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. 2023 Oct;34(10):829-835.
doi: 10.1007/s10552-023-01735-6. Epub 2023 Jun 17.

Variation in hysterectomy prevalence and trends among U.S. States and Territories-Behavioral Risk Factor Surveillance System, 2012-2020

Sameer V Gopalani  1   2 , Sabitha R Dasari  3 , Emily E Adam  1   2 , Trevor D Thompson  1 , Mary C White  1 , Mona Saraiya  4
Affiliations

Variation in hysterectomy prevalence and trends among U.S. States and Territories-Behavioral Risk Factor Surveillance System, 2012-2020

Sameer V Gopalani et al. Cancer Causes Control. 2023 Oct.

Abstract

Purpose: We estimated up-to-date state- and territory-level hysterectomy prevalence and trends, which can help correct the population at risk denominator and calculate more accurate uterine and cervical cancer rates.

Methods: We analyzed self-reported data for a population-based sample of 1,267,013 U.S. women aged ≥ 18 years who participated in the Behavioral Risk Factor Surveillance System surveys from 2012 to 2020. Estimates were age-standardized and stratified by sociodemographic characteristics and geography. Trends were assessed by testing for any differences in hysterectomy prevalence across years.

Results: Hysterectomy prevalence was highest among women aged 70-79 years (46.7%) and ≥ 80 years (48.8%). Prevalence was also higher among women who were non-Hispanic (NH) Black (21.3%), NH American Indian and Alaska Native (21.1%), and from the South (21.1%). Hysterectomy prevalence declined by 1.9 percentage points from 18.9% in 2012 to 17.0% in 2020.

Conclusions: Approximately one in five U.S. women overall and half of U.S. women aged ≥ 70 years reported undergoing a hysterectomy. Our findings reveal large variations in hysterectomy prevalence within and between each of the four census regions and by race and other sociodemographic characteristics, underscoring the importance of adjusting epidemiologic measures of uterine and cervical cancers for hysterectomy status.

Keywords: Behavioral Risk Factor Surveillance System; Cervical cancer; Hysterectomy; Prevalence; Uterine cancer; Women's health.

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Conflict of interest statement

Competing interests

The authors did not report any conflicts of interest.

Figures

Figure 1.
Figure 1.. Absolute changea in age-standardizedb prevalence of self-reported hysterectomy from 2012 to 2020 among adult women aged ≥18 years, by U.S. state and territory—Behavioral Risk Factor Surveillance System.
Abbreviations: CI: confidence interval; DC: District of Columbia Notes: a. Absolute percent change = hysterectomy prevalence in 2020 – hysterectomy prevalence in 2012. b. Age-standardized to the 2000 U.S. standard population using the direct method.
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References

    1. Fingar KR, Stocks C, Weiss AJ, Steiner CA. Most Frequent Operating Room Procedures Performed in U.S. Hospitals, 2003–2012. Healthcare Cost and Utilization Project (HCUP) Statistical Briefs. Rockville (MD): Agency for Healthcare Research and Quality (US); 2014.
    1. Whiteman MK, Hillis SD, Jamieson DJ, Morrow B, Podgornik MN, Brett KM, et al. Inpatient hysterectomy surveillance in the United States, 2000-2004. Am J Obstet Gynecol. 2008;198:34.e1–7. - PubMed
    1. Wallace SK, Fazzari MJ, Chen H, Cliby WA, Chalas E. Outcomes and Postoperative Complications After Hysterectomies Performed for Benign Compared With Malignant Indications. Obstet Gynecol. 2016;128:467–75. - PubMed
    1. Morgan DM, Kamdar NS, Swenson CW, Kobernik EK, Sammarco AG, Nallamothu B. Nationwide trends in the utilization of and payments for hysterectomy in the United States among commercially insured women. Am J Obstet Gynecol. 2018;218:425.e1–.e18. - PMC - PubMed
    1. Doll KM, Dusetzina SB, Robinson W. Trends in Inpatient and Outpatient Hysterectomy and Oophorectomy Rates Among Commercially Insured Women in the United States, 2000-2014. JAMA Surgery. 2016;151:876–7. - PMC - PubMed