ANALYSIS OF THE STRUCTURE OF HOSPITALIZATION FOR GYNECOLOGICAL DISEASE IN ALMATY CITY
Introduction. Preserving and promoting women's health is a priority issue for health care leaders. As a woman ages, the prevalence of gynecological and somatic diseases increases. The gynecologic care delivery model revealed age-related differences in women's use of gynecologic care across different care settings.
The aim is to study the structure of the reasons for hospitalization of women with gynecological pathologies in hospitals in Almaty.
Materials and methods. We analyzed hospitalized cases associated with gynecological diseases in Almaty city from 2013 to 2023. Data were taken from the National Scientific Center for Health Development. In addition, statistical analysis was performed using the SPSS 13.0 program. To obtain more reliable results, statistical analysis was performed based on the monthly totals of each final variable. Linear regression was used to estimate the trajectories of the resulting variables over time. This analysis was used to estimate the change in the number of diseases compared to the change over time, by 5 years. Values of p less than 0.05 are considered statistically significant.
Results. The top of hospitalized cases with gynecological disease included uterine leiomyoma (D25) and female infertility (N97). Moreover, an increase in hospitalization is observed in female genital prolapse (N81) from 4.7% to 11.9%; benign ovarian neoplasm from 3.4% to 6.4% (D27). Forecast for the next five year shows that among women aged 18-39, uterine leiomyoma is likely to increase. Female infertility is expected to growth among young women, as well as an increase in female genital prolapse and benign ovarian tumors in all groups.
Conclusion: Globally the prevalence of gynecological pathologies is increasing over time, particularly in young reproductive women. Primary health care in Kazakhstan needs to strengthen efforts to prevent gynecological diseases and their risk factors throughout increasing of the health literacy among females as well as implementing young specific programs.
Kamila M. Fayzullina1, https://orcid.org/0000-0002-2031-9444
Bakhyt M. Sultanbekova2, https://orcid.org/0009-0007-9935-7243
Anuar D. Akhmetzhan1, https://orcid.org/0009-0009-7451-9706
Nazgul Akhtayeva1, https://orcid.org/0000-0002-0835-9814
Zaituna G. Khamidullina3, https://orcid.org/0000-0002-5324-8486
Karlygash N. Tazhibaeva2,4,1, https://orcid.org/0000-0003-4947-3717
Saya B. Zhorabek3, https://orcid.org/0000-0001-5327-234X
1 Asfendiyarov Kazakh National Medical University, Almaty, Republic of Kazakhstan;
2 Al-Farabi Kazakh National University, Almaty, Republic of Kazakhstan;
3 NCJSC «Astana Medical University», Astana, the Republic of Kazakhstan;
4 Almaty Regional Multidisciplinary Clinic, Almaty, Republic of Kazakhstan.
1. 17 Goals to Transform Our World. [Internet]. [cited 20.01.2024]. www.un.org/sustainabledevelopment/
2. Armour M., Lawson K., Wood A., Smith C.A., Abbott J. The cost of illness and economic burden of endometriosis and chronic pelvic pain in Australia: A national online survey // PLoS One. 2019. 14(10):e0223316. doi: 10.1371/journal.pone.0223316
3. Barber M.D., Maher C. Epidemiology and outcome assessment of pelvic organ prolapse // Int Urogynecol J. 2013. N 24(11). P. 1783–90. doi:10.1007/s00192-013-2169-9
4. Boivin J., Bunting L., Collins J.A., Nygren K.G. International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care // Hum Reprod. 2007. N 22(6). P. 1506-12. doi: 10.1093/humrep/dem046
5. Chang C.P., Chou C.L., Chou Y.C., Shao C.C., Su H.I., Chen T.J., Chou L.F., Yu H.C. et al. The ecology of gynecological care for women // Int J Environ Res Public Health. 2014. N 11(8). P. 7669-77. doi: 10.3390/ijerph110807669
6. Germain A. The global movement for sexual and reproductive health and rights: Intellectual underpinnings. In: Global Health and Security // Critical Feminist Perspectives. Routledge. 2018. P. 78–95.
7. Government Decree "On approval of the Concept of development of the maternal and child health service in the Republic of Kazakhstan for 2024-2030 "Every woman is every child" [Internet]. [cited 20.01.2024]. www.legalacts.egov.kz/npa/view?id=14641221
8. Government Decree of the Republic of Kazakhstan "On approval of the Concept of development of the maternal and child Health Service in the Republic of Kazakhstan for 2023-2030 "Every woman is every child"
9. Greene R., Stratton P., Cleary S.D., Ballweg M.L., Sinaii N. Diagnostic experience among 4,334 women reporting surgically diagnosed endometriosis // Fertil Steril. 2009. N.91. P. 32–9. doi: 10.1016/j.fertnstert.2007.11.020
10. Kao L.C., Tulac S., Lobo S., Imani B., Yang J.P., Germeyer A., Osteen K., Taylor R.N., Lessey B.A., Giudice L.C. Global gene profiling in human endometrium during the window of implantation // Endocrinology. 2002. N 143. P. 2119–2138. doi:10.1210/endo.143.6.8885
11. Lee M., Chung Y.J., Kim H.K., Hwang H., Park J.Y., Shin I., Kim C., Cho H.H., Kim M., Jung C.Y., Chae K.H., Kim S., Kim M.R. Estimated Prevalence and Incidence of Uterine Leiomyoma, and Its Treatment Trend in South Korean Women for 12 years: A National Population-Based Study // J Womens Health (Larchmt). 2021. N 30(7). P. 1038-1046. doi: 10.1089/jwh.2020.8398
12. Myers S.L., Baird D.D., Olshan A.F., Herring A.H., Schroeder J.C., Nylander-French L.A. et al. Self-report versus ultrasound measurement of uterine fibroid status // J Womens Health. 2012. N 21(3). P. 285–93. doi: 10.1089/jwh.2011.3008
13. Niska R., Bhuiya F., Xu J. National hospital ambulatory medical care survey: 2007 emergency department summary // Natl Health Stat Rep, 2010. N 6. P. 1–31.
