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KMID : 0358420170600060579
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Korean Journal of Obstetrics and Gynecology
2017 Volume.60 No. 6 p.579 ~ p.586
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Comorbidity of gynecological and non-gynecological diseases with adenomyosis and endometriosis
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Choi Eun-Ji
Cho Seong-Beom
Lee Sa-Ra
Lim Young-Mi
Jeong Kyung-Ah
Moon Hye-Sung
Chung Hye-Won
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Abstract
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Objective: Adenomyosis and endometriosis are relatively common gynecological diseases that exhibit many common features. This study identified gynecological and non-gynecological diseases that exhibited comorbidity with adenomyosis and endometriosis in Korean women.
Methods: We used Health Insurance Review and Assessment data from 2009 to 2011 and searched for adenomyosis and endometriosis (coded as N80.1 and D25 in International Classification of Disease, 10th revision [ICD-10], respectively). We selected records from patients who had independent disease occurrences in each year, and comorbidities were estimated using Fisher's exact test. We computed each year's similarities and combined 3 years' results using Fisher's P-value summation method.
Results: A total of 61,516 patients' data were collected during the study period. The prevalence of adenomyosis and endometriosis were similar each year: 12.4% and 9.3% in 2009, 12.5% and 9.4% in 2010 and 13.3% and 9.1% in 2011, respectively. Meta-analysis revealed that 31 ICD-10 codes were significantly related with adenomyosis, and 44 ICD-10 codes were related with endometriosis. Gynecological diseases, such as leiomyoma and benign ovarian tumor, were significantly related to adenomyosis and endometriosis. Non-gynecological diseases, such as anemia and hypercholesterolemia, were also related to adenomyosis and endometriosis.
Conclusion: We must monitor for the presence of gynecological and non-gynecological diseases with co-morbidities during evaluations and follow-up of patients with adenomyosis or endometriosis.
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KEYWORD
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Adenomyosis, Anemia, Comorbidity, Endometriosis, Hypercholesterolemia
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