Ambulatory procedures for urinary incontinence in the United States, 1994-1996
Ambulatory procedures for urinary incontinence in the United States, 1994-1996
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DOI：
10.1016/j.ajog.2003.07.007
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发表时间：
2004-01-01
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女性尿失禁门诊手术的发生率。研究设计：我们使用了全国门诊手术调查，这是一个对美国门诊手术进行抽样的联邦数据库。对 1994 年至 1996 年的数据进行了分析，以了解使用国际疾病分类第 9 版临床修订分类系统编码的诊断和程序。使用 1990 年人口普查人口计算年龄调整率，并使用线性趋势评分检验比较随时间的变化。 结果：因尿失禁而接受门诊手术的女性估计人数从 1994 年的 7,200 人增加到 1996 年的 15,900 人 (P=.3)，而年龄调整率保持稳定，约为每 100,000 名女性接受 10 次手术。年。进行的手术包括“膀胱的其他修复”（ICD-9-CM代码57.89）、“压力性尿失禁的其他修复”（代码59.7）、尿道膀胱交界处折叠术、耻骨上吊带手术、耻骨后尿道悬吊术、尿道旁悬吊术和上提肌手术。接受这些手术的女性平均年龄为 58+/-14.5 岁。接受失禁手术的女性中，76% 是白人，0.3% 是非裔美国人，24% 是其他人（包括身份不明）。 92% 的手术是在医院完成的，而 8% 是在独立的门诊手术中心进行的。结论：1994 年至 1996 年间，女性尿失禁的门诊手术数量增加了一倍。 (C) 2004 Elsevier Inc. 保留所有权利。
Objective: The objective of our study was to describe the national rates of ambulatory surgery for urinary incontinence in women.Study design: We used the National Survey of Ambulatory Surgery, a federal database that samples outpatient surgery in the United States. Data from 1994 to 1996 were analyzed for diagnoses and procedures coded using the International Classification of Diseases, 9th revision, Clinical Modification, classification system. Age-adjusted rates were calculated with use of the 1990 census population and compared for change over time by using the score test for linear trend.Results: The estimated number of women undergoing outpatient surgery for urinary incontinence increased from 7,200 in 1994 to 15,900 in 1996 (P=.3), whereas the age-adjusted rate remained stable at approximately 10 procedures per 100,000 women per year. The procedures performed included "other repair of the bladder" (ICD-9-CM code 57.89), "other repair of urinary stress incontinence" (code 59.7), plication of the urethrovesical junction, suprapubic sling operation, retropubic urethral suspension, paraurethral suspension, and levator muscle operation. The mean age of women undergoing these procedures was 58+/-14.5 years. Women undergoing incontinence procedures were 76% white, 0.3% African American, and 24% other (including unknown). Ninety-two percent of the procedures were completed at hospitals, whereas 8% were performed at free-standing ambulatory surgery centers.Conclusion: Between 1994 and 1996, the number of ambulatory surgeries for urinary incontinence in women doubled. (C) 2004 Elsevier Inc. All rights reserved.