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

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 (in...

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Published inAmerican journal of obstetrics and gynecology Vol. 196; no. 3; pp. 214.e1 - 214.e7
Main Authors Babalola, Ebenezer O., MD, Bharucha, Adil E., MD, Schleck, Cathy D., BS, Gebhart, John B., MD, Zinsmeister, Alan R., PhD, Melton, L. Joseph, MD
Format Journal Article
LanguageEnglish
Published Philadelphia, PA Mosby, Inc 01.03.2007
Elsevier
Subjects
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Epidemiology
Female
Gynecology. Andrology. Obstetrics
Humans
hysterectomy
Hysterectomy - trends
Hysterectomy - utilization
indications
Medical sciences
Middle Aged
Minnesota
Obstetrics and Gynecology
population utilization rate
Minnesota
United States
North America
America
indications
Epidemiology
population utilization rate
hysterectomy
Andrology
Treatment
Surgery
Gynecology
Hysterectomy
Obstetrics
Public health
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Summary: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.
Bibliography:ObjectType-Article-1
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ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2006.10.390