National trends of adnexal surgeries at the time of hysterectomy for benign indication, United States, 1998-2011

Emad Mikhail, Jason L. Salemi, Mulubrhan F. Mogos, Stuart Hart, Hamisu M. Salihu, Anthony N. Imudia

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

OBJECTIVE: We sought to investigate the most recent national trends of bilateral salpingectomy (BS) and bilateral salpingo-oophorectomy (BSO) at the time of hysterectomy performed for benign indications.

STUDY DESIGN: We conducted a national cross-sectional analysis of all inpatient discharges for women aged ≥18 years who underwent a hysterectomy for benign indications from 1998 through 2011 using the largest publicly available all-payer inpatient database in the United States. We scanned International Classification of Diseases, Ninth Revision codes for an indication of specific bilateral adnexal surgeries, including BSO and BS. Joinpoint regression was used to characterize and estimate 14-year national trends in performing BSO and BS at the time of hysterectomy for benign indications, overall and in population subgroups.

RESULTS: During the study period, there were approximately 428,523 inpatient hysterectomy procedures performed annually for benign indications. Of these, >53% had no adnexal surgery performed during the same hospitalization, whereas 43.7% and 1.3% of those discharges had BSO and BS procedures, respectively. The rate of BSO was directly correlated with increasing age for patients

CONCLUSION: The type of adnexal surgery performed concomitantly with hysterectomy for benign indications has undergone a significant shift since 2001. Significantly more BS and less BSO procedures are being performed among gynecologic surgeons in the United States.

Original languageEnglish (US)
JournalAmerican Journal of Obstetrics and Gynecology
Volume213
Issue number5
DOIs
StatePublished - Nov 1 2015

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Salpingectomy
Ovariectomy
Hysterectomy
Inpatients
International Classification of Diseases
Hospitalization
Cross-Sectional Studies
Databases
Population

Keywords

  • adnexal surgery
  • benign indication
  • hysterectomy
  • trends
  • United States

ASJC Scopus subject areas

  • Medicine(all)

Cite this

National trends of adnexal surgeries at the time of hysterectomy for benign indication, United States, 1998-2011. / Mikhail, Emad; Salemi, Jason L.; Mogos, Mulubrhan F.; Hart, Stuart; Salihu, Hamisu M.; Imudia, Anthony N.

In: American Journal of Obstetrics and Gynecology, Vol. 213, No. 5, 01.11.2015.

Research output: Contribution to journalArticle

Mikhail, Emad ; Salemi, Jason L. ; Mogos, Mulubrhan F. ; Hart, Stuart ; Salihu, Hamisu M. ; Imudia, Anthony N. / National trends of adnexal surgeries at the time of hysterectomy for benign indication, United States, 1998-2011. In: American Journal of Obstetrics and Gynecology. 2015 ; Vol. 213, No. 5.
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abstract = "OBJECTIVE: We sought to investigate the most recent national trends of bilateral salpingectomy (BS) and bilateral salpingo-oophorectomy (BSO) at the time of hysterectomy performed for benign indications.STUDY DESIGN: We conducted a national cross-sectional analysis of all inpatient discharges for women aged ≥18 years who underwent a hysterectomy for benign indications from 1998 through 2011 using the largest publicly available all-payer inpatient database in the United States. We scanned International Classification of Diseases, Ninth Revision codes for an indication of specific bilateral adnexal surgeries, including BSO and BS. Joinpoint regression was used to characterize and estimate 14-year national trends in performing BSO and BS at the time of hysterectomy for benign indications, overall and in population subgroups.RESULTS: During the study period, there were approximately 428,523 inpatient hysterectomy procedures performed annually for benign indications. Of these, >53{\%} had no adnexal surgery performed during the same hospitalization, whereas 43.7{\%} and 1.3{\%} of those discharges had BSO and BS procedures, respectively. The rate of BSO was directly correlated with increasing age for patients CONCLUSION: The type of adnexal surgery performed concomitantly with hysterectomy for benign indications has undergone a significant shift since 2001. Significantly more BS and less BSO procedures are being performed among gynecologic surgeons in the United States.",
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