Designing a National Hysterectomy Registry Model for Iran

 Hysterectomy is one of the most common surgical operations worldwide, which is performed due to benign diseases, malignant cancers, postpartum emergencies, and gender reassignment. In addition to the possible complications of surgery, the removal of the uterus has many consequences. Designing and creating a national registry program with integrated information can be effective in the evaluation and effectiveness of hysterectomy, planning to improve the quality of care and research.

 This descriptive research was conducted in 2022-2023. After reviewing the texts from PubMed, Scopus, Web of Science and Cochrane Library databases and based on the comparative study of the hysterectomy registration program in pioneer countries, a Delphi questionnaire was developed and after confirming the reliability and validity, it was given to 40 experts. After two stages, the final model of the national hysterectomy registration program for Iran was presented.

 The National Hysterectomy Registry Program model includes five main categories: objectives, structure, minimum data sets (administrative-clinical data, data related to hysterectomy and patient death, and hospital data), standards and processes (processing, reports, quality control and follow-up), which was agreed by the majority of experts.

 The steps performed in this study could be an approach to designing other registration programs. Also, considering the central role of the hysterectomy registration program in the management of healthcare services, regular and continuous implementation of this program in all obstetrics and gynecology centers is suggested.