Geographic variation in the rate and route of hysterectomy for benign disease in the USA: A retrospective cross-sectional study.

ABSTRACT:

Objectives

To describe population rate of hysterectomy for benign disease in the USA, including geographic variation across states and Hospital Service Areas (HSAs; areas defined by common patient flows to healthcare facilities).

Design

Cross-sectional study.

Setting

Four US states including 322 HSAs.

Population

A total of 316 052 cases of hysterectomy from 2012 to 2016.

Methods

We compiled annual hysterectomy cases, merged female populations, and adjusted for reported rates of previous hysterectomy. We assessed small-area variation and created multi-level Poisson regression models.

Main outcome measures

Prior-hysterectomy-adjusted population rates of hysterectomy for benign disease.

Results

The annual population rate of hysterectomy for be

SUBMITTER: Albright BB 

PROVIDER: S-EPMC10593101 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature