Inpatient hysterectomy surveillance in the United States, 2000-2004

Maura K Whiteman; Susan D Hillis; Denise J Jamieson; Brian Morrow; Michelle N Podgornik; Kate M Brett; Polly A Marchbanks

doi:10.1016/j.ajog.2007.05.039

Inpatient hysterectomy surveillance in the United States, 2000-2004

Whiteman MK, Hillis SD, Jamieson DJ, Morrow B, Podgornik MN, Brett KM, Marchbanks PA

Published January 2008 American journal of obstetrics and gynecology

DOI 10.1016/j.ajog.2007.05.039 PMID 17981254

Abstract

Objective

The objective of the study was to examine recent trends in hysterectomy rates and indications in the United States.

Study Design

Data on hysterectomy hospitalizations during 2000-2004 were obtained from the National Hospital Discharge Survey, an annual nationally representative survey of inpatient hospitalization records.

Results

The hysterectomy rate decreased slightly from 5.4 per 1000 in 2000 to 5.1 per 1000 in 2004 (P for trend < .05). The proportion of hysterectomies performed for uterine leiomyoma decreased from 44.2% in 2000 to 38.7% in 2004 (P for trend < .01). Concomitant bilateral oophorectomy accompanied 54% of hysterectomies; this proportion declined from 55.1% in 2000 to 49.5% in 2004 (P for trend < .001).

Conclusions

Continued monitoring is needed to determine whether the observed trends persist and to evaluate impact on women's health. In the future, information on both inpatient and outpatient procedures may be important for hysterectomy surveillance.

Maura K Whiteman, Susan D Hillis, Denise J Jamieson, Brian Morrow, Michelle N Podgornik, Kate M Brett, Polly A Marchbanks

M Whiteman, Sue Hillis, S Hillis, D Jamieson, B Morrow, M Podgornik, Catherine Brett, Katherine Brett, Kathryn Brett, K Brett, P Marchbanks

PMID 17981254 17981254 DOI 10.1016/j.ajog.2007.05.039 10.1016/j.ajog.2007.05.039 Whiteman et al. 2008, Whiteman 2008

Inpatient hysterectomy surveillance in the United States, 2000-2004

Abstract

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