The National Quality Registry for Gynaecological Surgery (GynOp) is an organisation for seven independent cooperating registries, and includes all major surgeries in the area of gynaecology. There have been major changes in indications and surgery methods over the past ten years. Among these changes are increasingly shorter waiting times, an increase in outpatient surgeries and a greater use of implants. Tumour surgery is evolving toward more radical procedures.
Purpose: To provide the clinics with data for quality assurance, to monitor improvement measures over time, and to conduct research on collected data. The registry also aims to assist the clinics’ documentation procedures and the communication (questionnaire sent from surgeon to patient at 2 months and 1 year) between treating physicians and patients.
The registry includes all major gynaecological procedures: hysterectomies and other major surgeries on the uterus, such as myomectomy and uterus resection, adnexal procedures, gynaecological tumour surgery including vulvar tumours, hysteroscopy and endometrial ablation, as well as prolapse and incontinence surgery. Both inpatient and outpatient procedures are included.
Approximately 240,000 patients, of which 31,000 hysteroscopies, 47,000 adnexal surgeries, 71,000 uterus surgeries, 48,000 prolapse surgeries, 26,000 incontinence surgeries, malignant tumours 14,000 and severe perineal rupture at birth 3, 000 . The subregistries for tumour, prolapse and incontinence surgeries were started in 2006 and perineal rupture 2015.
About 5,000 hysteroscopies,5,000 adnexal surgeries, 7,500 uterus surgeries, 6,000 prolapse surgeries, and 3,500 incontinence surgeries, malignant tumours 1500 and perineal ruptures 1,500. Approximately 30,000 patients.
There are two registries in Sweden for gynaecological surgery: the Gynop registry, which is used in 75 percent of the country and the regional GynKvalitets-Registret (GKR), which is used in Stockholm, Värmland, and Gotland and accounts for the remaining 25 percent. Data from GKR is imported to the Gynop registry to provide nearly nationwide coverage. These procedures must, by law, be reported to a government registry. The coverage of GynOp is equivalent to that of the government registry.
Note: Variable lists are updated on a regular basis and should therefore be seen as preliminary. For the latest version, please contact the registry.
Category: Paediatrics, obstetrics and gynaecology
Certification level: 1
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