Actuarial Analysis of Private Payer Administrative Claims Data for Women With Endometriosis

Mirkin, David; Murphy-Barron, Catherine; Iwasaki, Kosuke

doi:10.18553/jmcp.2007.13.3.262

Cited by 85 publications

(76 citation statements)

References 36 publications

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“…At the high end, these estimates include projections of undiagnosed endometriosis among women who may have had asymptomatic endometriosis that did not require treatment [10] . Lower estimates of prevalence have been derived mostly from population-based administrative studies that restricted inclusion to patients with diagnosed endometriosis (DE; i.e., those who had surgery or severe symptoms that led to diagnosis and treatment); these estimates potentially excluded asymptomatic patients and those with mild to moderate symptoms who did not receive treatment, as well as uninsured patients [7,8,14] .…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Symptomatic Burden of Diagnosed Endometriosis in the United States: National Estimates from a Cross-Sectional Survey of 59,411 Women

Fuldeore

Soliman²

2016

Gynecol Obstet Invest

216

170

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Background/Aims: To estimate the prevalence of diagnosed endometriosis (DE) in women in the United States and assess the associated symptomatic burden. Methods: An online, cross-sectional survey of women aged 18-49 years was conducted from August 6, 2012, through November 14, 2012. Survey data (weighted by age, race, education, income, geographical distribution, and propensity score) were used to estimate the prevalence and symptomatic burden of DE in women in the United States. Weighted logistic regressions were used to assess differences in symptom burden between women with and without endometriosis. Results: The prevalence of DE was estimated at 6.1% (2,922 of 48,020 women surveyed); 52.7% of women were 18-29 years of age when they were diagnosed with endometriosis. Most (86.2%) women experienced symptoms before diagnosis. More women with (vs. without) DE had menstrual pelvic pain/cramping (52.7 vs. 45.2%), non-menstrual pelvic pain/cramping (36.7 vs. 14.3%), infertility (11.6 vs. 3.4%), and dyspareunia (29.5 vs. 13.4%). Women with endometriosis were also more likely to report severe symptoms (OR (95% CI) 2.7 (2.3-3.1) for menstrual pelvic pain/cramping, 2.2 (1.7-2.9) for non-menstrual pelvic pain/cramping, and 2.4 (1.8-3.2) for dyspareunia). Conclusion: The prevalence of DE among US women is notable, and affected women experience a substantial symptom burden.

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Section: Introductionmentioning

confidence: 99%

Prevalence and Symptomatic Burden of Diagnosed Endometriosis in the United States: National Estimates from a Cross-Sectional Survey of 59,411 Women

Fuldeore

Soliman²

2016

Gynecol Obstet Invest

216

170

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“…It was diagnosed in more than 5.5 million women in the United States and Canada [2] and estimated in 10% of reproductive-aged women [3]. A higher prevalence was reported in infertile women (25-40%) [4] and in women with chronic pelvic pain (33%) [5,6].…”

Section: Introductionmentioning

confidence: 99%

A 12-year cohort study on adverse pregnancy outcomes in Eastern Townships of Canada: impact of endometriosis

Aris¹

2013

Gynecological Endocrinology

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The aim of this study was to provide a temporal-spatial reference of adverse pregnancy outcomes (APO) and examine whether endometriosis promotes APO in the same population. Among the 31 068 women who had a pregnancy between 1997 and 2008 in Eastern Townships of Canada, 6749 (21.7%) had APO. These APO increased significantly with maternal age and over time (r(2 )= 0.522, p = 0.008); and were dominated by preterm birth (9.3%), pregnancy-induced hypertension (8.3%) including gestational hypertension (6.5%), low birth weight (6.3%), gestational diabetes (3.4%), pregnancy loss (2.2%) including spontaneous abortion (1.5%) and stillbirth (0.6%), intrauterine growth restriction (2.1%) and preeclampsia (1.8%). Among the 31 068 pregnancies, 784 (2.5%) had endometriosis and 183 (23.3%) had both endometriosis and APO. Endometriosis has been shown to increase the incidence of fetal loss (OR = 2.03; 95% CI = 1.42-2.90, p < 0.0001), including spontaneous abortion (OR = 1.89; 95% CI = 1.23-2.93, p = 0.005) and stillbirth (OR = 2.29; 95% CI = 1.24-5.22, p = 0.012). This study provides a temporal-spatial reference on APO, which is a valuable tool for monitoring, comparing and correcting. It is also the first study to highlight an impact of endometriosis on the incidence of spontaneous abortion and stillbirth.

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“…Psychological assessment is critical in the approaches to managing stress and the early detection of depression that occurs in approximately 50% of women with chronic pain. Depression is an important barrier to clinical improvement 100 . Occupational therapy is involved in the assessment of capability in working and ergonomic assessments of the worksites 101 .…”

Section: Alternatives To Laparoscopymentioning

confidence: 99%

Myofascial Dysfunction and Its Relationship to Laparoscopy

Jarrell¹

2011

Advanced Gynecologic Endoscopy

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Actuarial Analysis of Private Payer Administrative Claims Data for Women With Endometriosis

Cited by 85 publications

References 36 publications

Prevalence and Symptomatic Burden of Diagnosed Endometriosis in the United States: National Estimates from a Cross-Sectional Survey of 59,411 Women

Prevalence and Symptomatic Burden of Diagnosed Endometriosis in the United States: National Estimates from a Cross-Sectional Survey of 59,411 Women

A 12-year cohort study on adverse pregnancy outcomes in Eastern Townships of Canada: impact of endometriosis

Myofascial Dysfunction and Its Relationship to Laparoscopy

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