Incidence and Estimated Prevalence of Endometriosis and Adenomyosis in Northeast Italy: A Data Linkage Study

Despite being quite frequent and having serious implications in terms of symptomatology and fertility, data on incidence and prevalence of endometriosis and adenomyosis following gold standard definitions are dramatically lacking. The average time from onset of symptoms to diagnosis in industrialize...

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Bibliographic Details
Published in:PloS one 2016-04, Vol.11 (4), p.e0154227-e0154227
Main Authors: Morassutto, Caterina, Monasta, Lorenzo, Ricci, Giuseppe, Barbone, Fabio, Ronfani, Luca
Format: Article
Language:English
Subjects:
Adenomyosis - diagnosis
Adenomyosis - epidemiology
Adolescent
Adult
Age
Age Factors
Aged
Automation
Biology and Life Sciences
Childrens health
Demographic aspects
Disease
Endometriosis
Endometriosis - diagnosis
Endometriosis - epidemiology
Epidemiology
Estimates
Female
Fertility
Gynecology
Health risk assessment
Health sciences
Histology
Hormones
Humans
Hysterectomy
Incidence
Information Storage and Retrieval - methods
Italy - epidemiology
Laparoscopy
Maternal & child health
Medical imaging
Medical personnel
Medical research
Medicine and Health Sciences
Middle Aged
Population
Prevalence
Prevalence studies (Epidemiology)
Public health
Registries - statistics & numerical data
Research and Analysis Methods
Risk factors
Systematic review
Ultrasonic imaging
Womens health
Young Adult
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Summary:Despite being quite frequent and having serious implications in terms of symptomatology and fertility, data on incidence and prevalence of endometriosis and adenomyosis following gold standard definitions are dramatically lacking. The average time from onset of symptoms to diagnosis in industrialized countries still ranges from five to ten years. Using the regional centralized data linkage system, we calculated incidence and prevalence of endometriosis and adenomyosis in the female population of Friuli Venezia Giulia region, Italy, for the years 2011-2013. Cases were defined as new diagnoses from hospital discharge records, following procedures allowing direct visualization for endometriosis and hysterectomy for adenomyosis, with or without histological confirmation. Diagnoses were considered "new" after verifying women had not been diagnosed in the previous ten years. Incidence of endometriosis and adenomyosis in women aged 15-50 years is 0.14%. Prevalence, estimated from incidence, is 2.00%. Adenomyosis, representing 28% of all diagnoses, becomes increasingly prevalent after the age of 50 years. Our results shows how the study of both endometriosis and adenomyosis should not be limited to women of premenopausal age. Further efforts are needed to sensitize women and health professional, and to find new data linkage possibilities to identify undiagnosed cases.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0154227