Leiomyoma-related hospitalization and surgery: prevalence and predicted growth based on population trends.
OBJECTIVE
To estimate leiomyoma-related inpatient care in the United States for 2007 with predictions for the ensuing 40 years.


METHODS
We used the 2007 Nationwide Inpatient Sample to estimate hospitalizations and inpatient surgeries for uterine leiomyoma in US women 15 to 54 years. We used the US Census Bureau population projections to predict leiomyoma-related inpatient care through 2050.


RESULTS
In 2007, 355,135 women were hospitalized for leiomyoma (rate = 42 per 10,000 women-years). Black women had increased rates of hospitalization, hysterectomy, and myomectomy (relative risk, 3.5, 2.4, 6.8, respectively) compared with white women. Leiomyoma-related hospitalizations are predicted to increase 23% (to 437,874) between 2007 and 2050, with 20% and 31% increases in leiomyoma-related hysterectomies and myomectomies.


CONCLUSIONS
Leiomyoma-related inpatient care and major surgery remains substantial despite advances in less invasive treatment options. Given population growth, the projected burden of leiomyoma-related inpatient care will increase significantly by 2050, differentially impacting black vs white women.
Mayo Clinic and North Florida OB/GYN, Jacksonville, FL, USA.
Mary Ellen
ME
Wechter
Elizabeth A
EA
Stewart
Evan R
ER
Myers
Rosanne M
RM
Kho
Jennifer M
JM
Wu
D000293:Adolescent; D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000706:statistics & numerical data / Q000639:trends; D006760:Hospitalization / Q000706:statistics & numerical data / Q000639:trends*; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data; D007889:Leiomyoma / Q000453:epidemiology / Q000601:surgery*; D008875:Middle Aged; D015995:Prevalence; D014481:United States / Q000453:epidemiology; D014594:Uterine Neoplasms / Q000453:epidemiology / Q000601:surgery*