Document Detail


Patient clinical factors influencing use of hysterectomy in New York, 2001-2005.
MedLine Citation:
PMID:  18667172     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Herbert Gretz; William H Bradley; Konstantin Zakashansky; Farr Nezhat; Jamal Rahaman; Linus Chuang; Deborah Loeb Bohren; Kenneth Kreiger; Elizabeth Rubin; Alan Sokolow
Publication Detail:
Type:  Journal Article     Date:  2008-07-29
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  199     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-20     Completed Date:  2008-11-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  349.e1-5     Citation Subset:  AIM; IM    
Affiliation:
Division of Gynecologic Oncology, Department of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai Medical Center, New York, NY 10029, USA. herb.gretz@mssm.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Gynecologic Surgical Procedures / statistics & numerical data
Humans
Hysterectomy / statistics & numerical data*
Leiomyoma / surgery
Middle Aged
New York
Physician's Practice Patterns / statistics & numerical data*
Retreatment / statistics & numerical data
Uterine Hemorrhage / surgery
Uterine Neoplasms / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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