Full Record & Graph Of A Top 20 Paper in Uterine Fibroids

#1 Paper of the Top 20 Papers in Uterine Fibroids

Title:

HYSTERECTOMY IN THE UNITED-STATES, 1988-1990

Authors:

WILCOX LS, KOONIN LM, POKRAS R, STRAUSS LT, XIA ZS, PETERSON HB

Source:

OBSTETRICS AND GYNECOLOGY 83 (4): 549-555 APR 1994

Document Type:

Article

Language:

English

Cited References:

Times Cited:

244

Abstract:

Objective: To describe patient characteristics and diagnoses associated with hysterectomy in the United States from 1988-1990 using data from the National Hospital Discharge Survey.
Methods: We analyzed data from the National Hospital Discharge Survey, an annual probability sample of discharges from nonfederal, short-stay hospitals in the United States. A population-based sample of all women aged 15 years or older in the United States civilian population who had a hysterectomy during 1988-1990 was examined to characterize factors associated with hysterectomy: patients' age and race, diagnoses, surgical approach, and oophorectomy.

Results: Approximately 1.7 million women had a hysterectomy during 1988-1990. The highest rates-100.5 hysterectomies per 10,000 women-were for women aged 30-54 years. Total rates of hysterectomy for black women were similar to those for white women (61.7 and 56.5 per 10,000 women, respectively); uterine leiomyoma (''fibroid tumor'') was reported as the primary diagnosis for 61% of black women and 29% of white women. Abdominal surgery was used for 75% of all hysterectomies. Concomitant bilateral oophorectomy was done for 37% of the women under 45 years old and 68% of the women 45 years or older.

Conclusions: Two-thirds of all hysterectomies for noncancerous conditions were performed for uterine leiomyoma or endometriosis-conditions that are most common before the age of menopause. Future assessments of the appropriateness of hysterectomy will require better understanding of these disorders. Continued monitoring of hysterectomy rates is critical to understanding the appropriate use of hysterectomy, alternative therapies for uterine disorders, and future trends in women's health care.

Keywords Plus:

OVARIAN-CANCER; WOMEN; PREVALENCE; THERAPY

Addresses:

WILCOX LS (reprint author), CTR DIS CONTROL & PREVENT, NATL CTR CHRON DIS PREVENT & HLTH PROMOT, DIV REPROD HLTH, ATLANTA, GA 30341 USA
CTR DIS CONTROL, NATL CTR HLTH STAT, DIV HLTH CARE STAT, HOSP CARE STAT BRANCH, ATLANTA, GA 30333 USA

Publisher:

ELSEVIER SCIENCE INC, 655 AVENUE OF THE AMERICAS, NEW YORK, NY 10010

Subject Category:

OBSTETRICS & GYNECOLOGY

IDS Number:

ND231

ISSN:

0029-7844

Graph - Number of Citations (by year):

Graph not available for this paper.

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ESI Special Topics, March 2005
Citing URL - http://www.esi-topics.com/fibroids/interviews/paper1.html