Show simple item record

dc.contributor.authorGylfason, Jon Torfi
dc.contributor.authorKristjansson, Kristjan Andri
dc.contributor.authorSverrisdottir, Gudlaug
dc.contributor.authorJonsdottir, Kristin
dc.contributor.authorRafnsson, Vilhjalmur
dc.contributor.authorGeirsson, Reynir Tomas
dc.date.accessioned2010-12-03T13:47:20Z
dc.date.available2010-12-03T13:47:20Z
dc.date.issued2010-08-01
dc.date.submitted2010-12-03
dc.identifier.citationAm. J. Epidemiol. 2010, 172(3):237-43en
dc.identifier.issn1476-6256
dc.identifier.pmid20616202
dc.identifier.doi10.1093/aje/kwq143
dc.identifier.urihttp://hdl.handle.net/2336/117125
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractThe annual incidence of pelvic endometriosis among women aged 15-49 years and up to age 69 years was ascertained for the Icelandic population between 1981 and 2000 by using Iceland's extensive record linkage systems. Comprehensive, state-financed health care and unique personal identification numbers enabled care to be tracked from first diagnosis. To identify cases, a centralized discharge-code registry was searched, as well as all hospital databases and, for individual patients, all hospital records. Each case of visually diagnosed and histologically verified endometriosis was cross-checked against the nationwide pathology registry. The revised American Society for Reproductive Medicine classification system was used for staging. Recorded was type of operation at diagnosis and presence of disease at 5 sites: deep pelvis, appendages, central pelvis, vesicouterine pouch, and ovaries. A total of 1,383 women were diagnosed surgically, with histologic verification of 811 (58.6%). All but 6 cases could be staged; 297 (36.9%) had minimal/mild and 508 (63.1%) had moderate/severe disease. The estimates of crude annual incidence were 0.1% for visually confirmed and 0.06% for histologically verified endometriosis, and respective age-standardized annual incidence was 0.1% and 0.05% for women aged 15-49 years. The most common site was the ovary, followed by deep pelvis, central pelvis, appendages, and vesicouterine pouch.
dc.language.isoenen
dc.publisherOxford University Pressen
dc.relation.urlhttp://dx.doi.org/10.1093/aje/kwq143en
dc.subject.meshAdolescenten
dc.subject.meshAdulten
dc.subject.meshAgeden
dc.subject.meshCatchment Area (Health)en
dc.subject.meshEndometriosisen
dc.subject.meshFemaleen
dc.subject.meshGynecologic Surgical Proceduresen
dc.subject.meshHumansen
dc.subject.meshIcelanden
dc.subject.meshIncidenceen
dc.subject.meshMiddle Ageden
dc.subject.meshPelvic Flooren
dc.subject.meshRegistriesen
dc.subject.meshSeverity of Illness Indexen
dc.subject.meshYoung Adulten
dc.titlePelvic endometriosis diagnosed in an entire nation over 20 yearsen
dc.typeArticleen
dc.contributor.departmentDepartment of Obstetrics and Gynecology, Landspitali University Hospital/University of Iceland, Reykjavik, Iceland.en
dc.identifier.journalAmerican journal of epidemiologyen
html.description.abstractThe annual incidence of pelvic endometriosis among women aged 15-49 years and up to age 69 years was ascertained for the Icelandic population between 1981 and 2000 by using Iceland's extensive record linkage systems. Comprehensive, state-financed health care and unique personal identification numbers enabled care to be tracked from first diagnosis. To identify cases, a centralized discharge-code registry was searched, as well as all hospital databases and, for individual patients, all hospital records. Each case of visually diagnosed and histologically verified endometriosis was cross-checked against the nationwide pathology registry. The revised American Society for Reproductive Medicine classification system was used for staging. Recorded was type of operation at diagnosis and presence of disease at 5 sites: deep pelvis, appendages, central pelvis, vesicouterine pouch, and ovaries. A total of 1,383 women were diagnosed surgically, with histologic verification of 811 (58.6%). All but 6 cases could be staged; 297 (36.9%) had minimal/mild and 508 (63.1%) had moderate/severe disease. The estimates of crude annual incidence were 0.1% for visually confirmed and 0.06% for histologically verified endometriosis, and respective age-standardized annual incidence was 0.1% and 0.05% for women aged 15-49 years. The most common site was the ovary, followed by deep pelvis, central pelvis, appendages, and vesicouterine pouch.


This item appears in the following Collection(s)

Show simple item record