Procedures for pelvic organ prolapse in the United States, 1979-1997
Abstract
Objective The objective of our study was to describe national rates of surgery for pelvic organ prolapse.Study design We used the National Hospital Discharge Survey, a federal database that samples inpatient hospitals in the United States. Data from 1979 to 1997 were analyzed for diagnoses and procedures coded with the ICD-9-CM classification system. Age-adjusted rates were calculated by using the 1990 census population and compared for change over time by using the Score test for linear trend.Results Approximately 200,000 women undergo inpatient procedures for prolapse in the United States each year, ranging from 165,000 in 1988 to 226,000 in 1979. There was a significant decrease in the overall age-adjusted rate of procedures performed over the study period, from 2.2 to 1.5 procedures per 1000 women (P =.01). The rate of prolapse procedures for women younger than 50 years decreased by more than half (1.9 to 0.8 per 1000 women, P <.001), whereas the rate remained stable in women who were aged 50 years and older (2.7 to 3.3 per 1000 women, P =.5).Conclusion Prolapse procedures are performed very frequently in the United States, although the rate has decreased slightly over time.
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Close to 200,000 women undergo surgery for POP in the USA annually.
“The lifetime risk of undergoing surgery to correct POP is 11.9% [7, 8] and close to 200,000 women undergo surgery for POP in the USA annually [9, 10].”
From Risk factors for recurrence of pelvic organ prolapse after vaginal surgery among Ugandan women: a prospective cohort study (2022) · cites this paper as [9]
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- Authors
- Boyles, S. H., Weber, A. M., & Meyn, L.
- Affiliations
- The Ohio State University (US)
- University of Pittsburgh (US)
- ORCID
- Meyn, Leslie
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2003-01
- Volume
- 188
- Issue
- 1
- Pages
- 108-115
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W2021783257
- Cited by
- 501
- References
- 19
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 11 · 2023: 10 · 2022: 15 · 2021: 19 · 2020: 27 · 2019: 17 · 2018: 33 · 2017: 26 · 2016: 23 · 2015: 22 · 2014: 29 · 2013: 29 · 2012: 29
- FWCI
- 9.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Keywords
- pelvic organ prolapse, pelvic organ prolapse surgery, age-standardized rates, temporal trends, women's health, inpatient procedures, National Hospital Discharge Survey
- MeSH terms
- Adult, Aged, Urinary Bladder Diseases, Female, Health Facility Size, Medicare, Humans, Insurance, Health, Middle Aged, Laparoscopy, Gynecologic Surgical Procedures, United States, Urinary Incontinence, Uterine Prolapse, Rectocele
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