子宫肌瘤相关住院和手术：基于人口趋势的患病率和预测增长。
Leiomyoma-related hospitalization and surgery: prevalence and predicted growth based on population trends.
机构信息
Mayo Clinic and North Florida OB/GYN, Jacksonville, FL, USA.
出版信息
Am J Obstet Gynecol. 2011 Nov;205(5):492.e1-5. doi: 10.1016/j.ajog.2011.07.008. Epub 2011 Jul 20.
OBJECTIVE
To estimate leiomyoma-related inpatient care in the United States for 2007 with predictions for the ensuing 40 years.
STUDY DESIGN
We used the 2007 Nationwide Inpatient Sample to estimate hospitalizations and inpatient surgeries for uterine leiomyoma in US women 15 to 54 years. We used the US Census Bureau population projections to predict leiomyoma-related inpatient care through 2050.
RESULTS
In 2007, 355,135 women were hospitalized for leiomyoma (rate = 42 per 10,000 women-years). Black women had increased rates of hospitalization, hysterectomy, and myomectomy (relative risk, 3.5, 2.4, 6.8, respectively) compared with white women. Leiomyoma-related hospitalizations are predicted to increase 23% (to 437,874) between 2007 and 2050, with 20% and 31% increases in leiomyoma-related hysterectomies and myomectomies.
CONCLUSION
Leiomyoma-related inpatient care and major surgery remains substantial despite advances in less invasive treatment options. Given population growth, the projected burden of leiomyoma-related inpatient care will increase significantly by 2050, differentially impacting black vs white women.
目的
估计 2007 年美国与子宫肌瘤相关的住院治疗情况，并对随后 40 年进行预测。
研究设计
我们使用 2007 年全国住院患者样本，估计 15 至 54 岁美国女性的子宫肌瘤住院治疗和住院手术。我们使用美国人口普查局的人口预测来预测 2050 年之前与子宫肌瘤相关的住院治疗。
结果
2007 年，有 355135 名女性因子宫肌瘤住院（发生率=每 10000 名女性年 42 例）。与白人女性相比，黑人女性的住院率、子宫切除术和子宫肌瘤切除术的比率更高（相对风险分别为 3.5、2.4、6.8）。预计 2007 年至 2050 年间，与子宫肌瘤相关的住院治疗将增加 23%（增至 437874 例），与子宫肌瘤相关的子宫切除术和子宫肌瘤切除术将分别增加 20%和 31%。
结论
尽管微创治疗选择有所进步，但与子宫肌瘤相关的住院治疗和主要手术仍然相当多。考虑到人口增长，到 2050 年，与子宫肌瘤相关的住院治疗负担预计将显著增加，对黑人和白人女性的影响程度不同。
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