Prevalence and incidence of endometriosis in Australian women: a data linkage cohort study
Objective To estimate the prevalence and incidence of endometriosis among Australian women. Design Population‐based cohort study linked to administrative health records. Setting Secondary analysis of seven surveys collected between 2000 and 2018 from a population‐based cohort study. Population A tot...
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| Veröffentlicht in: | BJOG : an international journal of obstetrics and gynaecology 2021-03, Vol.128 (4), p.657-665 |
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| container_title | BJOG : an international journal of obstetrics and gynaecology |
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| creator | Rowlands, IJ Abbott, JA Montgomery, GW Hockey, R Rogers, P Mishra, GD |
| description | Objective
To estimate the prevalence and incidence of endometriosis among Australian women.
Design
Population‐based cohort study linked to administrative health records.
Setting
Secondary analysis of seven surveys collected between 2000 and 2018 from a population‐based cohort study.
Population
A total of 13 508 Australian women, born 1973–78, from a prospective cohort study of 14 247 women conducted between 1996 and 2018.
Methods
During 2000 and 2018, self‐reported longitudinal survey data were linked to three administrative health databases to separately identify women with clinically confirmed or suspected endometriosis across the multiple data sources.
Main outcome measures
Prevalence and incidence of clinically confirmed endometriosis in the cohort were first estimated using national hospital data. Data were then combined with other administrative health databases and the survey data to capture all clinically confirmed and suspected diagnoses of endometriosis.
Results
The cumulative prevalence of clinically confirmed endometriosis was 6.0% (95% CI 5.8–6.2%) by age 40–44 years. The cumulative prevalence increased to 11.4% (95% CI 11.1–11.7%) when adding diagnoses of clinically suspected endometriosis. Age‐specific incidence estimates peaked to 6 per 1000 person‐years at age 30–34 years.
Conclusions
Among 13 508 Australian women followed for 20 years, one in nine women had clinically confirmed or suspected endometriosis by the age of 44, with most diagnosed during their early thirties. Endometriosis is a significant public health issue requiring increased surveillance, clinical awareness and management. Efforts to expand knowledge on the aetiology of the disease and optimal methods for disease management are crucial to women's health.
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In a national study of 13 508 Australian women, one in nine women were diagnosed with endometriosis by age 44.
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In a national study of 13 508 Australian women, one in nine women were diagnosed with endometriosis by age 44. |
| doi_str_mv | 10.1111/1471-0528.16447 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2430978905</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2430978905</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4787-65b63f3dfb0d67666276245f44843dc00b9f5a9bf179ef683c934f3277a182863</originalsourceid><addsrcrecordid>eNqFkDtPBCEURonR-K7tDImNzSivAcZOjc-YaKGNDWEGUHQWFGY0--9ld9XCRhoe93By7wfADkYHuKxDzASuUE3kAeaMiSWw_vuyPD-jClEi18BGzi8IYU4QXQVrlIhaUNKsg8e7ZD90b0NnoQ4G-tB5M79FB20wcWKH5GP2uZTg8ZiHpHuvA_wslXAENTR60LD34VU_WdjF55gGmIfRTLfAitN9ttvf-yZ4OD-7P72sbm4vrk6Pb6qOCSkqXrecOmpciwwXnHMiOGG1Y0wyajqE2sbVumkdFo11XNKuocyVCYTGkkhON8H-wvuW4vto86AmPne273WwccyKMIoaIRtUF3TvD_oSxxRKd4WSEjOE8Ux4uKC6FHNO1qm35Cc6TRVGaha7moWsZiGreezlx-63d2wn1vzyPzkXoF4An7630_986uT6diH-AhW5iok</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2488140116</pqid></control><display><type>article</type><title>Prevalence and incidence of endometriosis in Australian women: a data linkage cohort study</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><creator>Rowlands, IJ ; Abbott, JA ; Montgomery, GW ; Hockey, R ; Rogers, P ; Mishra, GD</creator><creatorcontrib>Rowlands, IJ ; Abbott, JA ; Montgomery, GW ; Hockey, R ; Rogers, P ; Mishra, GD</creatorcontrib><description>Objective
To estimate the prevalence and incidence of endometriosis among Australian women.
Design
Population‐based cohort study linked to administrative health records.
Setting
Secondary analysis of seven surveys collected between 2000 and 2018 from a population‐based cohort study.
Population
A total of 13 508 Australian women, born 1973–78, from a prospective cohort study of 14 247 women conducted between 1996 and 2018.
Methods
During 2000 and 2018, self‐reported longitudinal survey data were linked to three administrative health databases to separately identify women with clinically confirmed or suspected endometriosis across the multiple data sources.
Main outcome measures
Prevalence and incidence of clinically confirmed endometriosis in the cohort were first estimated using national hospital data. Data were then combined with other administrative health databases and the survey data to capture all clinically confirmed and suspected diagnoses of endometriosis.
