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. 2010 May;202(5):501.e1-7.
doi: 10.1016/j.ajog.2010.01.017. Epub 2010 Mar 11.

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

Keisha A Jones  1 , Jonathan P Shepherd, Sallie S Oliphant, Li Wang, Clareann H Bunker, Jerry L Lowder
Affiliations

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

Keisha A Jones et al. Am J Obstet Gynecol. 2010 May.

Abstract

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>or=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>or=52 years from 1979-2006; rates declined by two-thirds for women aged<52 years.

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Figures

Figure 1
Figure 1
Age-1 Adjusted Rates, Prolapse procedures 1979–2006
Figure 2
Figure 2
Age-adjusted rates of incontinence procedures per 1000 women from 1979 to 2006 in the United States, stratified by patient age, includes trends in hysterectomy for benign causes.
See this image and copyright information in PMC

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