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. 2011 Nov;205(5):492.e1-5.
doi: 10.1016/j.ajog.2011.07.008. Epub 2011 Jul 20.

Leiomyoma-related hospitalization and surgery: prevalence and predicted growth based on population trends

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Leiomyoma-related hospitalization and surgery: prevalence and predicted growth based on population trends

Mary Ellen Wechter et al. Am J Obstet Gynecol. 2011 Nov.

Abstract

Objective: To estimate leiomyoma-related inpatient care in the United States for 2007 with predictions for the ensuing 40 years.

Study design: We used the 2007 Nationwide Inpatient Sample to estimate hospitalizations and inpatient surgeries for uterine leiomyoma in US women 15 to 54 years. We used the US Census Bureau population projections to predict leiomyoma-related inpatient care through 2050.

Results: In 2007, 355,135 women were hospitalized for leiomyoma (rate = 42 per 10,000 women-years). Black women had increased rates of hospitalization, hysterectomy, and myomectomy (relative risk, 3.5, 2.4, 6.8, respectively) compared with white women. Leiomyoma-related hospitalizations are predicted to increase 23% (to 437,874) between 2007 and 2050, with 20% and 31% increases in leiomyoma-related hysterectomies and myomectomies.

Conclusion: Leiomyoma-related inpatient care and major surgery remains substantial despite advances in less invasive treatment options. Given population growth, the projected burden of leiomyoma-related inpatient care will increase significantly by 2050, differentially impacting black vs white women.

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Conflict of interest statement

The authors report no conflicts of interest.

Figures

FIGURE
FIGURE
Projections for leiomyoma-related hospitalizations, 2010–2050, all races

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