Anticipating conversion to hysterectomy in women counseled for myomectomy: temporal validation of the EFFAH score at a Ghanaian district hospital

Background: In women with uterine fibroids counseled for myomectomy, consent typically involves discussing the preoperative probability that the surgery will end in hysterectomy. To our knowledge, no published tool estimates this probability, including in sub-Saharan Africa. This study aimed to temporally validate the Estimating Fibroid Factors Associated with Hysterectomy (EFFAH) score (an eight-item bedside score) in a later cohort at a district hospital in Ghana, to define risk groups for counseling and triage. Methods: In this retrospective cohort study with temporal external validation, t

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