Trends in inpatient prolapse procedures in the United States, 1979–2006
Presented at the 30th Annual Scientific Meeting of the American Urogynecologic Society, Hollywood, FL, Sept. 24-26, 2009.
Received 1 August 2009; received in revised form 23 October 2009; accepted 12 January 2010. published online 12 March 2010.
Objective
We sought to describe national trends for inpatient procedures for pelvic organ prolapse from 1979–2006.
Study Design
The National Hospital Discharge Survey was analyzed for patient and hospital demographics, as were International Classification of Diseases, Ninth Revision, Clinical Modification diagnostic and procedures codes from 1979–2006. Age-adjusted rates (AARs) per 1000 women were calculated using the 1990 US Census data.
Results
There was a significantly decreasing trend in the AARs for inpatient prolapse procedures, from 2.93–1.52 per 1000 women from 1979–2006. AARs for hysterectomy decreased from 8.39–4.55 per 1000 women from 1979–2006. Over the study period, AARs remained at about the 1979 level among the women ≥52 years old (2.73–2.86; P = .075). In women <52 years old, AARs declined to less than one-third of the 1979 rate (3.03–0.84; P < .001).
Conclusion
AARs for inpatient procedures for prolapse in the United States remained stable for women aged ≥52 years from 1979–2006; rates declined by two-thirds for women aged <52 years.
aDivision of Urogynecology, Department of Obstetrics, Gynecology, and Reproductive Sciences, Magee-Women's Hospital, University of Pittsburgh-School of Medicine, Pittsburgh, PA
bOffice of Clinical Research, University of Pittsburgh Clinical and Translational Science Institute, Pittsburgh, PA
Cite this article as: Jones KA, Shepherd JP, Oliphant SS, et al. Trends in inpatient prolapse procedures in the United States, 1979–2006. Am J Obstet Gynecol 2010;200:501.e1-7.
Reprints not available from the authors.
This study was supported by Grant no. UL1 RR024153 from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH), and NIH Roadmap for Medical Research. Its contents are solely the responsibility of the authors and do not necessarily represent the official view of NCRR or NIH. Information on NCRR is available at http://www.ncrr.nih.gov.
ABSTRACT