Patient clinical factors influencing use of hysterectomy in New York, 2001-2005. Am J Obstet Gynecol 2008 Oct;199(4):349.e1-5
Date
08/01/2008Pubmed ID
18667172DOI
10.1016/j.ajog.2008.05.013Scopus ID
2-s2.0-52949092373 (requires institutional sign-in at Scopus site) 6 CitationsAbstract
OBJECTIVE: To determine the effect of patient clinical factors on the utilization of hysterectomy and alternatives of hysterectomy.
STUDY DESIGN: The database of Empire Blue Cross Blue Shield was abstracted for all claims relating to a hysterectomy procedure or a hysterectomy-associated diagnosis during the 48 consecutive months of May 2001-April 2005. Two hundred ninety-five thousand one hundred forty-eight claim lines were abstracted and analyzed by CPT and diagnostic grouping codes.
RESULTS: One thousand nine hundred seventy-two hysterectomies were performed during the time analyzed, and 5,077 hysterectomy alternatives. The mean age of all patients encountered was 39.1 years. Patients undergoing a hysterectomy alternative or hysterectomy had mean ages of 46.0 and 49.7 years, respectively. Abnormal bleeding was associated with the most encounters, while leiomyomata was associated with the most hysterectomies performed.
CONCLUSION: Patients who undergo hysterectomy are, on average, older than those undergoing office management or hysterectomy alternatives. Procedures are most commonly associated with diagnosis of bleeding, leiomyomata, or cancer. Bleeding typically results in a hysterectomy alternative, while leiomyomata has the highest association with hysterectomy.
Author List
Gretz H, Bradley WH, Zakashansky K, Nezhat F, Rahaman J, Chuang L, Bohren DL, Kreiger K, Rubin E, Sokolow AAuthor
William H. Bradley MD Professor in the Obstetrics and Gynecology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultFemale
Gynecologic Surgical Procedures
Humans
Hysterectomy
Leiomyoma
Middle Aged
New York
Practice Patterns, Physicians'
Retreatment
Uterine Hemorrhage
Uterine Neoplasms
