Epidemiology and Applied Research Branch, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Comprehensive Cancer Control Branch, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
J Womens Health (Larchmt). 2024 Nov;33(11):1457-1463. doi: 10.1089/jwh.2023.1134. Epub 2024 Jul 16.
Bilateral oophorectomy has been linked to numerous health outcomes, some of which can have a long latency period. Limited data are available on bilateral oophorectomy prevalence among U.S. women. The National Health Interview Survey fielded measures of bilateral oophorectomy most recently in 2010 and 2015. We pooled these 2 data years to present bilateral oophorectomy prevalence estimates by age-group, race, ethnicity, geographic region, and hysterectomy status. Our study found bilateral oophorectomy was common among older women. Among women aged 70-79 years, 29% reported a bilateral oophorectomy, compared with <1% for women aged 20-29 years. By geographic region, bilateral oophorectomy prevalence among women 20-84 years was 12.3% in the South, 10.8% in the Midwest, 9.4% in the West, and 8.0% in the Northeast. Small numbers limited our ability to generate age-specific estimates for American Indian and Alaska Native women and subgroups of Asian and Hispanic women. Nearly half of women who had a bilateral oophorectomy reported their procedure occurred more than 20 years ago. Among women aged 20-84 years who reported a hysterectomy, 57% reported they also had both of their ovaries removed. Standard measures of incidence rates for ovarian cancer are not adjusted for oophorectomy status. These findings suggest that ovarian cancer incidence rates may be underestimated among older women. Continued monitoring of bilateral oophorectomy prevalence will be needed to track its potential impact on ovarian cancer incidence and numerous other chronic health outcomes.
双侧卵巢切除术与许多健康结果有关，其中一些结果可能潜伏期很长。美国女性双侧卵巢切除术的流行率数据有限。国家健康访谈调查最近在 2010 年和 2015 年对双侧卵巢切除术进行了测量。我们将这 2 个数据年合并，按年龄组、种族、族裔、地理区域和子宫切除术状况呈现双侧卵巢切除术的流行率估计值。我们的研究发现，双侧卵巢切除术在老年女性中很常见。在 70-79 岁的女性中，有 29%报告进行了双侧卵巢切除术，而 20-29 岁的女性中不到 1%。按地理区域，20-84 岁女性的双侧卵巢切除术流行率在南部为 12.3%，中西部为 10.8%，西部为 9.4%，东北部为 8.0%。由于人数较少，我们无法为美洲印第安人和阿拉斯加原住民女性以及亚裔和西班牙裔女性的亚组生成特定年龄的估计值。将近一半进行了双侧卵巢切除术的女性报告其手术发生在 20 多年前。在报告子宫切除术的 20-84 岁女性中，有 57%报告她们还切除了两个卵巢。卵巢癌的发病率标准衡量标准未调整卵巢切除术的情况。这些发现表明，老年女性的卵巢癌发病率可能被低估了。需要继续监测双侧卵巢切除术的流行率，以跟踪其对卵巢癌发病率和许多其他慢性健康结果的潜在影响。
