Decreasing utilization of hysterectomy: a population-based study in Olmsted county, Minnesota, 1965-2002

Ebenezer O. Babalola, Adil Eddie Bharucha, Cathy D. Schleck, John B. Gebhart, Alan R. Zinsmeister, L. Joseph Melton

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Objective: The purpose of this study was to assess temporal trends for hysterectomy among Olmsted County, Minnesota women. Study design: Using the Rochester Epidemiology Project database, we identified all county residents undergoing a hysterectomy in 1965-2002. Temporal changes in the utilization (incidence) rate, type, diagnostic indications, and age at surgery were assessed. Results: Between 1965 and 2002, 6152 women had a hysterectomy alone, whereas 3126 women had, in addition, a pelvic floor repair; the age-adjusted utilization rate for hysterectomy alone and for combined procedures declined (P < .0001) by 13% and 63%, respectively. Except for subjects aged 75-85 years, this decline affected every age group. The distribution of vaginal (56%) and abdominal (44%) procedures differed across indications. Uterine leiomyomata, precancerous conditions, and genital prolapse accounted for 28%, 23%, and 12% of all procedures, respectively. Conclusion: Among community women, the utilization rate, age distribution, and indications for a hysterectomy changed substantially between 1965 and 2002.

Original languageEnglish (US)
JournalAmerican Journal of Obstetrics and Gynecology
Volume196
Issue number3
DOIs
StatePublished - Mar 2007

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Hysterectomy
Population
Precancerous Conditions
Pelvic Floor
Prolapse
Age Distribution
Leiomyoma
Epidemiology
Age Groups
Databases
Incidence

Keywords

  • Epidemiology
  • hysterectomy
  • indications
  • population utilization rate

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Decreasing utilization of hysterectomy : a population-based study in Olmsted county, Minnesota, 1965-2002. / Babalola, Ebenezer O.; Bharucha, Adil Eddie; Schleck, Cathy D.; Gebhart, John B.; Zinsmeister, Alan R.; Melton, L. Joseph.

In: American Journal of Obstetrics and Gynecology, Vol. 196, No. 3, 03.2007.

Research output: Contribution to journalArticle

Babalola, Ebenezer O. ; Bharucha, Adil Eddie ; Schleck, Cathy D. ; Gebhart, John B. ; Zinsmeister, Alan R. ; Melton, L. Joseph. / Decreasing utilization of hysterectomy : a population-based study in Olmsted county, Minnesota, 1965-2002. In: American Journal of Obstetrics and Gynecology. 2007 ; Vol. 196, No. 3.
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