title: Inpatient hysterectomy surveillance in the United States, 2000-2004.
abstract: OBJECTIVE
  The objective of the study was to examine recent trends in hysterectomy rates and indications in the United States.
  
  
  METHODS
  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.
authors.affiliation: Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Maura K
authors.initials: MK
authors.lastname: Whiteman
authors.forename: Susan D
authors.initials: SD
authors.lastname: Hillis
authors.forename: Denise J
authors.initials: DJ
authors.lastname: Jamieson
authors.forename: Brian
authors.initials: B
authors.lastname: Morrow
authors.forename: Michelle N
authors.initials: MN
authors.lastname: Podgornik
authors.forename: Kate M
authors.initials: KM
authors.lastname: Brett
authors.forename: Polly A
authors.initials: PA
authors.lastname: Marchbanks
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007044:Hysterectomy / Q000379:methods / Q000706:statistics & numerical data*; D007045:Hysterectomy, Vaginal / Q000379:methods / Q000706:statistics & numerical data; D015907:Hysteroscopy / Q000706:statistics & numerical data*; D015994:Incidence; D007297:Inpatients; D007813:Laparotomy / Q000706:statistics & numerical data*; D008875:Middle Aged; D018570:Risk Assessment; D014481:United States; D014591:Uterine Diseases / Q000175:diagnosis / Q000601:surgery*; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000601:surgery