Results
The cumulative prevalence of clinically confirmed endometriosis was 6.0% (95% CI 5.8–6.2%) by age 40–44 years. The cumulative prevalence increased to 11.4% (95% CI 11.1–11.7%) when adding diagnoses of clinically suspected endometriosis. Age‐specific incidence estimates peaked to 6 per 1000 person‐years at age 30–34 years.
Conclusions
Among 13 508 Australian women followed for 20 years, one in nine women had clinically confirmed or suspected endometriosis by the age of 44, with most diagnosed during their early thirties. Endometriosis is a significant public health issue requiring increased surveillance, clinical awareness and management. Efforts to expand knowledge on the aetiology of the disease and optimal methods for disease management are crucial to women's health.
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In a national study of 13 508 Australian women, one in nine women were diagnosed with endometriosis by age 44.
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In a national study of 13 508 Australian women, one in nine women were diagnosed with endometriosis by age 44.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/1471-0528.16447</identifier><identifier>PMID: 32757329</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Age ; Australia - epidemiology ; Cohort analysis ; Cohort study ; Endometriosis ; Endometriosis - diagnosis ; Endometriosis - epidemiology ; Epidemiology ; Female ; Health Surveys ; Humans ; Incidence ; Longitudinal Studies ; Middle Aged ; Population studies ; Prevalence ; Prospective Studies ; Public health ; Self Report ; Womens health</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2021-03, Vol.128 (4), p.657-665</ispartof><rights>2020 John Wiley & Sons Ltd.</rights><rights>Copyright © 2021 Royal College of Obstetricians and Gynaecologists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4787-65b63f3dfb0d67666276245f44843dc00b9f5a9bf179ef683c934f3277a182863</citedby><cites>FETCH-LOGICAL-c4787-65b63f3dfb0d67666276245f44843dc00b9f5a9bf179ef683c934f3277a182863</cites><orcidid>0000-0002-7889-891X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1471-0528.16447$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1471-0528.16447$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32757329$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rowlands, IJ</creatorcontrib><creatorcontrib>Abbott, JA</creatorcontrib><creatorcontrib>Montgomery, GW</creatorcontrib><creatorcontrib>Hockey, R</creatorcontrib><creatorcontrib>Rogers, P</creatorcontrib><creatorcontrib>Mishra, GD</creatorcontrib><title>Prevalence and incidence of endometriosis in Australian women: a data linkage cohort study</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Objective
To estimate the prevalence and incidence of endometriosis among Australian women.
Design
Population‐based cohort study linked to administrative health records.
Setting
Secondary analysis of seven surveys collected between 2000 and 2018 from a population‐based cohort study.
Population
A total of 13 508 Australian women, born 1973–78, from a prospective cohort study of 14 247 women conducted between 1996 and 2018.
Methods
During 2000 and 2018, self‐reported longitudinal survey data were linked to three administrative health databases to separately identify women with clinically confirmed or suspected endometriosis across the multiple data sources.
Main outcome measures
Prevalence and incidence of clinically confirmed endometriosis in the cohort were first estimated using national hospital data. Data were then combined with other administrative health databases and the survey data to capture all clinically confirmed and suspected diagnoses of endometriosis.
Results
The cumulative prevalence of clinically confirmed endometriosis was 6.0% (95% CI 5.8–6.2%) by age 40–44 years. The cumulative prevalence increased to 11.4% (95% CI 11.1–11.7%) when adding diagnoses of clinically suspected endometriosis. Age‐specific incidence estimates peaked to 6 per 1000 person‐years at age 30–34 years.
Conclusions
Among 13 508 Australian women followed for 20 years, one in nine women had clinically confirmed or suspected endometriosis by the age of 44, with most diagnosed during their early thirties. Endometriosis is a significant public health issue requiring increased surveillance, clinical awareness and management. Efforts to expand knowledge on the aetiology of the disease and optimal methods for disease management are crucial to women's health.
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In a national study of 13 508 Australian women, one in nine women were diagnosed with endometriosis by age 44.
