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

研究成果: 雜誌貢獻文章

6 引文 (Scopus)

摘要

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.
原文英語
頁(從 - 到)498-504
頁數7
期刊Taiwanese Journal of Obstetrics and Gynecology
52
發行號4
DOIs
出版狀態已發佈 - 十二月 2013

指紋

Accreditation
Taiwan
Laparoscopy
Population
Neoplasms
Laparotomy
National Health Programs

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

引用此文

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.

於: Taiwanese Journal of Obstetrics and Gynecology, 卷 52, 編號 4, 12.2013, p. 498-504.

研究成果: 雜誌貢獻文章

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. 於: Taiwanese Journal of Obstetrics and Gynecology. 2013 ; 卷 52, 編號 4. 頁 498-504.
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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",
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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

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