TY - JOUR
T1 - Decreasing utilization of hysterectomy
T2 - a population-based study in Olmsted county, Minnesota, 1965-2002
AU - Babalola, Ebenezer O.
AU - Bharucha, Adil E.
AU - Schleck, Cathy D.
AU - Gebhart, John B.
AU - Zinsmeister, Alan R.
AU - Melton, L. Joseph
N1 - Funding Information:
This study was supported in part by research grants HD 41129, AR 30582, and AG 04875 from the National Institutes of Health, US Public Health Service.
PY - 2007/3
Y1 - 2007/3
N2 - 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.
AB - 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.
KW - Epidemiology
KW - hysterectomy
KW - indications
KW - population utilization rate
UR - http://www.scopus.com/inward/record.url?scp=33847373673&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33847373673&partnerID=8YFLogxK
U2 - 10.1016/j.ajog.2006.10.390
DO - 10.1016/j.ajog.2006.10.390
M3 - Article
C2 - 17346525
AN - SCOPUS:33847373673
SN - 0002-9378
VL - 196
SP - 214.e1-214.e7
JO - American journal of obstetrics and gynecology
JF - American journal of obstetrics and gynecology
IS - 3
ER -