美国妇科肿瘤医生进行根治性子宫切除术的比率下降。

IF 4.7 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Obstetrics and gynecology Pub Date : 2025-09-11 DOI:10.1097/aog.0000000000006068

Isabela Covelli Velez,Alicia Youssef,Siguo Li,Allison Gockley,Amy Bregar,Varvara Mazina,Alexander Melamed

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引用次数: 0

摘要

宫颈癌流行病学的趋势和医生的工作人员已经趋同，使得根治性子宫切除术在美国的妇科肿瘤医生执业中越来越罕见。利用国家癌症数据库和疾病控制与预防中心的美国癌症统计数据以及已发表的妇科肿瘤学工作人员数据，我们评估了2004年至2020年美国进行根治性子宫切除术的趋势。在此期间，每位妇科肿瘤学家的年根治性子宫切除术率显著下降，平均每年下降6.9% (95% CI, 6.4-7.5)，相当于每位肿瘤学家每年从4.5例下降到1.5例。越来越罕见的根治性子宫切除术可能会对那些寻求获得和保持在这个复杂的手术能力的人提出挑战。

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Decline in Rate of Radical Hysterectomies Performed by Gynecologic Oncologists in the United States.

Trends in cervical cancer epidemiology and physician workforces have converged to make radical hysterectomy an increasingly rare procedure for gynecologic oncologists practicing in the United States. Using data from the National Cancer Database and the Centers for Disease Control and Prevention's United States Cancer Statistics and published gynecologic oncology workforce data, we assessed trends in radical hysterectomy performed in the United States from 2004 to 2020. Over this period, the annual rate of radical hysterectomies per gynecologic oncologist declined significantly, by an average of 6.9% per year (95% CI, 6.4-7.5), corresponding to a decrease from 4.5 to 1.5 cases per oncologist per year. The increasing rarity of radical hysterectomy may pose a challenge to those seeking to acquire and maintain competency in this complex operation.

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来源期刊

Obstetrics and gynecology 医学-妇产科学

CiteScore

11.10

自引率

4.20%

发文量

867

审稿时长

1 months

期刊介绍： "Obstetrics & Gynecology," affectionately known as "The Green Journal," is the official publication of the American College of Obstetricians and Gynecologists (ACOG). Since its inception in 1953, the journal has been dedicated to advancing the clinical practice of obstetrics and gynecology, as well as related fields. The journal's mission is to promote excellence in these areas by publishing a diverse range of articles that cover translational and clinical topics. "Obstetrics & Gynecology" provides a platform for the dissemination of evidence-based research, clinical guidelines, and expert opinions that are essential for the continuous improvement of women's health care. The journal's content is designed to inform and educate obstetricians, gynecologists, and other healthcare professionals, ensuring that they stay abreast of the latest developments and best practices in their field.