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Trends in Inpatient and Outpatient Hysterectomy and Oophorectomy Rates among Commercially Insured Women in the United States, 2000-2014

Citation

Doll, Kemi M.; Dusetzina, Stacie B.; & Robinson, Whitney R. (2016). Trends in Inpatient and Outpatient Hysterectomy and Oophorectomy Rates among Commercially Insured Women in the United States, 2000-2014. JAMA Surgery, 151(9), 876-877. PMCID: PMC5480952

Abstract

A hysterectomy is the second most common surgical procedure among women in the United States, with approximately 600,000 performed annually for benign gynecologic conditions. Trends in hysterectomy rates are an important marker for innovation and quality in gynecology as treatment alternatives increase and as evidence of the underuse of these treatment alternatives emerges. The accurate identification of a hysterectomy requires capturing data from both inpatient and outpatient services, given the shifting setting of care over recent years. Yet, the highest-quality national trend estimates have been significantly limited by the exclusion of data on outpatient procedures due to the use of databases restricted to inpatient settings. Prior studies that included inpatient and outpatient settings have focused on small geographic areas only, limiting their generalizability. The lack of national outpatient data is a critical gap because the rapid dissemination of robotic surgery has likely shifted the proportion of hysterectomies that are performed in outpatient settings. The same shifting pattern may also be true for an oophorectomy, another common procedure among US women. As with hysterectomy rates, the ability to analyze trends in oophorectomy rates is limited by the use of data restricted to inpatient settings.

URL

http://dx.doi.org/10.1001/jamasurg.2016.0804

Reference Type

Journal Article

Year Published

2016

Journal Title

JAMA Surgery

Author(s)

Doll, Kemi M.
Dusetzina, Stacie B.
Robinson, Whitney R.

PMCID

PMC5480952