Epidemiological study of endometriosis in the State of Maranhão

Authors

DOI:

https://doi.org/10.33448/rsd-v11i15.37163

Keywords:

Endometriosis; Epidemiology; Women's health.

Abstract

Objective: To carry out an epidemiological analysis of endometriosis in the State of Maranhão between 2017 and 2002. Methods: This is an exploratory, time series study of epidemiological data on endometriosis in the population of the State of Maranhão. Data were obtained through the SUS Information System (DATASUS). Results: It was verified that there were 2,113 hospitalizations for endometriosis in Maranhão between January 2017 and December 2021 and the most affected health region was São Luís. In addition, it was possible to observe that the most affected age group was from 40 to 49 years old, with 853 cases, followed by the population from 30 to 39 years old, with 601 hospitalizations. With regard to color, brown women were the most affected. There were two deaths, one in the health region of Açailândia and the other in the region of Rosário. The average hospital stay rate in the state was 2.8 days, the average hospitalization value was R$688.43 and the total amount spent on endometriosis in the analyzed period was R$1,460,154.35. Conclusion: It is possible to infer that endometriosis has a high incidence in Maranhão, especially in brown women, between 30 and 49 years old, with their hospitalizations more concentrated in the health regions of São Luís and Santa Inês. Although the disease is benign, it causes damage to the quality of life of patients in the physical and psychological scope, and it is important that health agencies create warning campaigns about the existence of the disease and what its symptoms are.

References

Agarwal, S. K., Chapron, C., Giudice, L. C., Laufer, M. R., Leyland, N., Missmer, S. A., Singh, S. S., & Taylor, H. S. (2019). Clinical diagnosis of endometriosis: a call to action. American journal of obstetrics and gynecology, 220(4), 354.e1–354.e12. https://doi.org/10.1016/j.ajog.2018.12.039

Bulun, S. E., Yilmaz, B. D., Sison, C., Miyazaki, K., Bernardi, L., Liu, S., Kohlmeier, A., Yin, P., Milad, M., & Wei, J. (2019). Endometriosis. Endocrine reviews, 40(4), 1048–1079. https://doi.org/10.1210/er.2018-00242

Burghaus, S., & Beckmann, M. W. (2021). Endometriose – gynäkologische Diagnostik und Therapie : Was sollten Schmerzmediziner*innen wissen? [Endometriosis: gynecological diagnosis and treatment: What should pain management specialists know?]. Schmerz (Berlin, Germany), 35(3), 172–178. https://doi.org/10.1007/s00482-021-00541-w

Chapron, C., Marcellin, L., Borghese, B., & Santulli, P. (2019). Rethinking mechanisms, diagnosis and management of endometriosis. Nature reviews. Endocrinology, 15(11), 666–682. https://doi.org/10.1038/s41574-019-0245-z

Czyzyk, A., Podfigurna, A., Szeliga, A., & Meczekalski, B. (2017). Update on endometriosis pathogenesis. Minerva ginecologica, 69(5), 447–461. https://doi.org/10.23736/S0026-4784.17.04048-5

Dovey, S., & Sanfilippo, J. (2010). Endometriosis and the adolescent. Clinical obstetrics and gynecology, 53(2), 420–428. https://doi.org/10.1097/GRF.0b013e3181dbdc61

Girão, M. J. B. C. et al. (2017). Tratado de Ginecologia. 1ed. São Paulo: Editora Atheneu, 2017.

Galo Marques Salomé, D., Barbosa Pires Braga, A. C., Moreira Lara, T., & Aparecido Caetano, O. (2020). Endometriose: epidemiologia nacional dos últimos 5 anos. Revista De Saúde, 11(2), 39–43. https://doi.org/10.21727/rs.v11i1.2427

Instituto Brasileiro de Geografia e Estatística. (2022). Projeção da população do Brasil e das Unidades da Federação. IBGE. https://www.ibge.gov.br/apps/populacao/projecao/index.html

