Reviewer’s report
Title: 
Using geographically weighted Poisson regression to examine the
association between socioeconomic factors and hysterectomy incidence in
Wallonia, Belgium
Version: 
0 
Date: 
31 Jul 2021
Reviewer's report:
My comments to the manuscript:
1. 
An interesting topic is covered in a well designed study. The manuscript is
well written.
2. 
In the 1. Background chapter less invasive laparoscopic (lpsc myomectomy)
and hysteroscopic (transcervical myoma resection, transcervical endometrium
resection) treatment options should be mentioned as alternatives to
hysterectomy. Uterine artery embolisation is an option, but is less frequently
used comparing to endoscopic treatment as well as MRI guided focused
ultrasound treatment. The authors also mention ultrasound as an alternative to
radical surgery, this should be clarified.
3. 
Page 7 ...the procedures were collapsed into 2 surgical route categories:
abdominal 
and vaginal hysterectomy... What about 3 types laparoscopic
hysterectomies: lpsc supracervical hysterectomy, lpsc total hysterectomy and
laparoscopically assisted vaginal hysterectomy. The last one is a type of vaginal
hysterectomy, but the other 2 laparoscopic hysterectomies can not be clarified as
abdominal hysterectomies.
4. 
The information about the percentage of different types of hysterectomies,
when treating benign gynaecological conditions in Belgium, should be
incorporated into the manuscript (laparoscopic hysterectomy, vaginal
hysterectomy, abdominal hysterectomy).
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