American Journal of Obstetrics & Gynecology
Volume 202, Issue 6 , Pages 538.e1-538.e9, June 2010

Prophylactic bilateral oophorectomy or removal of remaining ovary at the time of hysterectomy in the United States, 1979-2004

Presented orally at the 29th Scientific Meeting of the American Urogynecologic Society, Chicago, IL, Sept. 4-6, 2008.

  • Jerry L. Lowder, MD, MSc

      Affiliations

    • Division of Urogynecology, Magee-Womens Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • ,
  • Sallie S. Oliphant, MD

      Affiliations

    • Division of Urogynecology, Magee-Womens Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • ,
  • Chiara Ghetti, MD

      Affiliations

    • Division of Urogynecology, Magee-Womens Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • ,
  • Lara J. Burrows, MD, MSc

      Affiliations

    • Department of Obstetrics, Gynecology, and Reproductive Sciences, Magee-Womens Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA, and the Center for Vulvovaginal Disorders, Washington, DC
    • ,
  • Leslie A. Meyn, MS

      Affiliations

    • Division of Obstetric and Gynecologic Infectious Disease, Magee-Womens Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • ,
  • Judith Balk, MD

      Affiliations

    • Division of Gynecologic Specialties, Magee-Womens Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA

Received 29 May 2009; received in revised form 24 September 2009; accepted 18 November 2009. published online 08 January 2010.

Objective

The purpose of this study was to describe national rates and trends of prophylactic bilateral oophorectomy or remaining oophorectomy (BO/RO) at hysterectomy in women without specific gynecologic disease.

Study Design

Data from the National Hospital Discharge Survey were analyzed for 1979-2004. Hysterectomies were divided into 2 groups: (1) hysterectomy with BO/RO and (2) hysterectomy alone (≥1 ovary remaining). Age-adjusted rates (AARs) were calculated with 2000 US census data.

Results

Approximately 3,686,000 hysterectomies with BO/RO were performed from 1979-2004. AARs of hysterectomy with BO/RO decreased during this period; the AARs in women ≥50 years old increased. The number of hysterectomies alone was 5,461,100, and AARs of hysterectomy alone decreased significantly from 2.9 per 1000 women in from 1979-1981 to 1.1 per 1000 women in 2001 (P < .001). The proportion of women who underwent hysterectomy with BO/RO increased from 29% in 1979 to 45% in 2004.

Conclusion

Although AARs of prophylactic BO/RO decreased from 1979-2004, the actual proportion of BO/RO at hysterectomy increased.

Key words: prophylactic bilateral oophorectomy, removal of remaining ovary

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 Reprints not available from the authors.

 Cite this article as: Lowder JL, Oliphant SS, Ghetti C, et al. Prophylactic bilateral oophorectomy or removal of remaining ovary at the time of hysterectomy in the United States, 1979-2004. Am J Obstet Gynecol 2010;202:538.e1-9.

PII: S0002-9378(09)02204-2

doi:10.1016/j.ajog.2009.11.030

American Journal of Obstetrics & Gynecology
Volume 202, Issue 6 , Pages 538.e1-538.e9, June 2010

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