Kiesel, L., & Sourouni, M. (2019). Diagnosis of endometriosis in the 21st century. Climacteric: the journal of the International Menopause Society, 22(3), 296–302. https://doi.org/10.1080/13697137.2019.1578743

Koninckx, P. R., Ussia, A., Adamyan, L., Wattiez, A., Gomel, V., & Martin, D. C. (2019). Pathogenesis of endometriosis: the genetic/epigenetic theory. Fertility and sterility, 111(2), 327–340. https://doi.org/10.1016/j.fertnstert.2018.10.013

Lete I. (2019). Endometriosis: Diagnosis and treatment. Endometriosis: diagnóstico y tratamiento. Medicina clinica, 152(12), 508–512. https://doi.org/10.1016/j.medcli.2019.01.005

Marconi, A. & Lakatos, E. M. (2021). Fundamentos de Metodologia Científica. 9ed. São Paulo: Editora Atlas, 2021.

Olšarová, K., & Mishra, G. D. (2020). Early life factors for endometriosis: a systematic review. Human reproduction update, 26(3), 412–422. https://doi.org/10.1093/humupd/dmaa002

Ottolina, J., Schimberni, M., Makieva, S., Bartiromo, L., Fazia, T., Bernardinelli, L., Viganò, P., Candiani, M., & Gentilini, D. (2020). Early-life factors, in-utero exposures and endometriosis risk: a meta-analysis. Reproductive biomedicine online, 41(2), 279–289. https://doi.org/10.1016/j.rbmo.2020.04.005

Podgaec, S., Schor, E., & Ribeiro, P. A. (2020). Coleção Febrasgo – Endometriose. 2ed. São Paulo: Editora GEN Guanabara Koogan, 2020.

Rolla E. (2019). Endometriosis: advances and controversies in classification, pathogenesis, diagnosis, and treatment. F1000Research, 8, F1000 Faculty Rev-529. https://doi.org/10.12688/f1000research.14817.1

Saunders, P., & Horne, A. W. (2021). Endometriosis: Etiology, pathobiology, and therapeutic prospects. Cell, 184(11), 2807–2824. https://doi.org/10.1016/j.cell.2021.04.041

Shafrir, A. L., Farland, L. V., Shah, D. K., Harris, H. R., Kvaskoff, M., Zondervan, K., & Missmer, S. A. (2018). Risk for and consequences of endometriosis: A critical epidemiologic review. Best practice & research. Clinical obstetrics & gynaecology, 51, 1–15. https://doi.org/10.1016/j.bpobgyn.2018.06.001

Sousa T. R., Queiroz A. P., Baron R. A., Sperandio F. F. (2015). Prevalência dos sintomas da endometriose: revisão sistemática. CES Med, 29(2), 211- 226. http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-87052015000200006&lng=en&tlng=pt.

Zondervan, K. T., Becker, C. M., & Missmer, S. A. (2020). Endometriosis. The New England journal of medicine, 382(13), 1244–1256. https://doi.org/10.1056/NEJMra1810764

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Published

12/11/2022

How to Cite

SANTOS, K. F. A. .; CUNHA, E. R. .; MENDES, L. E. B. .; RIBEIRO, A. A. .; ARAÚJO, S. R. M. .; PEREIRA, T. V. .; PEREIRA, E. F. C. .; PEREIRA, S. J. .; FRÓES, J. M. L. .; SOUZA, M. T. P. de . Epidemiological study of endometriosis in the State of Maranhão. Research, Society and Development, [S. l.], v. 11, n. 15, p. e137111537163, 2022. DOI: 10.33448/rsd-v11i15.37163. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/37163. Acesso em: 19 apr. 2024.

Issue

Vol. 11 No. 15

Section

Health Sciences

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Copyright (c) 2022 Katia Fernanda Araújo Santos; Euzite Rabelo Cunha; Liandra Ellen Barbosa Mendes; Andressa Almeida Ribeiro; Sandra Regina Machado Araújo; Thammyres Viegas Pereira; Elienay Fernando Costa Pereira; Samuel James Pereira; Jouse Maria Lima Fróes; Maria Tereza Pereira de Souza

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