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Trends among patients with endometriosis over a 7-year period and the impact of the COVID-19 pandemic: experience from an academic high-level endometriosis centre in Germany

PURPOSE: Endometriosis is known to be an underestimated disease. Lately the awareness of the disease seems to have improved. Aim of this analysis is to provide an overview of the development of treatment of patients diagnosed with endometriosis. This includes a special scope on implications of the C...

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Autores principales: Keilmann, Lucia, Beyer, Susanne, Meister, Sarah, Jegen, Magdalena, Buschmann, Christina, Schröder, Lennard, Keckstein, Simon, Jeschke, Udo, Burges, Alexander, Mahner, Sven, Trillsch, Fabian, Kost, Bernd, Kolben, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9449266/
https://www.ncbi.nlm.nih.gov/pubmed/36068363
http://dx.doi.org/10.1007/s00404-022-06730-x
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author Keilmann, Lucia
Beyer, Susanne
Meister, Sarah
Jegen, Magdalena
Buschmann, Christina
Schröder, Lennard
Keckstein, Simon
Jeschke, Udo
Burges, Alexander
Mahner, Sven
Trillsch, Fabian
Kost, Bernd
Kolben, Thomas
author_facet Keilmann, Lucia
Beyer, Susanne
Meister, Sarah
Jegen, Magdalena
Buschmann, Christina
Schröder, Lennard
Keckstein, Simon
Jeschke, Udo
Burges, Alexander
Mahner, Sven
Trillsch, Fabian
Kost, Bernd
Kolben, Thomas
author_sort Keilmann, Lucia
collection PubMed
description PURPOSE: Endometriosis is known to be an underestimated disease. Lately the awareness of the disease seems to have improved. Aim of this analysis is to provide an overview of the development of treatment of patients diagnosed with endometriosis. This includes a special scope on implications of the COVID-19 pandemic since in multiple settings postponed treatments resulting in negative impact on prognosis were reported. MATERIALS AND METHODS: We analysed the development of numbers of patients treated for endometriosis in an academic centre within a 7-year period, 01/2015–12/2021, performing a systematic analysis of ICD-10-Codes from our computer system used in clinical routine. RESULTS: Treatment numbers increased over the past 7 years, i.e., 239 treated cases in 2015 vs. 679 in 2021. Following restrictions for outpatient evaluation and surgical capacity at our centre, during COVID-19 pandemic the numbers of treated patients were reduced, especially in the first lockdown period (03/22/2020–05/05/2020 vs. same period in 2019: outpatient clinic (9 vs. 36; p < 0.001), patients surgically treated (27 vs. 52; p < 0,001)). The comparison of 2020 to 2019 showed a reduction in April 2020 of − 37% in outpatient department and up to − 90% for surgically treated patients. Comparing to 2019, we found a reduction of surgical interventions in 2020 by − 9% and an increase by 83% in 2021. CONCLUSIONS: Raising numbers of patients treated for endometriosis point to a new awareness for the disease. After the decline during the lockdown period numbers raised again, leading to a delay, but not an omission of treatment. A certified endometriosis centre with established and well-organized structures is required to improve not only treatment results but also quality of life of those affected.
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spelling pubmed-94492662022-09-07 Trends among patients with endometriosis over a 7-year period and the impact of the COVID-19 pandemic: experience from an academic high-level endometriosis centre in Germany Keilmann, Lucia Beyer, Susanne Meister, Sarah Jegen, Magdalena Buschmann, Christina Schröder, Lennard Keckstein, Simon Jeschke, Udo Burges, Alexander Mahner, Sven Trillsch, Fabian Kost, Bernd Kolben, Thomas Arch Gynecol Obstet General Gynecology PURPOSE: Endometriosis is known to be an underestimated disease. Lately the awareness of the disease seems to have improved. Aim of this analysis is to provide an overview of the development of treatment of patients diagnosed with endometriosis. This includes a special scope on implications of the COVID-19 pandemic since in multiple settings postponed treatments resulting in negative impact on prognosis were reported. MATERIALS AND METHODS: We analysed the development of numbers of patients treated for endometriosis in an academic centre within a 7-year period, 01/2015–12/2021, performing a systematic analysis of ICD-10-Codes from our computer system used in clinical routine. RESULTS: Treatment numbers increased over the past 7 years, i.e., 239 treated cases in 2015 vs. 679 in 2021. Following restrictions for outpatient evaluation and surgical capacity at our centre, during COVID-19 pandemic the numbers of treated patients were reduced, especially in the first lockdown period (03/22/2020–05/05/2020 vs. same period in 2019: outpatient clinic (9 vs. 36; p < 0.001), patients surgically treated (27 vs. 52; p < 0,001)). The comparison of 2020 to 2019 showed a reduction in April 2020 of − 37% in outpatient department and up to − 90% for surgically treated patients. Comparing to 2019, we found a reduction of surgical interventions in 2020 by − 9% and an increase by 83% in 2021. CONCLUSIONS: Raising numbers of patients treated for endometriosis point to a new awareness for the disease. After the decline during the lockdown period numbers raised again, leading to a delay, but not an omission of treatment. A certified endometriosis centre with established and well-organized structures is required to improve not only treatment results but also quality of life of those affected. Springer Berlin Heidelberg 2022-09-07 2023 /pmc/articles/PMC9449266/ /pubmed/36068363 http://dx.doi.org/10.1007/s00404-022-06730-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle General Gynecology
Keilmann, Lucia
Beyer, Susanne
Meister, Sarah
Jegen, Magdalena
Buschmann, Christina
Schröder, Lennard
Keckstein, Simon
Jeschke, Udo
Burges, Alexander
Mahner, Sven
Trillsch, Fabian
Kost, Bernd
Kolben, Thomas
Trends among patients with endometriosis over a 7-year period and the impact of the COVID-19 pandemic: experience from an academic high-level endometriosis centre in Germany
title Trends among patients with endometriosis over a 7-year period and the impact of the COVID-19 pandemic: experience from an academic high-level endometriosis centre in Germany
title_full Trends among patients with endometriosis over a 7-year period and the impact of the COVID-19 pandemic: experience from an academic high-level endometriosis centre in Germany
title_fullStr Trends among patients with endometriosis over a 7-year period and the impact of the COVID-19 pandemic: experience from an academic high-level endometriosis centre in Germany
title_full_unstemmed Trends among patients with endometriosis over a 7-year period and the impact of the COVID-19 pandemic: experience from an academic high-level endometriosis centre in Germany
title_short Trends among patients with endometriosis over a 7-year period and the impact of the COVID-19 pandemic: experience from an academic high-level endometriosis centre in Germany
title_sort trends among patients with endometriosis over a 7-year period and the impact of the covid-19 pandemic: experience from an academic high-level endometriosis centre in germany
topic General Gynecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9449266/
https://www.ncbi.nlm.nih.gov/pubmed/36068363
http://dx.doi.org/10.1007/s00404-022-06730-x
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