14. Nygaard I., Barber M.D., Burgio K.L., Kenton K., Meikle S., Schaffer J. et al. Prevalence of symptomatic pelvic floor disorders in US women // JAMA. 2008. N 00(11). P. 1311–6. doi: 10.1001/jama.300.11.131
15. On approval of target groups of persons subject to screening studies, as well as the rules, scope and frequency of these studies, Order of the Acting Minister of Health of the Republic of Kazakhstan dated October 30, 2020 No. 174/2020.Registered with the Ministry of Justice of the Republic of Kazakhstan on November 2, 2020 No. 21572.
16. On approval of the standard for the organization of obstetric and gynecological care in the Republic of Kazakhstan, Order of the Minister of Health of the Republic of Kazakhstan dated August 26, 2021 No 92.
17. Prusova K., Churcher L., Tyler A., Lokugamage A.U. Royal College of Obstetricians and Gynaecologists guidelines: how evidence-based are they? // J Obstet Gynaecol, 2014. N. 34(8) P. 706-11. doi: 10.3109/01443615.2014.920794
18. Sisty J. Moshi Epidemiology in Gynecological Diseases р425-434 https://www.glowm.com/pdf/chap-33_moshi.pdf
19. Soliman A.M., Surrey E., Bonafede M., Nelson J.K., Castelli-Haley J. Real-World Evaluation of Direct and Indirect Economic Burden Among Endometriosis Patients in the United States // Adv Ther. 2018N 35(3). P. 408-423. doi:10.1007/s12325-018-0667-3
20. Stewart E.A., Cookson C.L., Gandolfo R.A., Schulze-Rath R. Epidemiology of uterine fibroids: a systematic review // BJOG. 2017. N 124(10). Р. 1501-1512. doi: 10.1111/1471-0528.14640
21. Summary: The concept of development of the maternal and child health service in the Republic of Kazakhstan for 2023-2030. [Internet]. [cited 20.01.2024]. www.legalacts.egov.kz/npa/view?id=14551727
22. Tahir F., Shahab M., Afzal M. Male reproductive health: an important segment towards improving reproductive health of a couple // Population Research and Policy Development in Pakistan. 2004. P. 227–48.
23. Tegerstedt G., Maehle-Schmidt M., Nyren O., Hammarstrom M. Prevalence of symptomatic pelvic organ prolapse in a Swedish population // Int Urogynecol J Pelvic Floor Dysfunct. 2005. N 16(6). P. 497–503. doi: 10.1007/s00192-005-1326-1
24. The Geneva Foundation for Medical Education and Research. Obstetrics, gynecology, andrology, sexual and reproductive health Español Gynecology Guidelines, reviews, epidemiology. (2023). [Internet]. [cited 20.01.2024].
25. van Mello N.M., Zietse C.S., Mol F., Zwart J.J., van Roosmalen J., Bloemenkamp K.W. et al. Severe maternal morbidity in ectopic pregnancy is not associated with maternal factors but may be associated with quality of care // Fertil Steril. 2012. N 97. P. 623–9. doi: 10.1016/j.fertnstert.2011.12.021
26. Wijeratne D., Fiander A. Gynaecological disease in the developing world: a silent pandemic // The Obstetrician & Gynaecologist, 2018. P. 237–244. doi.org/10.1111/tog.12515
27. World Health Organization. Endometriosis (2023). [Internet]. [cited 20.01.2024]. www.who.int/news-room/fact-sheets/detail/endometriosis
28. World Health Organization.`Astana Global Conference on Primary Health Care 2018. www.who.int/docs/default-source/primary-health/declaration/gcphc-declaration.pdf
29. Working group of ESGE, ESHRE, and WES; Keckstein J., Becker C.M., Canis M., Feki A., Grimbizis G.F., Hummelshoj L., Nisolle M., Roman H., Saridogan E., Tanos V., Tomassetti C., Ulrich U.A., Vermeulen N., De Wilde R.L. Recommendations for the surgical treatment of endometriosis. Part 2: deep endometriosis. Hum Reprod Open. 2020. doi: 10.1093/hropen/hoaa002
30. Wu J.M., Hundley A.F., Fulton R.G., Myers E.R. Forecasting the prevalence of pelvic floor disorders in U.S. Women: 2010 to 2050 // Obstet Gynecol. 2009. N 114(6). P. 1278-1283. doi: 10.1097/AOG.0b013e3181c2ce96
31. Wu J.M., Vaughan C.P., Goode P.S., Redden D.T., Burgio K.L., Richter H.E. et al. Prevalence and trends of symptomatic pelvic floor disorders in U.S. women // Obstet Gynecol. 2014. N 123(1). P. 141–8. doi:10.1097/AOG.0000000000000057
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Fayzullina K.M., Sultanbekova B.M., Akhmetzhan A.D., Akhtayeva N., Khamidullina Z.G., Tazhibaeva K.N., Zhorabek S.B. Analysis of the structure of hospitalization for gynecological disease in Almaty city // Nauka i Zdravookhranenie [Science & Healthcare]. 2024, (Vol.26) 1, pp. 71-77. doi 10.34689/SH.2024.26.1.009Related publications:
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