Epidemiology of Female Pelvic Floor Disorders

女性盆底疾病是一个重大的公共卫生问题，对生活质量造成严重损害，给个人和整个社会带来沉重负担。子宫脱垂是60-79岁女性中最常见的子宫切除术指征，也是50多岁女性中第二常见的指征。据估计，尿失禁在全年龄段女性中的患病率从10%到58%不等。然而，令人惊讶的是，在国家健康数据集中进行的任何女性盆底疾病的研究很少。因此，关于美国女性盆底疾病的基本统计信息是不可用的。至关重要的是，在国家卫生数据集中进行流行病学研究，以进一步了解妇女因盆底疾病所经历的问题的范围和性质。在本应用程序中，我们建议利用全国门诊医疗调查（NAMCS）、全国医院门诊医疗调查（NHAMCS）、全国出院调查（NHDS）、全国住院病人样本（NIS）和全国门诊手术调查（NSAS），对女性盆腔跟随疾病的门诊就诊、住院时间和手术过程的流行病学和近期趋势进行描述性研究。这些数据集是专门为提供客观、可靠、基于人群的信息而设计的，可用于解决与女性盆底疾病有关的几个关键问题，包括门诊医疗保健利用、住院和门诊手术治疗、医生专业治疗差异、寻求治疗的妇女特征以及这些疾病带来的经济负担。利用这些数据集，我们将实现以下具体目标：描述女性盆底疾病的住院情况，包括阴道拱顶脱垂、子宫脱垂、子宫阴道脱垂、阴道肠膨出、大便失禁和尿失禁，在NHDS和NIS数据集中。描述NSAS中用于治疗女性盆底疾病的门诊手术程序；描述NAMCS和NHAMCS中女性盆底疾病的办公室就诊情况。

Female pelvic floor disorders are a significant public health problem, cause major impairments in quality of life, and impose a substantial burden on individuals and on society as a whole. Uterine prolapse is the most common indication for hysterectomy among women aged 60-79, and the second most common indication among women in their fifties. Estimates of the prevalence of urinary incontinence among women overall ages range from 10 percent to 58 percent. However, there have been surprisingly few studies of any female pelvic floor disorders conducted in the national health data sets. Consequently, even basic statistical information concerning female pelvic floor disorders among American women is not available. It is critically important that epidemiologic studies be conducted in national health data sets in order to further our understanding of the scope and nature of the problems experienced by women due to pelvic floor disorders. In this application we propose to conduct a descriptive study of the epidemiology of and recent trends in outpatient visits, in-hospital stays, and surgical procedutes for female pelvic follr disorders utilizing the National Ambulatory Medical Care Survey (NAMCS), the National Hospital Ambulatory Medical Care Survey (NHAMCS), the National Hospital Discharge Survey (NHDS), the Nationwide Inpatient Sample (NIS) and the National Survey of Ambulatory Surgery (NSAS). These data sets have been specifically designed to provide objective, reliable, population-based information and could be utilized to address several key issues concerning female pelvic floor disorders including outpatient health care utilization, in- hospital and ambulatory operative treatments, physician specialty differences in treatments, characteristics of women seeking treatment and the economic burden imposed by these disorders. Utilizing these data sets we will accomplish the following specific aims: 1.)Describe hospitalizations for female pelvic floor disorders including vaginal vault prolapse, uterine prolapse, uterovaginal prolapse, vaginal enterocele, fecal incontinence, and urinary incontinence in the NHDS and NIS data sets, 2.) Describe ambulatory operative procedures used as treatment for female pelvic floor disorders in the NSAS, and 3.) Describe office-based visits for female pelvic floor disorders in the NAMCS and the NHAMCS.