Racial differences in percentage of Hysterectomy for Common Uterine Conditions among the Hospitalized Women in the US

Authors

  • Azad A Kabir R-2 Resident, Internal Medicine, University of Missouri- Columbia
  • William C Steinmann Division Director, General Internal Medicine, University of Missouri-Columbia
  • Eduardo A Herrera Department of Obstetrics & Gynecology, Tulane University School of Medicine
  • Janet C Rice Department of Biostatistics, Tulane University School of Public Health and Tropical Medicine
  • M Mahmud Khan Department of Health System Management, Tulane University School of Public Health and Tropical Medicine

DOI:

https://doi.org/10.3329/jss.v24i1.52209

Keywords:

Hysterectomy, uterine fibroid, endometriosis, abnormal genital bleeding, genital prolapse, genital malignancy

Abstract

Background: Hysterectomy is the second most frequently performed operation in the United States, after cesarean section. Approximately 588,000 hysterectomies are performed annually.

Objectives: To find out the racial differences in percentage of Hysterectomy for Common Uterine Conditions among the Hospitalized Women in the US.

Methods: The 2001 National Inpatient Sample data was used to estimate the racial differences in the rate of the five most common uterine conditions among the hospitalized women; the same data was also used to estimate the racial differences in the percentage of those who received a hysterectomy. All hospitalized women who had a diagnosis of uterine fibroids, endometriosis, abnormal genital bleeding, genital prolapse and genital malignancy were included. The difference between rate and the percentage was calculated using Z test.

Results: Of the five, the most common diagnosis, for all hospitalized women regardless of race, was uterine fibroids. But the rate of uterine fibroid diagnosis for hospitalized blacks was nearly two and onehalf times the rate for hospitalized whites (p <0.05). For all single uterine diagnoses except genital prolapse, higher percentage of hospitalized whites had hysterectomy than hospitalized blacks (p <0.05).

Conclusion: Racial differences exist in the hospitalization and management of different uterine conditions. Whites are more likely to receive hysterectomy for most of the common uterine diagnoses compared to that of blacks. Because blacks have higher rates of uterine fibroid diagnosis and of abnormal genital bleeding, however, the overall hysterectomy rate for hospitalized blacks is similar to that for hospitalized whites.

Journal of Surgical Sciences (2020) Vol. 24 (1) : 5-10

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Published

2020-11-01

How to Cite

Kabir, A. A., Steinmann, W. C., Herrera, E. A., Rice, J. C., & Khan, M. M. (2020). Racial differences in percentage of Hysterectomy for Common Uterine Conditions among the Hospitalized Women in the US. Journal of Surgical Sciences, 24(1), 5–10. https://doi.org/10.3329/jss.v24i1.52209

Issue

Vol. 24 No. 1 (2020)

Section

Original Articles

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