Pelvic Inflammatory Disease Among Privately Insured Women, United States, 2001-2005
Pelvic Inflammatory Disease Among Privately Insured Women, United States, 2001-2005
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DOI：
10.1097/olq.0b013e3181bf576f
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发表时间：
2010-03-01
影响因子：
3.1
通讯作者：
Weinstock, Hillard S.
中科院分区：
文献类型：
--
作者：
Bohm, Michele K.;Newman, Lori;Weinstock, Hillard S.
背景：我们探讨了使用保险索赔数据监测盆腔炎（PID）的效用。PID率是生殖疾病发病率的人口水平趋势的一个重要指标;然而，监测PID趋势的现有数据有限。国家调查数据目前用于估计PID率在美国，但下降的情况下威胁到他们未来的usefuls.Methods：我们进行了回顾性分析，PID诊断率使用行政索赔数据从2001年至2005年。诊断代码被用来确定妇女年龄在15至44岁的研究人群中，被诊断为急性PID住院患者，在急诊科，并在门诊门诊settings.Results：PID诊断率在私人保险的妇女显着下降，从2001年至2005年在所有年龄组的检查，并在所有的地理区域。年PID诊断率从每10万名入组者317.0下降到236.0，在研究期间下降了25.5%。PID发病率最高的是25至29岁的人群（2005年每10万人中有352.8例）和居住在南方的人群（2005年每10万人中有314.3例）。大多数妇女（70.1%）通过医生办公室和其他门诊设施接受PID护理;这些妇女中，约40%的人接受了产科医生/妇科医生的治疗。索赔数据提供了一个急需的新数据源，将允许在住院和门诊临床环境中的广泛人群中持续监测PID。
Background: We explored the utility of using insurance claims data for surveillance of pelvic inflammatory disease (PID). PID rates are an important indicator of population level trends in reproductive morbidity; however, data available to monitor PID trends are limited. National survey data are currently used to estimate PID rates in the United States, but a declining number of cases threaten their future usefulness.Methods: We performed a retrospective analysis of PID diagnosis rates using administrative claims data from 2001 to 2005. Diagnostic codes were used to identify women aged 15 to 44 in the study population that were diagnosed with acute PID as inpatients, in emergency departments, and in outpatient ambulatory settings.Results: Rates of PID diagnoses among privately insured women declined significantly from 2001 to 2005 among all age groups examined and within all geographic regions. Annual PID diagnosis rates decreased from 317.0 to 236.0 per 100,000 enrollees, representing a 25.5% decline over the study period. The highest rates of PID were among 25- to 29-year-olds (352.8 per 100,000 in 2005) and among those residing in the South (314.3 per 100,000 in 2005). Most women (70.1%) received PID care through physician offices and other outpatient facilities; of these women, approximately 40% were treated by an obstetrician/gynecologist.Conclusions: The decline in PID diagnoses corresponds with previous reports from national surveys. Claims data offer a much needed new data source that will allow for continued monitoring of PID among a broad population in both inpatient and outpatient clinical settings.