrum .