American Journal of Obstetrics & Gynecology
Volume 198, Issue 1 , Pages 34.e1-34.e7, January 2008

Inpatient hysterectomy surveillance in the United States, 2000-2004

  • Maura K. Whiteman, PhD

      Affiliations

    • Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA
  • ,
  • Susan D. Hillis, PhD

      Affiliations

    • Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA
  • ,
  • Denise J. Jamieson, MD, MPH

      Affiliations

    • Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA
  • ,
  • Brian Morrow, MS

      Affiliations

    • Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA
  • ,
  • Michelle N. Podgornik, MPH

      Affiliations

    • Division of Health Care Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD
  • ,
  • Kate M. Brett, PhD

      Affiliations

    • Office of Analysis and Epidemiology, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD.
  • ,
  • Polly A. Marchbanks, PhD

      Affiliations

    • Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA

Received 23 January 2007; received in revised form 10 April 2007; accepted 23 May 2007. published online 05 November 2007.

Objective

The objective of the study was to examine recent trends in hysterectomy rates and indications in the United States.

Study Design

Data on hysterectomy hospitalizations during 2000-2004 were obtained from the National Hospital Discharge Survey, an annual nationally representative survey of inpatient hospitalization records.

Results

The hysterectomy rate decreased slightly from 5.4 per 1000 in 2000 to 5.1 per 1000 in 2004 (P for trend < .05). The proportion of hysterectomies performed for uterine leiomyoma decreased from 44.2% in 2000 to 38.7% in 2004 (P for trend < .01). Concomitant bilateral oophorectomy accompanied 54% of hysterectomies; this proportion declined from 55.1% in 2000 to 49.5% in 2004 (P for trend < .001).

Conclusions

Continued monitoring is needed to determine whether the observed trends persist and to evaluate impact on women’s health. In the future, information on both inpatient and outpatient procedures may be important for hysterectomy surveillance.

Key words: hysterectomy, population surveillance, United States

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 Reprints not available from the authors.

 The views expressed herein are those of the authors and do not necessarily represent the view of the Centers for Disease Control and Prevention.

 Cite this article as: Whiteman MK, Hillis SD, Jamieson DJ, et al. Inpatient hysterectomy surveillance in the United States, 2000-2004. Am J Obstet Gynecol 2008;198:34.e1-34.e7.

PII: S0002-9378(07)00679-5

doi:10.1016/j.ajog.2007.05.039

American Journal of Obstetrics & Gynecology
Volume 198, Issue 1 , Pages 34.e1-34.e7, January 2008