Hysterectomy rates in the United States, 2003
Hysterectomy rates in the United States, 2003
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DOI：
10.1097/01.aog.0000285997.38553.4b
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发表时间：
2007-11-01
影响因子：
7.2
通讯作者：
Visco, Anthony G.
中科院分区：
文献类型：
--
作者：
Wu, Jennifer M.;Wechter, Mary Ellen;Visco, Anthony G.
目的：按子宫切除术类型估计子宫切除率，并比较良性适应症子宫切除术类型的年龄、住院时间和地区差异。方法：我们使用 2003 年全国住院患者样本对全国出院数据进行横断面分析。这些数据代表了 20% 的美国医院分层样本。接受子宫切除术的 16 岁或以上的女性根据国际疾病分类第 9 版临床修改程序代码进行识别。我们提取了有关年龄、种族、诊断代码、住院时间和医院特征的数据。利用2000年全国人口普查数据和整群抽样的加权数据分析，我们计算了子宫切除率。结果：2003年，进行了602,457例子宫切除术，每1,000名女性年中有5.38例。在 538,722 例良性疾病子宫切除术中（每 1,000 名女性年 4.81 例），腹部途径是最常见的（66.1%），其次是阴道（21.8%）和腹腔镜（11.8%）途径。不同类型子宫切除术的平均年龄（+/- 标准差）不同（经腹切除术 44.5 +/- 0.1 岁，阴道切除术 48.2 +/- 0.2 岁，腹腔镜切除术 43.6 +/- 0.3 岁，P
Objective: To estimate hysterectomy rates by type of hysterectomy and to compare age, length of stay, and regional variation in type of hysterectomy performed for benign indications.Methods: We conducted a cross-sectional analysis of national discharge data using the 2003 Nationwide Inpatient Sample. These data represent a 20% stratified sample of U.S. hospitals. Women aged 16 years or older who underwent a hysterectomy were identified by International Classification of Diseases, 9th Revision, Clinical Modification procedure codes. We extracted data regarding age, race, diagnoses codes, length of stay, and hospital characteristics. Using 2000 National Census data and weighted data analysis for cluster sampling, we calculated hysterectomy rates.Results: In 2003, 602,457 hysterectomies were performed, for a rate of 5.38 per 1,000 women-years. Of the 538,722 hysterectomies for benign disease (rate 4.81 per 1,000 women-years), the abdominal route was the most common (66.1%), followed by vaginal (21.8%) and laparoscopic (11.8%) routes. Mean ages (+/- standard deviation) differed among hysterectomy types (abdominal 44.5 +/- 0.1 years, vaginal 48.2 +/- 0.2 years, and laparoscopic 43.6 +/- 0.3 years, P