Surgical trends for benign ovarian tumors among hospitals of different accreditation levels

An 11-year nationwide population-based descriptive study in Taiwan

Ming Ping Wu, Chia Jen Wu, Cheng Yu Long, Chung Han Ho, Kuan Hui Huang, Chin Chen Chu, Cheng Yang Chou

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Objective: Using a population-based nationwide database, we describe the changing surgical trends for laparoscopy or laparotomy for benign ovarian tumors among hospitals of different accreditation levels in Taiwan (medical centers, regional hospitals, and local hospitals). Materials and methods: Women who had National Health Insurance and received either laparoscopy or laparotomy as the primary surgery for benign ovarian tumors in Taiwan during 1999-2009 were identified for analysis. Results: In total, 135,793 women who received either laparotomic (39,779) or laparoscopic surgery (96,014) for benign ovarian pathology were identified. The increase in annual laparoscopy number from 7176 in 1999 to 11,046 in 2009 was significant according to a log-linear regression test (p <0.0001). The decrease in laparotomies from 3845 to 3567 was not significant (p = 0.190). Service volume shifts from local hospitals to regional hospitals were noted, with a concomitant decrease in the numbers of local hospitals. Laparoscopy was used more often than laparotomy among all three hospital accreditation levels. An increasing trend for choosing laparoscopy was observed for medical centers and local hospitals (p <0.0001), but not regional hospitals (p = 0.0745). Laparoscopy was used more often in younger patients, by younger surgeons, and by male surgeons among hospitals at all three accreditation levels. Conclusion: Laparoscopy was preferentially used over laparotomy at all three hospital levels. An increasing trend for choosing laparoscopy was observed for medical centers and local hospitals, but not regional hospitals. Service volume shifts from local hospitals to regional hospitals were noted. Use of laparoscopy differed according to patient age, surgeon age, and surgeon gender among different hospital levels.

Original languageEnglish
Pages (from-to)498-504
Number of pages7
JournalTaiwanese Journal of Obstetrics and Gynecology
Volume52
Issue number4
DOIs
Publication statusPublished - Dec 2013

Fingerprint

Accreditation
Taiwan
Laparoscopy
Population
Neoplasms
Laparotomy
National Health Programs

Keywords

  • Benign ovarian tumor
  • Laparoscopy
  • Laparotomy
  • National Health Insurance Research Database (NHIRD)
  • Oophorectomy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Surgical trends for benign ovarian tumors among hospitals of different accreditation levels : An 11-year nationwide population-based descriptive study in Taiwan. / Wu, Ming Ping; Wu, Chia Jen; Long, Cheng Yu; Ho, Chung Han; Huang, Kuan Hui; Chu, Chin Chen; Chou, Cheng Yang.

In: Taiwanese Journal of Obstetrics and Gynecology, Vol. 52, No. 4, 12.2013, p. 498-504.

Research output: Contribution to journalArticle

Wu, Ming Ping ; Wu, Chia Jen ; Long, Cheng Yu ; Ho, Chung Han ; Huang, Kuan Hui ; Chu, Chin Chen ; Chou, Cheng Yang. / Surgical trends for benign ovarian tumors among hospitals of different accreditation levels : An 11-year nationwide population-based descriptive study in Taiwan. In: Taiwanese Journal of Obstetrics and Gynecology. 2013 ; Vol. 52, No. 4. pp. 498-504.
@article{a4e8738fd3ba4e6a8316a75cfef3d7f1,
title = "Surgical trends for benign ovarian tumors among hospitals of different accreditation levels: An 11-year nationwide population-based descriptive study in Taiwan",
abstract = "Objective: Using a population-based nationwide database, we describe the changing surgical trends for laparoscopy or laparotomy for benign ovarian tumors among hospitals of different accreditation levels in Taiwan (medical centers, regional hospitals, and local hospitals). Materials and methods: Women who had National Health Insurance and received either laparoscopy or laparotomy as the primary surgery for benign ovarian tumors in Taiwan during 1999-2009 were identified for analysis. Results: In total, 135,793 women who received either laparotomic (39,779) or laparoscopic surgery (96,014) for benign ovarian pathology were identified. The increase in annual laparoscopy number from 7176 in 1999 to 11,046 in 2009 was significant according to a log-linear regression test (p <0.0001). The decrease in laparotomies from 3845 to 3567 was not significant (p = 0.190). Service volume shifts from local hospitals to regional hospitals were noted, with a concomitant decrease in the numbers of local hospitals. Laparoscopy was used more often than laparotomy among all three hospital accreditation levels. An increasing trend for choosing laparoscopy was observed for medical centers and local hospitals (p <0.0001), but not regional hospitals (p = 0.0745). Laparoscopy was used more often in younger patients, by younger surgeons, and by male surgeons among hospitals at all three accreditation levels. Conclusion: Laparoscopy was preferentially used over laparotomy at all three hospital levels. An increasing trend for choosing laparoscopy was observed for medical centers and local hospitals, but not regional hospitals. Service volume shifts from local hospitals to regional hospitals were noted. Use of laparoscopy differed according to patient age, surgeon age, and surgeon gender among different hospital levels.",
keywords = "Benign ovarian tumor, Laparoscopy, Laparotomy, National Health Insurance Research Database (NHIRD), Oophorectomy",
author = "Wu, {Ming Ping} and Wu, {Chia Jen} and Long, {Cheng Yu} and Ho, {Chung Han} and Huang, {Kuan Hui} and Chu, {Chin Chen} and Chou, {Cheng Yang}",
year = "2013",
month = "12",
doi = "10.1016/j.tjog.2013.10.008",
language = "English",
volume = "52",
pages = "498--504",
journal = "Taiwanese Journal of Obstetrics and Gynecology",
issn = "1028-4559",
publisher = "臺灣婦產科醫學會",
number = "4",

