Cited by 501Pelvic floor disorders treatmentsUterine Myomas and TreatmentsGynecological conditions and treatments

Procedures for pelvic organ prolapse in the United States, 1979-1997

Boyles, Sarah Hamilton, Weber, Anne M., Meyn, Leslie·2003·American Journal of Obstetrics and Gynecology

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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Crossref · 10.1067/mob.2003.101

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Authors
Boyles, S. H., Weber, A. M., & Meyn, L.
Affiliations
  • The Ohio State University (US)
  • University of Pittsburgh (US)
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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