Trends in inpatient prolapse procedures in the United States, 1979-2006

Abstract

Objective: We sought to describe national trends for inpatient procedures for pelvic organ prolapse from 1979-2006.

Study design: The National Hospital Discharge Survey was analyzed for patient and hospital demographics, as were International Classification of Diseases, Ninth Revision, Clinical Modification diagnostic and procedures codes from 1979-2006. Age-adjusted rates (AARs) per 1000 women were calculated using the 1990 US Census data.

Results: There was a significantly decreasing trend in the AARs for inpatient prolapse procedures, from 2.93-1.52 per 1000 women from 1979-2006. AARs for hysterectomy decreased from 8.39-4.55 per 1000 women from 1979-2006. Over the study period, AARs remained at about the 1979 level among the women>or=52 years old (2.73-2.86; P=.075). In women<52 years old, AARs declined to less than one-third of the 1979 rate (3.03-0.84; P<.001).

Conclusion: AARs for inpatient procedures for prolapse in the United States remained stable for women aged>or=52 years from 1979-2006; rates declined by two-thirds for women aged<52 years.

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Figures

Figure 1

Age-1 Adjusted Rates, Prolapse procedures 1979–2006

Figure 2

Age-adjusted rates of incontinence procedures per 1000 women from 1979 to 2006 in the United States, stratified by patient age, includes trends in hysterectomy for benign causes.