美国女性中双边卵巢切除术的流行率
Emily E Adam1, Mary C White1, Julie S Townsend2
1Epidemiology and Applied Research Branch, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Journal of women's health (2002)
|July 16, 2024
概括
双边卵巢切除术 (手术切除两个卵巢) 在美国老年女性中很常见,近一半发生在20多年前. 这种患病率可能导致低估的卵巢癌发病率.
科学领域:
- 生殖健康 生殖健康
- 流行病学 流行病学
- 妇女健康 妇女健康
背景情况:
- 双边卵巢切除与各种健康结果有关,其中一些具有很长的潜伏期.
- 关于双边卵巢切除术在美国的患病率的数据有限.
- 了解患病率对于解释长期健康风险至关重要.
研究的目的:
- 为了估计美国女性中双边卵巢切除术的患病率.
- 通过人口因素 (年龄,种族,种族,地区) 和子宫切除状态来检查患病率.
- 为了告知对慢性疾病发病率的潜在影响,例如卵巢癌.
主要方法:
- 利用了2010年和2015年国家健康访谈调查的数据.
- 分析了不同年龄组,种族/族裔类别和地理区域的双边卵巢切除的患病率.
- 评估了子宫切除术和双边卵巢切除术状态之间的关系.
主要成果:
- 双边卵巢切除在老年女性中普遍存在 (29%的70-79岁的女性,而20-20岁的女性<1%).
- 患病率因地区而异 (12.3%南,10.8%中西部,9.4%西部,8.0%东北部).
- 几乎一半的手术发生在20年前;57%的子宫切除术的女性也进行了卵巢切除.
结论:
- 由于未调整的卵巢切除状态,卵巢癌发病率可能被低估.
- 持续监测双边卵巢切除术的患病率至关重要.
- 研究结果强调需要在慢性疾病监测中考虑卵巢切除术,特别是在老年妇女身上.
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