本研究的目的是确定美国 GO 实践中良性手术的趋势。这是对 2015 年至 2021 年美国外科医生学会国家手术质量改进计划 (ACS NSQIP) 数据库进行的回顾性队列分析。受试者为通过使用当前程序术语（CPT 代码）过滤子宫切除术病例来选择。使用线性回归评估连续结果，使用逻辑回归评估分类结果。从 2015 年到 2021 年，数据集包含美国各地进行的 246,743 例子宫切除术。在所有妇科专科中，188,534 例 (76%) 因良性适应症接受治疗，59,209 例 (24%) 为妇科癌症病例。所有专家因良性症状而进行子宫切除术的比例随着年份的增加而增加。当按外科医生亚专业查看子宫切除病例时，GO 在整个时间段内实施了 35,680 例 (23%) 的良性病例。在我们的研究期间，GO 进行的良性子宫切除术的比例逐年增加，2016 年 GO 进行的良性子宫切除术的比例为 37.8%，202 年达到 45.2%。癌症适应症随着年份的增加而减少，包括GO针对癌症适应症进行的癌症病例的比例。GO进行的良性子宫切除术的比例每年都在持续增加。这项研究证实了现有的调查数据，并假设普通妇科越来越多地采用 GO 实践。版权所有 © 2024。由 Elsevier Inc. 出版。

The objective of this study was to determine the trends in benign surgery in GO practice across the United States.This was a retrospective cohort analysis of the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database from 2015 to 2021. Subjects were selected by filtering for cases of hysterectomy using current procedural terminology (CPT codes). Trends over time were assessed using linear regression for continuous outcomes and logistic regression for categorical outcomes.From the 2015 to 2021, the dataset contained 246,743 hysterectomies that were performed across the United States. For all gynecologic specialties, 188,534 (76%) were performed for benign indications and 59,209 (24%) were gynecologic cancer cases. The proportion of hysterectomies done by all specialists for benign indications increased with increasing year. When looking at hysterectomy cases by surgeon's subspecialty, GOs performed 35,680 (23%) of all benign cases over the entire time period. Over our study time period, the proportion of benign hysterectomies performed by GOs increased with increasing year with the proportion of benign hysterectomies done by GO in 2016 was 37.8% and reached 45.2% in 202. The proportion of hysterectomies done by all sub-specialists for cancer indications decreased with increasing year including the proportion of cancer cases performed by GOs for cancer indications.The proportion of benign hysterectomies performed by GO consistently increased every year. This study corroborates existing survey data and hypothesizes that the practice of GO is increasingly being consumed by general gynecology.Copyright © 2024. Published by Elsevier Inc.