Trends in inpatient prolapse procedures in the United States, 1979-2006

Keisha A. Jones, Jonathan P. Shepherd, Sallie S. Oliphant, Li Wang, Clareann H. Bunker, Jerry L. Lowder

Research output: Contribution to journalArticlepeer-review

95 Scopus citations


Objective: We sought to describe national trends for inpatient procedures for pelvic organ prolapse from 1979-2006. Study Design: The National Hospital Discharge Survey was analyzed for patient and hospital demographics, as were International Classification of Diseases, Ninth Revision, Clinical Modification diagnostic and procedures codes from 1979-2006. Age-adjusted rates (AARs) per 1000 women were calculated using the 1990 US Census data. Results: There was a significantly decreasing trend in the AARs for inpatient prolapse procedures, from 2.93-1.52 per 1000 women from 1979-2006. AARs for hysterectomy decreased from 8.39-4.55 per 1000 women from 1979-2006. Over the study period, AARs remained at about the 1979 level among the women ≥52 years old (2.73-2.86; P = .075). In women <52 years old, AARs declined to less than one-third of the 1979 rate (3.03-0.84; P < .001). Conclusion: AARs for inpatient procedures for prolapse in the United States remained stable for women aged ≥52 years from 1979-2006; rates declined by two-thirds for women aged <52 years.

Original languageEnglish
Pages (from-to)501.e1-501.e7
JournalAmerican journal of obstetrics and gynecology
Issue number5
StatePublished - May 2010


  • hospital discharge database
  • pelvic organ prolapse


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