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Are Hysterectomies on the Decline in the US?

Obstet Gynecol; ePub 2017 Jun 6; Cohen, et al

The perceived decline in hysterectomy volume in the US may represent lack of reporting of surgeries performed in ambulatory settings, a recent study found. The cross-sectional analysis of State Ambulatory Surgery and Services Databases from 16 states offered complete information for 2011 with adult women undergoing hysterectomy included. Procedure volume, route, and associated patient and surgical characteristics were calculated. Researchers found:

  • There were 64,612 ambulatory hysterectomies reported during the study period; 81.5% were performed laparoscopically and 16% vaginally.
  • The strongest driver of the laparoscopic route vs the vaginal route of hysterectomy was presence of cancer.
  • Other patient characteristics such as age, race, income, location, and primary payer were associated with mode of hysterectomy.
  • Laparoscopic surgeries were associated with shorter length of stay and higher mean charges vs vaginal surgeries.


Cohen SL, Ajao MO, Clark NV, Vitonis AF, Einarsson JI. Outpatient hysterectomy volume in the United States. [Published online ahead of print June 6, 2017]. Obstet Gynecol. doi:10.1097/AOG.0000000000002103.