National survey of abnormal uterine bleeding according to the FIGO classification in Japan
National survey of abnormal uterine bleeding according to the FIGO classification in Japan
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日本根据FIGO分类进行的全国异常子宫出血调查
DOI：
10.1111/jog.15464
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发表时间：
2022
影响因子：
1.6
通讯作者：
Iwase Akira
中科院分区：
文献类型：
--
作者：
Kitahara Yoshikazu;Hiraike Osamu;Ishikawa Hiroshi;Kugu Koji;Takai Yasushi;Yoshino Osamu;Ono Masanori;Maekawa Ryo;Ota Ikuko;Iwase Akira
目的采用国际妇产科联合会（FIGO）分类法调查日本异常子宫出血（AUB）的状况（AUB系统1和2; PALM-COEIN），并阐明AUB症状与引起AUB的疾病之间的关系。方法在一项全国性研究中，我们招募了2019年12月1日至1月31日连续两周访问目标设施的首次患者，2020.采用FIGO分类法对有症状的AUB患者及病因进行调查。根据全国范围内研究的患者比例，373例病例被纳入详细调查。调查项目包括根据AUB系统1的AUB症状、检查详细信息以及根据PALM-COEIN分类的致病疾病。结果在研究期间，我们遇到了61，740例首次患者，其中8081例（13.1%）被诊断出患有AUB。其中月经周期异常者占39.9%，月经出血异常者占56.9%。在调查中，PALM的AUB-L百分比最高，COEIN的AUB-O百分比最高。对应分析表明，COEIN与月经周期异常和PALM与月经异常bleeding.ConclusionWe进行了第一次全国性的调查AUB在日本。FIGO分类是诊断AUB的有用工具，AUB系统1的AUB症状与PALM-COEIN的AUB病因疾病之间存在强相关性。相反，AUB-N和AUB-E的高百分比表明AUB系统1和PALM-COEIN作为诊断工具是不明确的。
AimTo investigate the status of abnormal uterine bleeding (AUB) in Japan using the International Federation of Gynecology and Obstetrics (FIGO) classification (AUB system 1 and 2; PALM‐COEIN) and to clarify the relationship between AUB symptoms and the diseases causing AUB.MethodsIn a nationwide study, we enrolled first‐time patients who visited target facilities during two consecutive weeks from December 1, 2019 to January 31, 2020. The FIGO classification was used to investigate patients with symptoms and causative diseases of AUB. Based on the proportion of patients in the nationwide study, 373 cases were included in the detailed survey. Survey items included symptoms of AUB according to AUB system 1, examination details, and causative diseases according to the PALM‐COEIN classification.ResultsWithin the study period, we encountered 61 740 first‐time patients, of which 8081 (13.1%) were diagnosed with AUB. Among them, 39.9% had abnormal menstrual cycles and 56.9% had abnormal menstrual bleeding. In the survey, PALM had the highest percentage of AUB‐L and COEIN had the highest percentage of AUB‐O. Correspondence analysis showed that COEIN was strongly associated with abnormal menstrual cycles and PALM with abnormal menstrual bleeding.ConclusionWe conducted the first nationwide survey of AUB in Japan. The FIGO classification was a useful tool for the diagnosis of AUB, with a strong correlation between symptoms of AUB by AUB system 1 and the causative disease of AUB by PALM‐COEIN. Conversely, a high percentage of AUB‐N and AUB‐E suggests that AUB system 1 and PALM‐COEIN are ambiguous as diagnostic tools.
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