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The Influence of Living in Rural Areas on the Evolution and Management of Pediatric Ovarian Cystic Lesions: A Retrospective Study on a Cohort from South Eastern Romania

BACKGROUND: The incidence of ovarian cystic lesions (OCLs) in pediatric patients has been increasing in recent years. An early diagnosis is mandatory for a favourable prognosis but it depends on the primary medical care services and on the socioeconomic status of the patient. The present study aims...

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Autores principales: Stefanopol, Ioana Anca, Baroiu, Liliana, Chirila, Sergiu, Miulescu, Magdalena, Anghel, Lucreţia, Nechita, Luiza, Dinu, Ciprian Adrian, Stefanescu, Victorita, Bobeica, Carmen, Nechifor, Alexandru, Tatu, Alin Laurenţiu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9153997/
https://www.ncbi.nlm.nih.gov/pubmed/35655655
http://dx.doi.org/10.2147/IJGM.S368202
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author Stefanopol, Ioana Anca
Baroiu, Liliana
Chirila, Sergiu
Miulescu, Magdalena
Anghel, Lucreţia
Nechita, Luiza
Dinu, Ciprian Adrian
Stefanescu, Victorita
Bobeica, Carmen
Nechifor, Alexandru
Tatu, Alin Laurenţiu
author_facet Stefanopol, Ioana Anca
Baroiu, Liliana
Chirila, Sergiu
Miulescu, Magdalena
Anghel, Lucreţia
Nechita, Luiza
Dinu, Ciprian Adrian
Stefanescu, Victorita
Bobeica, Carmen
Nechifor, Alexandru
Tatu, Alin Laurenţiu
author_sort Stefanopol, Ioana Anca
collection PubMed
description BACKGROUND: The incidence of ovarian cystic lesions (OCLs) in pediatric patients has been increasing in recent years. An early diagnosis is mandatory for a favourable prognosis but it depends on the primary medical care services and on the socioeconomic status of the patient. The present study aims at assessing the prevalence and the age-specific frequencies of pediatric OCLs, as well as identifying disparities between subjects in the urban and the rural areas, in order to explore the extent to which OCLs occurrence, diagnosis, evolution and treatment differ in the case of patients living in rural areas. METHODS: A 3-year retrospective study was conducted between 2017 and 2019. All the female patients aged between 0 and 18 with OCLs ≥10 mm (N = 488), diagnosed and treated at “Sf.Ioan” Clinical Emergency Hospital for Children in Galaţi were included in the study. The Chi(2) test was used for comparing the distributions of frequencies, and the t-Student test was used for comparing the means of any two normally distributed variables. The statistical significance threshold (p) was set at 0.05. RESULTS: The prevalence of OCLs ≥10 mm was 14.85%, 47.13% of the subjects originating in rural area (p = 0.62). Different from the urban areas, the rural ones are characterised by a lower proportion of patients with BMI ≥25 (p = 0.002), larger OCLs mean size (p = 0.278), a more frequent complex aspect on ultrasonography (p = 0.01), and a smaller number of general physician referrals (p = 0.005). Moreover, a higher proportion of rural patients were intraoperatively diagnosed with OCLs (p = 0.044), had complicated OCLs (p = 0.012) and had their OCLs surgically treated OCLs (p < 0.01). CONCLUSION: Taking into consideration the socio-economic situation of south eastern Romania, patients living in rural areas have proven exposed to a higher risk of presenting with larger, complex and complicated OCLs, which most often require surgical treatment.
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spelling pubmed-91539972022-06-01 The Influence of Living in Rural Areas on the Evolution and Management of Pediatric Ovarian Cystic Lesions: A Retrospective Study on a Cohort from South Eastern Romania Stefanopol, Ioana Anca Baroiu, Liliana Chirila, Sergiu Miulescu, Magdalena Anghel, Lucreţia Nechita, Luiza Dinu, Ciprian Adrian Stefanescu, Victorita Bobeica, Carmen Nechifor, Alexandru Tatu, Alin Laurenţiu Int J Gen Med Original Research BACKGROUND: The incidence of ovarian cystic lesions (OCLs) in pediatric patients has been increasing in recent years. An early diagnosis is mandatory for a favourable prognosis but it depends on the primary medical care services and on the socioeconomic status of the patient. The present study aims at assessing the prevalence and the age-specific frequencies of pediatric OCLs, as well as identifying disparities between subjects in the urban and the rural areas, in order to explore the extent to which OCLs occurrence, diagnosis, evolution and treatment differ in the case of patients living in rural areas. METHODS: A 3-year retrospective study was conducted between 2017 and 2019. All the female patients aged between 0 and 18 with OCLs ≥10 mm (N = 488), diagnosed and treated at “Sf.Ioan” Clinical Emergency Hospital for Children in Galaţi were included in the study. The Chi(2) test was used for comparing the distributions of frequencies, and the t-Student test was used for comparing the means of any two normally distributed variables. The statistical significance threshold (p) was set at 0.05. RESULTS: The prevalence of OCLs ≥10 mm was 14.85%, 47.13% of the subjects originating in rural area (p = 0.62). Different from the urban areas, the rural ones are characterised by a lower proportion of patients with BMI ≥25 (p = 0.002), larger OCLs mean size (p = 0.278), a more frequent complex aspect on ultrasonography (p = 0.01), and a smaller number of general physician referrals (p = 0.005). Moreover, a higher proportion of rural patients were intraoperatively diagnosed with OCLs (p = 0.044), had complicated OCLs (p = 0.012) and had their OCLs surgically treated OCLs (p < 0.01). CONCLUSION: Taking into consideration the socio-economic situation of south eastern Romania, patients living in rural areas have proven exposed to a higher risk of presenting with larger, complex and complicated OCLs, which most often require surgical treatment. Dove 2022-05-27 /pmc/articles/PMC9153997/ /pubmed/35655655 http://dx.doi.org/10.2147/IJGM.S368202 Text en © 2022 Stefanopol et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Stefanopol, Ioana Anca
Baroiu, Liliana
Chirila, Sergiu
Miulescu, Magdalena
Anghel, Lucreţia
Nechita, Luiza
Dinu, Ciprian Adrian
Stefanescu, Victorita
Bobeica, Carmen
Nechifor, Alexandru
Tatu, Alin Laurenţiu
The Influence of Living in Rural Areas on the Evolution and Management of Pediatric Ovarian Cystic Lesions: A Retrospective Study on a Cohort from South Eastern Romania
title The Influence of Living in Rural Areas on the Evolution and Management of Pediatric Ovarian Cystic Lesions: A Retrospective Study on a Cohort from South Eastern Romania
title_full The Influence of Living in Rural Areas on the Evolution and Management of Pediatric Ovarian Cystic Lesions: A Retrospective Study on a Cohort from South Eastern Romania
title_fullStr The Influence of Living in Rural Areas on the Evolution and Management of Pediatric Ovarian Cystic Lesions: A Retrospective Study on a Cohort from South Eastern Romania
title_full_unstemmed The Influence of Living in Rural Areas on the Evolution and Management of Pediatric Ovarian Cystic Lesions: A Retrospective Study on a Cohort from South Eastern Romania
title_short The Influence of Living in Rural Areas on the Evolution and Management of Pediatric Ovarian Cystic Lesions: A Retrospective Study on a Cohort from South Eastern Romania
title_sort influence of living in rural areas on the evolution and management of pediatric ovarian cystic lesions: a retrospective study on a cohort from south eastern romania
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9153997/
https://www.ncbi.nlm.nih.gov/pubmed/35655655
http://dx.doi.org/10.2147/IJGM.S368202
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