Downward Trends in OB/GYN Procedures

  • Tuesday, 22 Jan, 2019

Do you find that your practice is doing fewer surgeries now than about 10 years ago? If so, your experience is in line with what is happening in OB/GYN surgery at hospitals across the country.

The Agency for Healthcare Research and Quality published their data on the surgeries done on patients in an OR between 2002 and 2013 as part of the Healthcare Cost and Utilization Project (HCUP). The data was stratified a number of different ways to determine which procedures were increasing and which were decreasing amongst patients in the United States. Procedures included were those that were done on inpatients and performed in the OR. Maternal and neonatal hospitalizations were excluded from the analysis. The top 10 surgical procedures in 2012 are shown in the Table.

While certain types of surgeries—including gastrectomy and knee arthroplasty—have increased, some OB/GYN surgeries are on the decline. In fact, of the top 10 procedures that have increased in frequency, none were OB/GYN surgeries. However, of the top 10 procedures that are decreasing at the greatest rate, four of them are OB/GYN-related. Oophorectomy, both unilateral and bilateral, decreased 54

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