Ectopic pregnancy rate and treatment utilization in a large managed care organization
Ectopic pregnancy rate and treatment utilization in a large managed care organization
复制标题
DOI：
10.1097/01.aog.0000158860.26939.2d
复制
发表时间：
2005-05-01
影响因子：
7.2
通讯作者：
Glasser, M
中科院分区：
文献类型：
--
作者：
Van den Eeden, SK;Shan, J;Glasser, M
目的：评估1997-2000年间北加州凯撒医疗机构的异位妊娠死亡率。方法：计算机化的数据系统，包括住院、门诊和药房记录，回顾研究期间异位妊娠的证据。分母数据是根据同期的计算机化利用率和会员数据计算得出的。结果：我们确定了1997年至2000年期间126451例报告妊娠中发生的2617例异位妊娠，年发生率为每1000例报告妊娠20.70例，15-44岁妇女为每1000例1.03例。在这些数据中，没有证据表明这是一种长期趋势。随着年龄的增长，这一比例增加。这些妇女中约有35%接受了治疗，我们观察到，随着时间的推移，接受治疗的妇女比例有所增加。结论：在一个大型综合卫生服务系统中使用计算机数据系统，我们发现1997-2000年的异位妊娠率与1990 -1992年的国家数据相似。这些数据表明异位妊娠率并没有增加，尽管需要牢记研究人群的差异。随着时间的推移，医疗似乎越来越多。[j] .妇产科杂志2005；105:1052-7。(c) 2005年由美国妇产科医师学会提供)。
OBJECTIVE: To estimate die ectopic pregnancy rate at Kaiser Permanente, Northern California, during 1997-2000.METHODS: Computerized data systems covering inpatient, outpatient, and pharmacy records were reviewed for evidence of ectopic pregnancies during the study period. Denominator data were calculated from computerized utilization and membership data for the same period.RESULTS: We identified 2,617 ectopic pregnancies that occurred between 1997 and 2000 among 126,451 reported pregnancies for an annual rate of 20.70 per 1,000 reported pregnancies and 1.03 per 1,000 women 15-44 years old. There was no evidence of a trend over time in these data. The rate increased with increasing age. Approximately 35% of these women were medically treated, and we observed an increase over time in the proportion of women who were medically treated.CONCLUSION: Using computerized data systems in a large integrated health delivery system, we found that the rate of ectopic pregnancy in 1997-2000 was similar to the national rate in 1990 -1992, when national data were last available. These data suggest that the ectopic pregnancy rate is not increasing, although differences in the study populations need to be kept in mind. Medical treatment seems to be increasing over time. (Obstet Gynecol 2005;105:1052-7. (c) 2005 by The American College of Obstetricians and Gynecologists).