Trends in Various Types of Surgery for Hysterectomy and Distribution by Patient Age, Surgeon Age, and Hospital Accreditation: 10-Year Population-Based Study in Taiwan

Ming-Ping Wu, Kuan Hui Huang, Cheng Yu Long, Eing Mei Tsai, Chao Hsiun Tang

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Study Objective: To estimate the trends in various types of hysterectomy (abdominal, vaginal, laparoscopic, and subtotal) and their distribution according to patient age, surgeon age, and hospital accreditation in Taiwan. Design: Retrospective cohort study (Canadian Task Force classification II-2). Setting: Population-based National Health Insurance (NHI) database. Patients: Women with NHI in Taiwan undergoing various types of hysterectomy to treat noncancerous lesions. Interventions: Data for this study were obtained from the Inpatient Expenditures by Admissions files of the NHI research database, released by the NHI program in Taiwan for 1996-2005. Measurements and Main Results: A total of 234. 939 women who underwent various types of hysterectomy were identified for analysis. The number of hysterectomies performed annually remained stationary during the 10-year study. Total abdominal hysterectomies decreased significantly (77.33% in 1996 vs 45.68% in 2005), laparoscopic hysterectomies increased significantly (5.20% vs 40.40%), vaginal hysterectomies decreased (14.70% vs 8.86%), and subtotal abdominal hysterectomies increased (2.76% vs 5.06%). Laparoscopic hysterectomy was more commonly performed in middle-aged women; vaginal hysterectomy was more common in older women; and subtotal abdominal hysterectomy was more common in younger women. Laparoscopic hysterectomy was performed more commonly in regional hospitals (33.11%), followed by medical centers (30.17%) and local hospitals (17.78%). Laparoscopic hysterectomy was performed more commonly in not-for-profit hospitals (30.25%), followed by private hospitals (29.32%) and government-owned hospitals (25.91%). Conclusion: There has been considerable change in the types of surgery used for hysterectomy in Taiwan over the past 10 years. As a minimally invasive approach, laparoscopic hysterectomy represents a profound change for both patients and surgeons.

Original languageEnglish
Pages (from-to)612-619
Number of pages8
JournalJournal of Minimally Invasive Gynecology
Volume17
Issue number5
DOIs
Publication statusPublished - Sep 2010

Fingerprint

Accreditation
Age Distribution
Hysterectomy
Taiwan
Population
National Health Programs
Vaginal Hysterectomy
Surgeons
Databases
Private Hospitals
Advisory Committees
Health Expenditures
Inpatients
Cohort Studies
Retrospective Studies

Keywords

  • Abdominal hysterectomy
  • Laparoscopic hysterectomy
  • National Health Insurance
  • National Health Insurance research database
  • Subtotal abdominal hysterectomy
  • Total abdominal hysterectomy
  • Vaginal hysterectomy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Medicine(all)

Cite this

Trends in Various Types of Surgery for Hysterectomy and Distribution by Patient Age, Surgeon Age, and Hospital Accreditation : 10-Year Population-Based Study in Taiwan. / Wu, Ming-Ping; Huang, Kuan Hui; Long, Cheng Yu; Tsai, Eing Mei; Tang, Chao Hsiun.

In: Journal of Minimally Invasive Gynecology, Vol. 17, No. 5, 09.2010, p. 612-619.

Research output: Contribution to journalArticle

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abstract = "Study Objective: To estimate the trends in various types of hysterectomy (abdominal, vaginal, laparoscopic, and subtotal) and their distribution according to patient age, surgeon age, and hospital accreditation in Taiwan. Design: Retrospective cohort study (Canadian Task Force classification II-2). Setting: Population-based National Health Insurance (NHI) database. Patients: Women with NHI in Taiwan undergoing various types of hysterectomy to treat noncancerous lesions. Interventions: Data for this study were obtained from the Inpatient Expenditures by Admissions files of the NHI research database, released by the NHI program in Taiwan for 1996-2005. Measurements and Main Results: A total of 234. 939 women who underwent various types of hysterectomy were identified for analysis. The number of hysterectomies performed annually remained stationary during the 10-year study. Total abdominal hysterectomies decreased significantly (77.33{\%} in 1996 vs 45.68{\%} in 2005), laparoscopic hysterectomies increased significantly (5.20{\%} vs 40.40{\%}), vaginal hysterectomies decreased (14.70{\%} vs 8.86{\%}), and subtotal abdominal hysterectomies increased (2.76{\%} vs 5.06{\%}). Laparoscopic hysterectomy was more commonly performed in middle-aged women; vaginal hysterectomy was more common in older women; and subtotal abdominal hysterectomy was more common in younger women. Laparoscopic hysterectomy was performed more commonly in regional hospitals (33.11{\%}), followed by medical centers (30.17{\%}) and local hospitals (17.78{\%}). Laparoscopic hysterectomy was performed more commonly in not-for-profit hospitals (30.25{\%}), followed by private hospitals (29.32{\%}) and government-owned hospitals (25.91{\%}). Conclusion: There has been considerable change in the types of surgery used for hysterectomy in Taiwan over the past 10 years. As a minimally invasive approach, laparoscopic hysterectomy represents a profound change for both patients and surgeons.",
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