Hysterectomy trends in australia between--2000/01 and 2004/05

Hill, Erin, Graham, Melissa and Shelley, Julia 2010, Hysterectomy trends in australia between--2000/01 and 2004/05, Australian and New Zealand journal of obstetrics and gynaecology, vol. 50, no. 2, April 2010, pp. 153-158.

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Title Hysterectomy trends in australia between--2000/01 and 2004/05
Author(s) Hill, Erin
Graham, Melissa
Shelley, Julia
Journal name Australian and New Zealand journal of obstetrics and gynaecology
Volume number 50
Issue number 2
Season April 2010
Start page 153
End page 158
Total pages 6
Publisher Wiley-Blackwell Publishing Asia
Place of publication Richmond, Vic.
Publication date 2010-04-01
ISSN 0004-8666
1479-828X
Keyword(s) Australia
Cross-sectional studies
Epidemiology
Hysterectomy
Women's health
Summary Background: Hysterectomy is a major and common surgical procedure that has the potential to provide relief from ongoing gynaecological problems, but is often associated with negative impacts on health and wellbeing. Research indicates that hysterectomy rates and trends vary widely between and within countries; yet little is known about patterns in Australia.

Aims: This research aimed to describe hysterectomy rates and trends in Australia between 2000/01 and 2004/05.

Methods: This repeat cross-sectional study used routinely collected data from all hospitals in Australia. Data on all women admitted to hospital for a hysterectomy were obtained from the National Hospital Morbidity Database (2000/01–2004/05). Data were analysed by calculating population rates for each type of hysterectomy. Incidence rate ratios were calculated to assess changes over time.

Results: Hysterectomy rates in Australia declined from 34.8 per 10 000 women in 2000/01 to 31.2 per 10 000 women in 2004/05. A decline in the incidence rate for abdominal hysterectomy (from 18.7 to 15.1 per 10 000 women) and the incidence rate for concurrent oophorectomy (from 12.4 to 11.3 per 10 000 women) were also observed during this time period. At each point in time, the highest incidence rates for hysterectomy were for women aged 45–54 years.

Conclusions: Hysterectomy rates in Australia are declining over time and currently appear to be lower than most other countries. More hysterectomies are performed vaginally than in Canada, the USA, the UK and Finland and the rate of concurrent oophorectomy is less than that reported in the USA and the UK.
Language eng
Field of Research 111402 Obstetrics and Gynaecology
Socio Economic Objective 920114 Reproductive System and Disorders
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2010, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30032006

Document type: Journal Article
Collection: School of Health and Social Development
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Created: Thu, 16 Dec 2010, 12:57:54 EST by Jane Moschetti

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