Trends in inpatient prolapse procedures in the United States, 1979-2006.
OBJECTIVE
We sought to describe national trends for inpatient procedures for pelvic organ prolapse from 1979-2006.


METHODS
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>or=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).


CONCLUSIONS
AARs for inpatient procedures for prolapse in the United States remained stable for women aged>or=52 years from 1979-2006; rates declined by two-thirds for women aged<52 years.
Jones
Keisha A
KA
Division of Urogynecology, Department of Obstetrics, Gynecology, and Reproductive Sciences, Magee-Women's Hospital, University of Pittsburgh-School of Medicine, Pittsburgh, PA, USA.
Shepherd
Jonathan P
JP
Oliphant
Sallie S
SS
Wang
Li
L
Bunker
Clareann H
CH
Lowder
Jerry L
JL
D015897:Comorbidity; D052858:Cystocele / Q000453:epidemiology / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000706:statistics & numerical data; D006801:Humans; D038801:International Classification of Diseases; D008875:Middle Aged; D020047:Rectocele / Q000453:epidemiology / Q000601:surgery; D014481:United States; D014596:Uterine Prolapse / Q000145:classification / Q000453:epidemiology / Q000601:surgery*