TY - JOUR
T1 - Trends in inpatient prolapse procedures in the United States, 1979-2006
AU - Jones, Keisha A.
AU - Shepherd, Jonathan P.
AU - Oliphant, Sallie S.
AU - Wang, Li
AU - Bunker, Clareann H.
AU - Lowder, Jerry L.
PY - 2010/5
Y1 - 2010/5
N2 - 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.
AB - 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.
KW - hospital discharge database
KW - pelvic organ prolapse
UR - http://www.scopus.com/inward/record.url?scp=77951878590&partnerID=8YFLogxK
U2 - 10.1016/j.ajog.2010.01.017
DO - 10.1016/j.ajog.2010.01.017
M3 - Article
C2 - 20223444
AN - SCOPUS:77951878590
SN - 0002-9378
VL - 202
SP - 501.e1-501.e7
JO - American journal of obstetrics and gynecology
JF - American journal of obstetrics and gynecology
IS - 5
ER -