The demographics of pelvic floor disorders: Current observations and future projections
The demographics of pelvic floor disorders: Current observations and future projections
复制标题
DOI：
10.1067/mob.2001.114868
复制
发表时间：
2001-06-01
影响因子：
9.8
通讯作者：
Choe, JY
中科院分区：
文献类型：
--
作者：
Luber, KM;Boero, S;Choe, JY
目的：我们的目的是评估当前对骨盆底疾病护理的需求，并为未来的护理需求提供预测。我们还试图更好地了解寻求护理的妇女的特征。进行研究：当前对护理的需求是通过比较那些通过女性骨盆底疾病诊所寻求护理的妇女与那些在综合医疗保健中处于风险的妇女范围的妇女的诊所的比较交付计划。患者接受了包括囊肿的完整泌尿疗法评估。将寻求护理的妇女与年龄，状况分布（骨盆器官脱垂，压力状况，敦促状况）以及接受手术的可能性进行了比较。通过使用美国人口普查局的数据对研究人群进行建模，该局预测人口在未来30年内发生了变化，并创建了对未来需求的预测。回报：可在2070名连续分布的年龄范围为30至89岁的连续患者中获得数据大约在61.5岁的中位年龄是从30至89岁的149,000名妇女中吸引的。年龄较大的女性每1000妇女的咨询比年轻的同伙（1.7 vs 18.6咨询在1000妇女年中，在30-39岁的年龄中，而70-79岁的年龄； p <.05）。 30年需求增长的估计表明，需求增加了45％，而同一人口的净增长应为22％。在年轻妇女中，压力状况更为普遍，在老年妇女中，压力状况更为常见。结论：在接下来的30年中，对护理女性骨盆底疾病的服务需求增长的增长将以同一人群的增长率的两倍增加。对骨盆底疾病的护理需求来自女性的广泛年龄范围，尽管成熟的年龄段和年轻同龄人的咨询数量是每1000名女性咨询的10倍。年龄在患者出现的疾病的分布中起着重要作用。这些发现对那些负责管理妇女的计划，分配妇女健康和老年医学的研究资金以及培训医生以满足这种迅速升级的需求的人具有广泛的影响。
OBJECTIVE: Our aim was to assess current demand for care of pelvic floor disorders and create projections for future demand for care. We also sought to better understand the characteristics of women seeking care.STUDY DESIGN: Current demand for care was calculated by comparing those women seeking care through the female pelvic floor disorders clinic with those women of the same age range at risk within an integrated health care delivery program. Patients underwent complete urogynecologic evaluation including cystometry. Women seeking care were compared with regard to age, distribution of conditions (pelvic organ prolapse, stress conditions, urge conditions), and probability of undergoing surgery. Modeling the study population by use of data from the US Census Bureau, which projects population changes over the next 30 years, created predictions of future demand.RESULTS: Data were available on 2070 consecutive patients with an age range of 30 to 89 years normally distributed around a median age of 61.5 years drawn from an at-risk population of 149,000 women aged 30 to 89 years. Older women generated more consults per 1000 woman years than did the younger cohorts (1.7 vs 18.6 consults per 1000 woman years for those 30-39 years old vs those 70-79 years old; P < .05). Estimates of growth in demand at 30 years indicate a 45% increase in demand while net growth of the same population segment should be 22%. Stress conditions were more common among younger women and urge conditions were more common among older women. Pelvic organ prolapse was equally distributed throughout the age ranges.CONCLUSIONS: Over the next 30 years, growth in demand for services to care for female pelvic floor disorders will increase at twice the rate of growth of the same population. Demand for care for pelvic floor disorders comes from a wide age range of women, although mature age groups generate 10 times the number of consults per 1000 woman years as do their younger counterparts. Age plays a major role in the distribution of conditions with which patients present. These findings have broad implications for those responsible for administering programs to care for women, allocating research funds in women's health and geriatrics, and training physicians to meet this rapidly escalating demand.