Inpatient hysterectomy surveillance in the United States, 2000-2004.
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.
Whiteman
Maura K
MK
Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Hillis
Susan D
SD
Jamieson
Denise J
DJ
Morrow
Brian
B
Podgornik
Michelle N
MN
Brett
Kate M
KM
Marchbanks
Polly A
PA
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