Hysterectomy and endometrial ablation in New South Wales, 1981 to 1994-1995.
This study analyses the New South Wales hospital data on hysterectomies from 1981 to 1994-1995, and on endometrial ablations since 1991. The hysterectomy rate declined by about 16% during 1981-1991 and has risen since; the endometrial ablation rate has increased by 28% between 1991 and 1994-1995. Other findings indicate a trend towards older mean age at operation, a swing to vaginal hysterectomy with or without laparoscopy, a shift to private hospitals, and a dramatic decline in length of hospital stay. The majority of endometrial ablations were performed on a day-only basis. Immigrant and Aboriginal women experienced lower hysterectomy rates. Endometrial ablation techniques introduced in the late 1980s, as an alternative to hysterectomy for dysfunctional uterine bleeding, have had a major impact on hysterectomy rates; without these techniques the rates would be much higher.
Yusuf
F
F
Department of Actuarial Studies and Demography, School of Economic and Financial Studies, Macquarie University, Sydney, New South Wales.
Siedlecky
S
S
D000328:Adult; D017115:Catheter Ablation; D004717:Endometrium / Q000601:surgery*; D005260:Female; D005831:Genital Diseases, Female / Q000601:surgery*; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data*; D007045:Hysterectomy, Vaginal / Q000706:statistics & numerical data; D007889:Leiomyoma / Q000601:surgery; D007902:Length of Stay; D008875:Middle Aged; D009517:New South Wales; D014594:Uterine Neoplasms / Q000601:surgery