TY - JOUR
T1 - Fifteen-year trend in the use of reproductive surgery in women in the United States
AU - Ketefian, Aline
AU - Hu, Jianfang
AU - Bartolucci, Alfred A.
AU - Azziz, Ricardo
N1 - Funding Information:
Supported by a grant from the Society of Reproductive Surgeons, Inc.
PY - 2009/8
Y1 - 2009/8
N2 - Objective: To determine trends in female reproductive surgery volume. Design: Database analysis using the Healthcare Cost and Utilization Project databases from 1988, 1992, 1998, and 2002. Setting: Academic medical center. Patient(s): All patients who underwent reproductive surgeries using United States community hospital discharge data and inpatient and outpatient data for New Jersey (NJ) and Maryland (MD). Intervention(s): SAS statistical software was used to estimate the number of reproductive surgeries per year; weighted least squares analysis was performed to estimate trends in surgeries. Main Outcome Measure(s): Number of reproductive surgeries. Result(s): Nationally, approximately 250,000 inpatient female reproductive surgeries are performed yearly. There was a modest decreasing trend (-17%) in total reproductive surgeries, and the number of procedures with an associated diagnosis of infertility declined 79%; neither change reached statistical significance. Alternatively, a significant decline occurred in surgeries of the fallopian tubes and ovaries. Likewise, inpatient surgeries were unchanged in NJ and actually increased in MD (+13%), although outpatient surgeries declined in both states (-12% and -37%, respectively). Conclusion(s): The increased use of assisted reproductive technology (ART) has coincided with a decrease in surgeries on the fallopian tubes and ovaries. With the exception of surgery for tubal infertility, reproductive surgery has largely been complementary to, rather than replaced by, ART.
AB - Objective: To determine trends in female reproductive surgery volume. Design: Database analysis using the Healthcare Cost and Utilization Project databases from 1988, 1992, 1998, and 2002. Setting: Academic medical center. Patient(s): All patients who underwent reproductive surgeries using United States community hospital discharge data and inpatient and outpatient data for New Jersey (NJ) and Maryland (MD). Intervention(s): SAS statistical software was used to estimate the number of reproductive surgeries per year; weighted least squares analysis was performed to estimate trends in surgeries. Main Outcome Measure(s): Number of reproductive surgeries. Result(s): Nationally, approximately 250,000 inpatient female reproductive surgeries are performed yearly. There was a modest decreasing trend (-17%) in total reproductive surgeries, and the number of procedures with an associated diagnosis of infertility declined 79%; neither change reached statistical significance. Alternatively, a significant decline occurred in surgeries of the fallopian tubes and ovaries. Likewise, inpatient surgeries were unchanged in NJ and actually increased in MD (+13%), although outpatient surgeries declined in both states (-12% and -37%, respectively). Conclusion(s): The increased use of assisted reproductive technology (ART) has coincided with a decrease in surgeries on the fallopian tubes and ovaries. With the exception of surgery for tubal infertility, reproductive surgery has largely been complementary to, rather than replaced by, ART.
KW - Reproductive surgery
KW - assisted reproductive technology
KW - infertility
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U2 - 10.1016/j.fertnstert.2008.06.041
DO - 10.1016/j.fertnstert.2008.06.041
M3 - Article
C2 - 18823883
AN - SCOPUS:67651122977
SN - 0015-0282
VL - 92
SP - 727
EP - 735
JO - Fertility and sterility
JF - Fertility and sterility
IS - 2
ER -