Decreasing utilization of hysterectomy: a population-based study in Olmsted County, Minnesota, 19055-2002

被引：26

作者：

Babalola, Ebenezer O. ^{[1
]}

Bharucha, Adil E.

Schleck, Cathy D.

Gebhart, John B.

Zinsmeister, Alan R.

Melton, L. Joseph, III

机构：

[1] Mayo Clin, Coll Med, Dept Obstet & Gynecol, Rochester, MN USA

[2] Mayo Clin, Coll Med, Div Gastroenterol & Hepatol, Rochester, MN USA

[3] Mayo Clin, Coll Med, Div Biostat, Rochester, MN USA

[4] Mayo Clin, Coll Med, Div Epidemiol, Rochester, MN USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2007年 / 196卷 / 03期

基金：

美国国家卫生研究院;

关键词：

Epidemiology; hysterectomy; indications; population utilization rate;

D O I：

10.1016/j.ajog.2006.10.390

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

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. © 2007 Mosby, Inc. All rights reserved.

引用

页码：214 / 216

页数：3

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