Procedures for urinary incontinence in the United States, 1979-1997
Procedures for urinary incontinence in the United States, 1979-1997
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DOI：
10.1067/mob.2003.376
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发表时间：
2003-07-01
影响因子：
9.8
通讯作者：
Meyn, L
中科院分区：
文献类型：
--
作者：
Boyles, SH;Weber, AM;Meyn, L
目的：我们研究的目的是描述全国手术率为尿失禁women.Study设计：我们使用了全国医院出院调查，一个联邦数据库，样本住院医院在美国。分析1979年至1997年的数据，使用国际疾病分类第9版临床修改分类系统对诊断和手术进行编码。使用1990年人口普查的人口和比较随时间的变化与线性trend.Results的分数检验的调整率计算：接受住院手术的妇女尿失禁的人数从1979年的33,000到1993年的85,000不等。尿失禁的手术率几乎翻了一番，从1979年的每1000名妇女每年0.32例手术增加到1997年的每1000名妇女每年0.60例手术（P = 0.02）。耻骨上悬吊术的数量随着时间的推移而增加。1996年之前每年大约进行2100例吊术，1996年进行了7348例吊术，1997年为10,192例吊术（比率从每年每100万妇女12例增加到75.2例，P = 0.03）。接受尿失禁手术的女性中，79%为白色，3%为非洲裔美国人，其余18%为其他（包括未知）。37%的病例发生在南部，25%发生在中西部和西部，12%发生在东北部。从1979年到1997年，手术时女性的平均年龄从50.5 +/- 12.1岁增加到56.6 +/- 13.3岁;平均住院时间从9.9 +/- 4.5天减少到2.7 +/- 1.4天结论：从1979年到1997年，女性尿失禁的手术率几乎翻了一番。
OBJECTIVE: The objective of our study was to describe the national rates of surgery for urinary incontinence in women.STUDY DESIGN: We used the National Hospital Discharge Survey, a federal database that samples inpatient hospitals in the United States. Data from 1979 to 1997 were analyzed for diagnoses and procedures coded by using the International Classification of Diseases, 9th revision, Clinical Modification, classification system. Age-adjusted rates were calculated by using the 1990 census population and compared for change over time with the score test for linear trend.RESULTS: The number of women undergoing inpatient surgery for urinary incontinence has varied from 33,000 in 1979 to 85,000 in 1993. The rate of surgeries for incontinence has almost doubled, from 0.32 procedures per 1000 women per year in 1979 to 0.60 procedures per 1000 women per year in 1997 (P = .02). The number of suprapubic slings performed increased over time. Approximately 2100 slings were performed per year until 1996, when 7348 were performed, followed by 10,192 in 1997 (rate increase from 12 to 75.2 per 1,000,000 women per year, P = .03). Women undergoing incontinence procedures were 79% white, 3% African American, and the remaining 18% other (including unknown). Thirty-seven percent of cases were performed in the South, 25% in the Midwest and West, and 12% in the Northeast. From 1979 to 1997, the mean age of women at the time of surgery increased from 50.5 +/- 12.1 years to 56.6 +/- 13.3 years; mean length of hospital stay decreased from 9.9 +/- 4.5 days to 2.7 +/- 1.4 days (P < .001).CONCLUSION: The rate of surgery for urinary incontinence in women has nearly doubled from 1979 to 1997.