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Selected Publication:

Edler, KM.
HYSTERECTOMY RATES FOR BENIGN INDICATIONS IN AUSTRIA 1997 - 2008
[ Diplomarbeit ] Medical University of Graz; 2011. pp. 62 [OPEN ACCESS]
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Authors Med Uni Graz:
Advisor:
Tamussino Karl
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Abstract:
Objective Hysterectomy is the most common gynecologic operation following cesarean section and the large majority of hysterectomies is performed for benign indications (1,2). Several surveys in Europe and the USA have shown stable or decreasing hysterectomy rates since the 1980s (1,7-14). We ascertained annual hysterectomy rates in Austria from 1997 to 2008. Methods Analysis of number of inpatient stays in Austrian public hospitals with the intervention ¿HYSTERECTOMY¿. Data were derived from the Austrian LKF system (leistungsorientierte Krankenanstaltenfinanzierung) from the Österreichisches Bundesinstitut für Gesundheitswesen (ÖBIG). Results The number of hysterectomies performed for benign indications decreased from 12,283 in 1997 to 8,470 in 2008. This amounts to a decrease of 31%. 92% of all hysterectomies were for benign indications in 1997, compared with 89% in 2008. The age-adjusted overall hysterectomy rate decreased from 308/100,000 women in 1997 to 191/100,000 women in 2008. Between 1993 and 1997 the hysterectomy rate was relatively stable, at about 300 hysterectomies/100,000 women. But data prior to 1997 have to be interpreted with caution because the Austrian LKF system was implemented in 1997. Conclusion The hysterectomy rate for benign indications in Austria declined markedly (by 31%) between 1997 and 2008.

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