OBJECTIVE: The purpose of this study was to assess temporal trends for hysterectomy among Olmsted County, Minnesota women. STUDY DESIGN: Using the Rochester Epidemiology Project database, we identified all county residents undergoing a hysterectomy in 1965-2002. Temporal changes in the utilization (incidence) rate, type, diagnostic indications, and age at surgery were assessed. RESULTS: Between 1965 and 2002, 6152 women had a hysterectomy alone, whereas 3126 women had, in addition, a pelvic floor repair; the age-adjusted utilization rate for hysterectomy alone and for combined procedures declined (P < .0001) by 13% and 63%, respectively. Except for subjects aged 75-85 years, this decline affected every age group. The distribution of vaginal (56%) and abdominal (44%) procedures differed across indications. Uterine leiomyomata, precancerous conditions, and genital prolapse accounted for 28%, 23%, and 12% of all procedures, respectively. CONCLUSION: Among community women, the utilization rate, age distribution, and indications for a hysterectomy changed substantially between 1965 and 2002.
OBJECTIVE: The purpose of this study was to assess temporal trends for hysterectomy among Olmsted County, Minnesota women. STUDY DESIGN: Using the Rochester Epidemiology Project database, we identified all county residents undergoing a hysterectomy in 1965-2002. Temporal changes in the utilization (incidence) rate, type, diagnostic indications, and age at surgery were assessed. RESULTS: Between 1965 and 2002, 6152 women had a hysterectomy alone, whereas 3126 women had, in addition, a pelvic floor repair; the age-adjusted utilization rate for hysterectomy alone and for combined procedures declined (P < .0001) by 13% and 63%, respectively. Except for subjects aged 75-85 years, this decline affected every age group. The distribution of vaginal (56%) and abdominal (44%) procedures differed across indications. Uterine leiomyomata, precancerous conditions, and genital prolapse accounted for 28%, 23%, and 12% of all procedures, respectively. CONCLUSION: Among community women, the utilization rate, age distribution, and indications for a hysterectomy changed substantially between 1965 and 2002.
Authors: Roberta E Blandon; Adil E Bharucha; L Joseph Melton; Cathy D Schleck; Ebenezer O Babalola; Alan R Zinsmeister; John B Gebhart Journal: Am J Obstet Gynecol Date: 2007-12 Impact factor: 8.661
Authors: L Joseph Melton; Sara J Achenbach; John B Gebhart; Ebenezer O Babalola; Elizabeth J Atkinson; Adil E Bharucha Journal: Fertil Steril Date: 2007-01-30 Impact factor: 7.329
Authors: Ebenezer O Babalola; Adil E Bharucha; L Joseph Melton; Cathy D Schleck; Alan R Zinsmeister; Christopher J Klingele; John B Gebhart Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2008-05-27
Authors: Ruth M Pfeiffer; Aya Mitani; Ola Landgren; Anders Ekbom; Sigurdur Y Kristinsson; Magnus Björkholm; Robert J Biggar; Louise A Brinton Journal: Cancer Causes Control Date: 2009-06-30 Impact factor: 2.506
Authors: Shannon K Laughlin-Tommaso; Zaraq Khan; Amy L Weaver; Cathy D Schleck; Walter A Rocca; Elizabeth A Stewart Journal: Menopause Date: 2016-02 Impact factor: 2.953
Authors: Shannon K Laughlin-Tommaso; Anisha Satish; Zaraq Khan; Carin Y Smith; Walter A Rocca; Elizabeth A Stewart Journal: Menopause Date: 2020-01 Impact factor: 2.953
Authors: Shannon K Laughlin-Tommaso; Zaraq Khan; Amy L Weaver; Carin Y Smith; Walter A Rocca; Elizabeth A Stewart Journal: Menopause Date: 2018-05 Impact factor: 2.953