Journal article
Elective Oophorectomy in the United States Trends and In-Hospital Complications, 1998-2006
Obstetrics and gynecology (New York. 1953), Vol.116(5), pp.1088-1095
11/2010
DOI: 10.1097/AOG.0b013e3181f5ec9d
PMID: 20966693
Abstract
OBJECTIVES: To examine trends in rates of elective bilateral salpingo-oophorectomy in the United States and to assess the association of perioperative complications with elective bilateral salpingo-oophorectomy.
METHODS: This cross-sectional study uses 1998-2006 data from the Nationwide Inpatient Sample of the Healthcare Cost and Utilization Project, a nationally representative sample of inpatient hospitalizations. Analyses were limited to women aged 15 years or older at average risk for ovarian cancer who underwent hysterectomy for a benign gynecologic condition. Tests for trends in elective bilateral salpingo-oophorectomy rates were performed using weighted least squares regression for two time periods, 1998 to 2001 and 2002 to 2006. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for risks of complications associated with elective bilateral salpingo-oophorectomy were estimated using logistic regression.
RESULTS: During the period from 1998 to 2006, 39% of the 2,250,041 women who underwent hysterectomy for benign gynecologic indications had elective bilateral salpingo-oophorectomy (rate, 8.3 per 10,000). The elective bilateral salpingo-oophorectomy rate increased from 7.8 per 10,000 in 1998 to 9.0 per 10,000 in 2001 (P trend <.05) and decreased from 9.0 per 10,000 in 2002 to 7.4 per 10,000 in 2006 (P trend <.05). The largest decline from 2002 to 2006 (20.3%) occurred among those aged 45 to 49 years. Compared with hysterectomy only, elective bilateral salpingo-oophorectomy was associated with an increased risk of complications when performed vaginally (OR 1.12; 95% CI 1.08-1.17) and a decreased risk of complications when performed abdominally (OR 0.91; 95% CI 0.89-0.94) or laparoscopically (OR 0.89; 95% CI 0.83-0.94).
CONCLUSION: Elective bilateral salpingo-oophorectomy rates declined since 2002. However, the risks compared with the benefits of the procedure have not been clearly established. Prospective studies examining elective bilateral salpingo-oophorectomy with and without estrogen therapy are needed to guide practice patterns.
Details
- Title: Subtitle
- Elective Oophorectomy in the United States Trends and In-Hospital Complications, 1998-2006
- Creators
- Albert Asante - Emory UniversityMaura K. Whiteman - Emory UniversityAniket Kulkarni - Centers for Disease Control and PreventionShanna Cox - Centers for Disease Control and PreventionPolly A. Marchbanks - Emory UniversityDenise J. Jamieson - Emory University
- Resource Type
- Journal article
- Publication Details
- Obstetrics and gynecology (New York. 1953), Vol.116(5), pp.1088-1095
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/AOG.0b013e3181f5ec9d
- PMID
- 20966693
- ISSN
- 0029-7844
- eISSN
- 1873-233X
- Number of pages
- 8
- Language
- English
- Date published
- 11/2010
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446278902771
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