Original ArticleTrends in the National Distribution of Laparoscopic Hysterectomies From 2003 to 2010
Section snippets
Patient Sample
After obtaining exemption from the University of Texas Medical Branch in Galveston Institutional Review Board, we performed a retrospective cohort study using data from the 2003 to 2010 Healthcare Cost and Utilization Project–Nationwide Inpatient Sample (HCUP-NIS). This is a uniform, multistate database containing information of approximately 8 million hospital inpatient stays per year of data. Although the data are derived from approximately 20% of national admissions, the sample scheme
Results
Our final sample size consisted of 530 154 patients who underwent laparoscopic and abdominal hysterectomies from 2003 to 2010. The distribution of these hysterectomies per year is depicted in Fig. 1. Predicted probabilities of undergoing laparoscopic hysterectomy are plotted in Fig. 2, Fig. 3, Fig. 4, Fig. 5. The p values presented in the figures are analysis of variance p values comparing all slopes. Regarding these trends, the slopes of predicted probabilities were not significantly different
Discussion
This study reviews the national trends of undergoing laparoscopic hysterectomy from 2003 to 2010 and presents results according to patient characteristics. In an analysis of abdominal and laparoscopic hysterectomies from the 2002 to 2008 HCUP-NIS databases, Wiser et al [8] reported a 30% decrease in the frequency of hysterectomies. A recent publication by Wright et al [9] showed a 21% decrease from 1998 to 2010 and a 32% decrease from 2003 to 2008. Our results showed a similar decrease from
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2021, Journal of Gynecology Obstetrics and Human ReproductionCitation Excerpt :Hysterectomy is the most common major gynecologic surgery in the United States (US) with about 600,000 performed annually, mostly for benign indications, such as uterine fibroids, abnormal bleeding, and endometriosis [1]. For several advantages, including less pain and blood loss, shorter hospital stay, and faster recovery, there is a clear trend towards utilizing minimally invasive approaches [2–5]. This is in line with the American College of Obstetricians and Gynecologists recommendations for utilizing minimally invasive approaches, particularly vaginal hysterectomy [6].
The authors declare no conflict of interest.