Shah Aparna D, Kohli Neeraj, Rajan Sujatha S, Hoyte Lennox
Division of Urogynecology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Am J Obstet Gynecol. 2007 Jul;197(1):70.e1-8. doi: 10.1016/j.ajog.2007.02.042.
This study was undertaken to compare the prevalence, demographics, and complications of pelvic organ prolapse surgery across races in the United States.
Data from the 2003 National Census and the 2003 National Hospital Discharge Survey were used to determine rates of prolapse surgery, demographic characteristics, morbidity, and mortality across races.
In 2003, 199,698 women underwent prolapse surgery. Rates of prolapse surgery per 10,000 women were 14.8, 5.6, and 8.7 in women of white, black, and other races. By geographic region, surgical rates per 10,000 white vs black women differed most in the West (16.0 vs 0.8). Of black women, 27% were on public assistance, compared with 5.9% and 9.6% women of white and other races. Complications occurred in 19.4%, 34.1%, and 27.4% of women of white, black, other races. Mortality was uncommon for all races.
Racial disparities between white and black women undergoing prolapse surgery appear to exist.
本研究旨在比较美国不同种族间盆腔器官脱垂手术的患病率、人口统计学特征及并发症情况。
利用2003年全国人口普查数据和2003年全国医院出院调查数据来确定不同种族间脱垂手术率、人口统计学特征、发病率及死亡率。
2003年，199,698名女性接受了脱垂手术。白人、黑人及其他种族女性每10,000人中接受脱垂手术的比率分别为14.8、5.6和8.7。按地理区域划分，每10,000名白人女性与黑人女性的手术率在西部差异最大（分别为16.0和0.8）。黑人女性中有27%接受公共援助，相比之下，白人女性和其他种族女性的这一比例分别为5.9%和9.6%。白人、黑人及其他种族女性的并发症发生率分别为19.4%、34.1%和27.4%。所有种族的死亡率均不常见。
接受脱垂手术的白人女性与黑人女性之间似乎存在种族差异。
