Our goal is improvement of women’s health care

The Swedish National Quality Register of Gynecological Surgery (a.k.a GynOp) started in 1997 and consists of seven independent and cooperative registers.

GynOp contains data collected before, during and after surgical treatment.

Before the surgery, or right after delivery, the patient answers a questionnaire containing questions about basic health and gynecological disorders. The doctor or midwife registers data about the patient’s medical status before the surgery, about the surgical procedure and the course of events until the patient leaves the hospital after the surgery. The patient also answers questionnaires two months and one year after the surgery. Questionnaires are sent on paper or electronically according to the patient’s preference.

Doctors and midwives get direct feedback about the recovery of their patients. Women reporting complications can be identified and offered follow-up.

The information gathered in GynOp is also used for quality assurance, quality improvement and research. When systematically describing, measuring the results of, reporting, securing and developing implemented measures, quality of women’s health care can be maintained and equal.

Major changes have occurred in women’s health care the last years, and are important to study. Some of these changes are:

  • New surgical methods
  • Shorter length of hospital stay
  • Increased proportion of outpatient surgery and minimal invasive surgery
  • Extent and value of using implants in surgery of pelvic organ prolapse or urinary incontinence
  • Development of gynecologic cancer surgery towards more radical surgery

Surgery of obstetric anal sphincter injuries and pelvic floor reconstruction due to childbirth injury, or after circumcision, are current matters to study.

The results are published in yearly national reports and in scientific publications. Gynop also gives several yearly national conferences for doctors, hospital administrators and midwives to facilitate discussion and quality improvement.

Extent

These surgical procedures are included:

  • Hysterectomies and other, larger uterine surgeries
  • Surgery of ovaries and fallopian tubes
  • Surgery of gynecologic cancer
  • Hysteroscopic surgery
  • Surgery of pelvic organ prolapse
  • Surgery of urinary incontinence
  • Surgery of obstetric anal sphincter injuries

In December 31st 2017 there were about 280 000 surgical procedures included. The number of participating hospitals is 60. In the year of 2017 about 32 900 surgical procedures were added:

  • 6 300 pelvic organ prolapse
  • 4 600 urinary incontinence
  • 4 300 ovaries and fallopian tubes
  • 1700 uterine surgeries
  • 2700 uterine and ovaries/fallopian tubes in the same procedure
  • 2000 gynecologic cancer
  • 5 800 hysteroscopic surgery
  • 3 700 obstetric anal sphincter injuries stage 2-4