Hysterectomy rates in the United States 1990-1997

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dc.contributor.author Farquhar, Cynthia en
dc.contributor.author Steiner, CA en
dc.date.accessioned 2015-06-02T04:47:53Z en
dc.date.issued 2002 en
dc.identifier.citation Obstetrics and Gynecology, 2002, 99 (2), pp. 229 - 234 (6) en
dc.identifier.issn 0029-7844 en
dc.identifier.uri http://hdl.handle.net/2292/25704 en
dc.description.abstract Objective: To assess hysterectomy rates, type of hysterectomy and other factors associated within the United States from 1990 -1997. Study design: A descriptive statistical analysis of national discharge data was undertaken. Data from the National 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. Participants: All women who underwent hysterectomy were identified using ICD-9-CM procedure codes. Outcome measures: 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 per women. The type of hysterectomy has changed with laparoscopic hysterectomy (LAVH) accounting for 9.9% of cases by 1997, while 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). Conclusions: 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 en
dc.language eng en
dc.publisher American College of Obstetricians and Gynecologists en
dc.relation.ispartofseries Obstetrics and Gynecology en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/0029-7844/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Hysterectomy rates in the United States 1990-1997 en
dc.type Journal Article en
dc.identifier.doi 10.1016/S0029-7844(01)01723-9 en
pubs.issue 2 en
pubs.begin-page 229 en
pubs.volume 99 en
dc.rights.holder Copyright: American College of Obstetricians and Gynecologists en
dc.identifier.pmid 11814502 en
pubs.author-url http://www.sciencedirect.com/science/article/pii/S0029784401017239?np=y en
pubs.end-page 234 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 4397 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Obstetrics and Gynaecology en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 11814502 en


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