The following article requires a subscription:



(Format: HTML)

Objective: To study the hypothesis that numbers of surgical operations in the United States have increased from 1983 and 1994.

Design: Analysis of data from the National Center for Health Statistics.

Setting: Short-stay general and specialty noninstitutional hospitals, and freestanding ambulatory surgical facilities, exclusive of federal, military, and Veterans Affairs hospitals.

Patients: Five-percent national sample.

Main Outcome Measure: Ten most frequent surgical operations or classes of surgical procedures within neurosurgery, ophthalmology, otorhinolaryngology, cardiothoracic surgery, general surgery, urology, obstetrics and gynecology, and orthopedics.

Results: In 1994, the 10 most frequently performed surgical operations in the United States totaled 7 929 000 cases. This contrasted with 5 731 000 top 10 procedures in 1983, or an increase of 38%. The most common surgical operation in 1994 was cataract extraction, totaling 2 049 000 cases. Groin herniorrhaphy (689 000 procedures) remained the most common operation performed by a general surgeon. Cesarean section was the most frequently completed obstetrical-gynecological operation (858 000 procedures) and the country's second most common surgical procedure in 1994. Arthroscopy of the knee (632 000 procedures) demonstrated enormous growth (153%) and was the country's seventh most frequent operation in 1994. Transurethral prostatectomy (229 000 procedures) underwent the most precipitous decline (29%) of any No. 1-ranked specialty procedure.

Conclusions: Numbers of top 10 surgical operations have increased in every surgical specialty except obstetrics-gynecology. Explanations may be the presence of new technologies, willingness of a preexisting reservoir of patients to undergo now less anxiety-provoking procedures, or less stringent indications.

Arch Surg.1997;132:983-990

Copyright 1997 by the American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use. American Medical Association, 515 N. State St, Chicago, IL 60610.