Inpatient hospitalization for gynecologic disorders in the United States.
OBJECTIVE
The purpose of this study was to examine trends in hospitalizations for gynecologic disorders in the United States.


METHODS
Data on hospitalizations from 1998-2005 among women 15-54 years old were from the Nationwide Inpatient Sample, a nationally representative survey of inpatient hospitalizations. Hospitalizations with a principal diagnosis of a gynecologic disorder were used to estimate rates per 10,000 women.


RESULTS
Gynecologic disorders accounted for 7% and 14% of all hospitalizations among women 15-44 and 45-54 years old, respectively. The most common diagnoses were uterine leiomyomas (rate = 27.5), menstrual disorders (rate = 12.3), endometriosis (rate = 9.5), genital prolapse (rate = 7.0), benign ovarian cysts (rate = 6.5), and pelvic inflammatory disease (rate = 6.1). The hospitalization rate for menstrual disorders increased from 9.8 in 1998 to 13.3 in 2005 (P trend < .001). In contrast, rates declined for pelvic inflammatory disease, genital prolapse, benign ovarian cysts, and endometriosis (P trend < .05) and were unchanged for uterine leiomyoma.


CONCLUSIONS
Gynecologic disorders are an important contributor to inpatient hospitalization among women in the United States.
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.
Kuklina
Elena
E
Jamieson
Denise J
DJ
Hillis
Susan D
SD
Marchbanks
Polly A
PA
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D016208:Databases, Factual; D005260:Female; D005831:Genital Diseases, Female / Q000628:therapy*; D019538:Health Care Surveys; D006760:Hospitalization / Q000706:statistics & numerical data / Q000639:trends*; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data / Q000639:trends*; D008875:Middle Aged; D014481:United States