Inpatient hospitalization for gynecologic disorders in the United States

Maura K. Whiteman, Whiteman MK, Elena Kuklina, Elena V. Kuklina, Denise J. Jamieson, Susan D. Hillis, Hillis SD, Marchbanks PA, Polly A. Marchbanks
American journal of obstetrics and gynecology · 2010 · vol. 202(6) , pp. 541.e1–541.e6 · doi:10.1016/j.ajog.2009.12.013 · PMID:20132921 · W2085848166
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This paper analyzes inpatient hospitalization data for gynecologic disorders in the United States to identify trends and characteristics of affected patients.

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Abstract

OBJECTIVE: The purpose of this study was to examine trends in hospitalizations for gynecologic disorders in the United States. STUDY DESIGN: Data on hospitalizations from 1998-2005 among women 15-54 years old were from the Nationwide Inpatient Sample, a nationally representative survey of inpatient hospitalizations. Hospitalizations with a principal diagnosis of a gynecologic disorder were used to estimate rates per 10,000 women. RESULTS: Gynecologic disorders accounted for 7% and 14% of all hospitalizations among women 15-44 and 45-54 years old, respectively. The most common diagnoses were uterine leiomyomas (rate = 27.5), menstrual disorders (rate = 12.3), endometriosis (rate = 9.5), genital prolapse (rate = 7.0), benign ovarian cysts (rate = 6.5), and pelvic inflammatory disease (rate = 6.1). The hospitalization rate for menstrual disorders increased from 9.8 in 1998 to 13.3 in 2005 (P trend < .001). In contrast, rates declined for pelvic inflammatory disease, genital prolapse, benign ovarian cysts, and endometriosis (P trend < .05) and were unchanged for uterine leiomyoma. CONCLUSION: Gynecologic disorders are an important contributor to inpatient hospitalization among women in the United States.

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MeSH descriptors

Genital Diseases, Female Hospitalization Length of Stay Adolescent Adolescent Adult Adult Age Factors Age Factors Databases, Factual Databases, Factual Female Female Genital Diseases, Female Genital Diseases, Female Health Care Surveys Health Care Surveys Hospitalization Hospitalization Hospitalization

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