Hysterectomy Rates in the United States 1990–1997
By C. Farquhar, C. Steiner. Obstetrics and Gynecology, 2002
1,075 citations recorded by the source corpus.
OBJECTIVE To assess hysterectomy rates, type of hysterectomy, and other factors associated within the United States from 1990–1997. METHODS A descriptive statistical analysis of national discharge data was undertaken. Data from the nationwide Inpatient Sample of the Healthcare Cost and Utilization Project (from which national estimates are generated based on a 20% stratified sample of US community hospitals) were used for the years 1990–1997. All women who underwent hysterectomy were identified using International Classification of Diseases, 9th Revision, Clinical Modification, procedure codes. Outcome measures included rate, type of hysterectomy, age of patients, length of stay, total hospital charges, and diagnostic categories. RESULTS Rates of hysterectomy have not changed significantly over the years from 1990–1997. Rates for hysterectomy in 1990 were 5.5 per 1000 women and increased slightly by 1997 to 5.6 per 1000 women. The type of hysterectomy has changed, with laparoscopic hysterectomy accounting for 9.9% of cases by 1997, with a concomitant decline in abdominal hysterectomy but no substantial change in vaginal hysterectomy rates. Length of stay decreased and total charges increased for all types of hysterectomy. Vaginal hysterectomy and laparoscopic hysterectomy are associated with shorter length of stay than abdominal hysterectomy. Abdominal hysterectomy is the most common procedure (63.0% in 1997). CONCLUSION The majority of hysterectomies are abdominal, and the most common indication is uterine fibroids. The introduction of alternative techniques for controlling abnormal uterine bleeding such as endometrial ablation has not had an impact on hysterectomy rates, and there has only been a limited uptake of laparoscopic approaches.
Subfields: Obstetrics and Gynecology, Public Health, Environmental and Occupational Health, Surgery
View Paper: https://www.semanticscholar.org/paper/e9703c18a9bab0fe7faeb5a648c80d686e9bb5e5
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Citations in the corpus
- Nationwide Trends in the Performance of Inpatient Hysterectomy in the United States (2013, background): “When the resulting weight is applied, it is an estimate of all hospital discharges within the United States.21 Frequency distributions between categorical variables were compared using x2 tests.”
- Etiology, symptomatology, and diagnosis of uterine myomas. (2007, background): “Myomas are an enormous healthcare concern; they were the primary indication for surgery in 199,000 hysterectomies and 30,000 myomectomies performed in the United States in 1997 (8).”
- Mutations in the fumarate hydratase gene cause hereditary leiomyomatosis and renal cell cancer in families in North America. (2003, background): “In contrast, hysterectomy surveillance in the United States from 1994 to 1999 showed that hysterectomy was most frequent for those 40–44 years of age, with 52% of women undergoing hysterectomy at 44 years of age (Keshavarz et al. 2002).”