}

TY - JOUR

T1 - Surgical trends for benign ovarian tumors among hospitals of different accreditation levels

T2 - An 11-year nationwide population-based descriptive study in Taiwan

AU - Wu, Ming Ping

AU - Wu, Chia Jen

AU - Long, Cheng Yu

AU - Ho, Chung Han

AU - Huang, Kuan Hui

AU - Chu, Chin Chen

AU - Chou, Cheng Yang

PY - 2013/12

Y1 - 2013/12

N2 - Objective: Using a population-based nationwide database, we describe the changing surgical trends for laparoscopy or laparotomy for benign ovarian tumors among hospitals of different accreditation levels in Taiwan (medical centers, regional hospitals, and local hospitals). Materials and methods: Women who had National Health Insurance and received either laparoscopy or laparotomy as the primary surgery for benign ovarian tumors in Taiwan during 1999-2009 were identified for analysis. Results: In total, 135,793 women who received either laparotomic (39,779) or laparoscopic surgery (96,014) for benign ovarian pathology were identified. The increase in annual laparoscopy number from 7176 in 1999 to 11,046 in 2009 was significant according to a log-linear regression test (p <0.0001). The decrease in laparotomies from 3845 to 3567 was not significant (p = 0.190). Service volume shifts from local hospitals to regional hospitals were noted, with a concomitant decrease in the numbers of local hospitals. Laparoscopy was used more often than laparotomy among all three hospital accreditation levels. An increasing trend for choosing laparoscopy was observed for medical centers and local hospitals (p <0.0001), but not regional hospitals (p = 0.0745). Laparoscopy was used more often in younger patients, by younger surgeons, and by male surgeons among hospitals at all three accreditation levels. Conclusion: Laparoscopy was preferentially used over laparotomy at all three hospital levels. An increasing trend for choosing laparoscopy was observed for medical centers and local hospitals, but not regional hospitals. Service volume shifts from local hospitals to regional hospitals were noted. Use of laparoscopy differed according to patient age, surgeon age, and surgeon gender among different hospital levels.

AB - Objective: Using a population-based nationwide database, we describe the changing surgical trends for laparoscopy or laparotomy for benign ovarian tumors among hospitals of different accreditation levels in Taiwan (medical centers, regional hospitals, and local hospitals). Materials and methods: Women who had National Health Insurance and received either laparoscopy or laparotomy as the primary surgery for benign ovarian tumors in Taiwan during 1999-2009 were identified for analysis. Results: In total, 135,793 women who received either laparotomic (39,779) or laparoscopic surgery (96,014) for benign ovarian pathology were identified. The increase in annual laparoscopy number from 7176 in 1999 to 11,046 in 2009 was significant according to a log-linear regression test (p <0.0001). The decrease in laparotomies from 3845 to 3567 was not significant (p = 0.190). Service volume shifts from local hospitals to regional hospitals were noted, with a concomitant decrease in the numbers of local hospitals. Laparoscopy was used more often than laparotomy among all three hospital accreditation levels. An increasing trend for choosing laparoscopy was observed for medical centers and local hospitals (p <0.0001), but not regional hospitals (p = 0.0745). Laparoscopy was used more often in younger patients, by younger surgeons, and by male surgeons among hospitals at all three accreditation levels. Conclusion: Laparoscopy was preferentially used over laparotomy at all three hospital levels. An increasing trend for choosing laparoscopy was observed for medical centers and local hospitals, but not regional hospitals. Service volume shifts from local hospitals to regional hospitals were noted. Use of laparoscopy differed according to patient age, surgeon age, and surgeon gender among different hospital levels.

KW - Benign ovarian tumor

KW - Laparoscopy

KW - Laparotomy

KW - National Health Insurance Research Database (NHIRD)

KW - Oophorectomy

UR - http://www.scopus.com/inward/record.url?scp=84892374597&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84892374597&partnerID=8YFLogxK

U2 - 10.1016/j.tjog.2013.10.008

DO - 10.1016/j.tjog.2013.10.008

M3 - Article

VL - 52

SP - 498

EP - 504

JO - Taiwanese Journal of Obstetrics and Gynecology

JF - Taiwanese Journal of Obstetrics and Gynecology

SN - 1028-4559

IS - 4

ER -