Prophylactic bilateral oophorectomy or removal of remaining ovary at the time of hysterectomy in the United States, 1979-2004

Jerry L. Lowder, Sallie S. Oliphant, Chiara Ghetti, Lara J. Burrows, Leslie A. Meyn, Judith Balk
American journal of obstetrics and gynecology · 2010 · vol. 202(6) , pp. 538.e1–538.e9 · doi:10.1016/j.ajog.2009.11.030 · PMID:20060093 · W2041145294
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This study examined the trends in prophylactic bilateral oophorectomy or removal of the remaining ovary during hysterectomy in the United States from 1979 to 2004.

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Abstract

OBJECTIVE: The purpose of this study was to describe national rates and trends of prophylactic bilateral oophorectomy or remaining oophorectomy (BO/RO) at hysterectomy in women without specific gynecologic disease. STUDY DESIGN: Data from the National Hospital Discharge Survey were analyzed for 1979-2004. Hysterectomies were divided into 2 groups: (1) hysterectomy with BO/RO and (2) hysterectomy alone (> or =1 ovary remaining). Age-adjusted rates (AARs) were calculated with 2000 US census data. RESULTS: Approximately 3,686,000 hysterectomies with BO/RO were performed from 1979-2004. AARs of hysterectomy with BO/RO decreased during this period; the AARs in women > or =50 years old increased. The number of hysterectomies alone was 5,461,100, and AARs of hysterectomy alone decreased significantly from 2.9 per 1000 women in from 1979-1981 to 1.1 per 1000 women in 2001 (P < .001). The proportion of women who underwent hysterectomy with BO/RO increased from 29% in 1979 to 45% in 2004. CONCLUSION: Although AARs of prophylactic BO/RO decreased from 1979-2004, the actual proportion of BO/RO at hysterectomy increased.

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MeSH descriptors

Hysterectomy Ovariectomy Uterine Diseases Adult Aged Aged, 80 and over Age Factors Female Health Care Surveys Humans Hysterectomy Middle Aged Odds Ratio Ovariectomy Ovary Ovary Treatment Outcome United States Uterine Diseases Uterus

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