ABSTRACT

Background

Despite the potential serious outcomes associated with endometriosis, few data is available describing the real clinical practice and costs. The aim of this study was to evaluate the characteristics of patients diagnosed with endometriosis in Spain, to measure incidences within the hospital setting and the associated medical costs.

Methods: Admission records of patients with endometriosis registered between 2009 and 2018 were obtained from a Spanish hospital discharge database and analyzed in a retrospective multicenter study.

Results

Data corresponded primarily to inpatient admissions, with a median length of stay of 3 days. Length of stay correlated with patients’ age. Admissions were mainly associated with surgical procedures, namely local excision or destruction of lesions. The majority of secondary diagnoses registered corresponded to inflammatory disease of female pelvic organs; 9.2% of patients presented neoplasms of uterus and only 0.9% registered ovarian neoplasms. Mean admission cost was €3566 over the study period.

Conclusions

The majority of admissions reviewed in this study corresponded to the removal of ovarian lesions, although data suggested a decrease in the number of cases that were treated as hospital inpatient admissions over the study period. Older patients, surgical procedures, and lengthier admissions were associated with higher medical costs.

中文翻译：

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西班牙子宫内膜异位症的医院护理：患者特征和费用的回顾性多中心分析

摘要

背景

尽管与子宫内膜异位症相关的潜在严重后果，但很少有数据描述真实的临床实践和成本。本研究的目的是评估西班牙被诊断患有子宫内膜异位症的患者的特征，以衡量医院环境中的发病率和相关的医疗费用。

方法：从西班牙出院数据库中获取 2009 年至 2018 年间登记的子宫内膜异位症患者的入院记录，并在一项回顾性多中心研究中进行分析。

结果

数据主要对应于住院患者，中位住院时间为 3 天。住院时间与患者年龄相关。入院主要与外科手术有关，即局部切除或破坏病变。登记的大多数二次诊断对应于女性盆腔器官的炎症性疾病；9.2% 的患者出现子宫肿瘤，只有 0.9% 的患者出现卵巢肿瘤。研究期间的平均入学费用为 3566 欧元。

结论

本研究中审查的大多数入院病例对应于卵巢病变的切除，尽管数据表明在研究期间作为住院住院患者入院治疗的病例数量有所减少。老年患者、外科手术和更长的入院时间与更高的医疗费用相关。