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Hysterectomy on benign indication in Denmark 1988-1998. A register based trend analysis.

H Gimbel¹, A Settnes, A Tabor

¹Department of Obstetrics and Gynecology, Hvidovre Hospital, Denmark.

Acta Obstetricia Et Gynecologica Scandinavica

|February 24, 2001

Summary

Hysterectomy rates for benign conditions remained stable in Denmark from 1988-1998. Surgical methods shifted, with increased use of subtotal and vaginal hysterectomies, and a change in patient age distribution.

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Area of Science:

Gynecology
Surgical trends
Public health

Background:

Examining hysterectomy trends in Denmark for benign conditions between 1988 and 1998.
Analyzing surgical procedures for non-cancerous uterine diseases.

Purpose of the Study:

To describe trends in Danish hysterectomy rates for benign indications.
To analyze changes in surgical methods and patient demographics over an 11-year period.

Main Methods:

Utilized data from the Danish National Patient Register for 67,096 hysterectomies (1988-1998).
Incorporated Danish National Population Register data for population distribution analysis.

Main Results:

Hysterectomy incidence for benign diseases remained stable; however, surgical treatment rates increased by 14%.

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Significant shifts observed: total abdominal hysterectomies decreased by 38%, subtotal abdominal hysterectomies increased by 458%, and vaginal hysterectomies rose by 107%.

Age distribution shifted towards older women (46-55 years in 1998 vs. 36-45 in 1988), with variations by surgical approach.

Conclusions:

Hysterectomy incidence was stable, but surgical approaches evolved significantly.
The study identified a trend towards less invasive or different surgical techniques without clear supporting evidence for the shift.
Age demographics for hysterectomy patients changed, indicating evolving patient populations or treatment preferences.