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In a national study of 13 508 Australian women, one in nine women were diagnosed with endometriosis by age 44.</description><subject>Adult</subject><subject>Age</subject><subject>Australia - epidemiology</subject><subject>Cohort analysis</subject><subject>Cohort study</subject><subject>Endometriosis</subject><subject>Endometriosis - diagnosis</subject><subject>Endometriosis - epidemiology</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Incidence</subject><subject>Longitudinal Studies</subject><subject>Middle Aged</subject><subject>Population studies</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Public health</subject><subject>Self Report</subject><subject>Womens health</subject><issn>1470-0328</issn><issn>1471-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkDtPBCEURonR-K7tDImNzSivAcZOjc-YaKGNDWEGUHQWFGY0--9ld9XCRhoe93By7wfADkYHuKxDzASuUE3kAeaMiSWw_vuyPD-jClEi18BGzi8IYU4QXQVrlIhaUNKsg8e7ZD90b0NnoQ4G-tB5M79FB20wcWKH5GP2uZTg8ZiHpHuvA_wslXAENTR60LD34VU_WdjF55gGmIfRTLfAitN9ttvf-yZ4OD-7P72sbm4vrk6Pb6qOCSkqXrecOmpciwwXnHMiOGG1Y0wyajqE2sbVumkdFo11XNKuocyVCYTGkkhON8H-wvuW4vto86AmPne273WwccyKMIoaIRtUF3TvD_oSxxRKd4WSEjOE8Ux4uKC6FHNO1qm35Cc6TRVGaha7moWsZiGreezlx-63d2wn1vzyPzkXoF4An7630_986uT6diH-AhW5iok</recordid><startdate>202103</startdate><enddate>202103</enddate><creator>Rowlands, IJ</creator><creator>Abbott, JA</creator><creator>Montgomery, GW</creator><creator>Hockey, R</creator><creator>Rogers, P</creator><creator>Mishra, GD</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7889-891X</orcidid></search><sort><creationdate>202103</creationdate><title>Prevalence and incidence of endometriosis in Australian women: a data linkage cohort study</title><author>Rowlands, IJ ; Abbott, JA ; Montgomery, GW ; Hockey, R ; Rogers, P ; Mishra, GD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4787-65b63f3dfb0d67666276245f44843dc00b9f5a9bf179ef683c934f3277a182863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Age</topic><topic>Australia - epidemiology</topic><topic>Cohort analysis</topic><topic>Cohort study</topic><topic>Endometriosis</topic><topic>Endometriosis - diagnosis</topic><topic>Endometriosis - epidemiology</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Incidence</topic><topic>Longitudinal Studies</topic><topic>Middle Aged</topic><topic>Population studies</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Public health</topic><topic>Self Report</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rowlands, IJ</creatorcontrib><creatorcontrib>Abbott, JA</creatorcontrib><creatorcontrib>Montgomery, GW</creatorcontrib><creatorcontrib>Hockey, R</creatorcontrib><creatorcontrib>Rogers, P</creatorcontrib><creatorcontrib>Mishra, GD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rowlands, IJ</au><au>Abbott, JA</au><au>Montgomery, GW</au><au>Hockey, R</au><au>Rogers, P</au><au>Mishra, GD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and incidence of endometriosis in Australian women: a data linkage cohort study</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>BJOG</addtitle><date>2021-03</date><risdate>2021</risdate><volume>128</volume><issue>4</issue><spage>657</spage><epage>665</epage><pages>657-665</pages><issn>1470-0328</issn><eissn>1471-0528</eissn><abstract>Objective
To estimate the prevalence and incidence of endometriosis among Australian women.
Design
Population‐based cohort study linked to administrative health records.
Setting
Secondary analysis of seven surveys collected between 2000 and 2018 from a population‐based cohort study.
Population
A total of 13 508 Australian women, born 1973–78, from a prospective cohort study of 14 247 women conducted between 1996 and 2018.
Methods
During 2000 and 2018, self‐reported longitudinal survey data were linked to three administrative health databases to separately identify women with clinically confirmed or suspected endometriosis across the multiple data sources.
Main outcome measures
Prevalence and incidence of clinically confirmed endometriosis in the cohort were first estimated using national hospital data. Data were then combined with other administrative health databases and the survey data to capture all clinically confirmed and suspected diagnoses of endometriosis.
Results
The cumulative prevalence of clinically confirmed endometriosis was 6.0% (95% CI 5.8–6.2%) by age 40–44 years. The cumulative prevalence increased to 11.4% (95% CI 11.1–11.7%) when adding diagnoses of clinically suspected endometriosis. Age‐specific incidence estimates peaked to 6 per 1000 person‐years at age 30–34 years.
Conclusions
Among 13 508 Australian women followed for 20 years, one in nine women had clinically confirmed or suspected endometriosis by the age of 44, with most diagnosed during their early thirties. Endometriosis is a significant public health issue requiring increased surveillance, clinical awareness and management. Efforts to expand knowledge on the aetiology of the disease and optimal methods for disease management are crucial to women's health.
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In a national study of 13 508 Australian women, one in nine women were diagnosed with endometriosis by age 44.
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In a national study of 13 508 Australian women, one in nine women were diagnosed with endometriosis by age 44.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>32757329</pmid><doi>10.1111/1471-0528.16447</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-7889-891X</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1470-0328 |
| ispartof | BJOG : an international journal of obstetrics and gynaecology, 2021-03, Vol.128 (4), p.657-665 |
| issn | 1470-0328 1471-0528 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2430978905 |
| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Adult Age Australia - epidemiology Cohort analysis Cohort study Endometriosis Endometriosis - diagnosis Endometriosis - epidemiology Epidemiology Female Health Surveys Humans Incidence Longitudinal Studies Middle Aged Population studies Prevalence Prospective Studies Public health Self Report Womens health |
| title | Prevalence and incidence of endometriosis in Australian women: a data linkage cohort study |
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