探索使用ICD-10的子宫内膜异位症妇女在诊断前的医院接触:丹麦病例控制研究
Anna Melgaard1, Claus Høstrup Vestergaard2, Ulrik Schiøler Kesmodel3
1Research Unit of Epidemiology, Department of Public Health, Aarhus University, Aarhus C, Denmark.
Human reproduction (Oxford, England)
|December 20, 2024
概括
被诊断为子宫内膜异位症的女性在诊断前的十年中更频繁地去医院检查. 这些医疗保健接触涉及到更广泛的诊断,而不仅仅是与子宫内膜异位症相关的症状.
科学领域:
- 生殖健康 生殖健康
- 医学诊断 医学诊断 医学诊断
- 流行病学 流行病学
背景情况:
- 以前的研究表明,子宫内膜异位症的妇女在医疗保健中的利用率更高.
- 有限的研究探索了使用注册诊断的诊断诊断前的医疗保健模式.
- 这项研究使用ICD-10代码调查了诊断前医院护理差异.
研究的目的:
- 为了区分患有子宫内膜异位症和没有子宫内膜异位症的女性之间的诊断前医院护理利用率.
- 分析与子宫内膜异位症诊断前10年的医院接触相关的诊断类型.
主要方法:
- 基于丹麦国家注册的病例控制研究 (2000-2017年).
- 包括21,616名首次在医院诊断出子宫内膜异位症的妇女和108,080名匹配的对照.
- 分析了指数日期前10年的医院接触和ICD-10诊断.
主要成果:
- 患有子宫内膜异位症的女性更频繁地接触医院 (≥6次接触:68.6%对比55.7%).
- 与对照组相比,子宫内膜异位症病例的诊断涉及更广泛的ICD-10章节.
- 这种模式几乎适用于所有章节,但不包括与怀孕有关的诊断.
结论:
- 在子宫内膜异位症诊断前的医疗保健利用不仅限于子宫内膜异位症症状.
- 子宫内膜异位症可能与更广泛的疾病相关,可能表明误诊或多种病理.
- 这些发现是特定于医院诊断的子宫内膜异位症,并承认潜在的检测偏差.
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