Abstract
Endometriosis becomes an increasingly major health problem because of its prevalence (nearly one woman out of ten), multiple complications leading to a significant cost on the society. The cost of the disease is also the cost of its consequences which are the treatments of infertility and also the loss of productivity of women and their entourage that are not yet clearly identified. These consequences are more important when there is a delay in the diagnosis (the average delay of diagnosis is longer than 6 years), but the longer the period of diagnosis is, the more the disease will be detected in a more severe stage. The patients at this severe stage have more complications, requiring more expensive care, to which must be added the medical wandering and the inadequate treatment.The desire for a better knowledge and recognition of the disease has resulted in associative actions all around the world. The economic evaluation of health care, based on case studies, is an important tool to optimize the choices to improve the situation of the patients. This thesis is divided into five chapters : the first chapter attempts to elucidate framework of health economic evaluation and the evaluation of the social cost of illness. The second chapter focuses on the endometriosis disease in detail and the methodology used in the case studies presented in Chapter Three, Four and Five. The third chapter presents a multicenter study on the costs and quality of life of women suffering from symptoms associated with endometriosis in Europe. The fourth chapter is concerned with a prospective study on the societal cost of endometriosis in France. The fifth chapter is devoted to a retrospective study on the persistence of costs associated with endometriosis over time.This thesis shows the importance of endometriosis on the health care system in terms of cost (€ 10.6 billion per year) and illustrates the need to improve care in favor of earlier interventions and an earlier refer to competence centers. With constant efficiency, it is possible to estimate the cost reduction linked to a more productive policy. Improving the quality of diagnosis and management also maximizes the affected usefulness of women in terms of quality of life.
Full text
1,068 characters
· extracted from
oa-html
· click to expand
Making sure you're not a bot!
Loading...
You are seeing this because the administrator of this website has set up Anubis to protect the server against the scourge of AI companies aggressively scraping websites. This can and does cause downtime for the websites, which makes their resources inaccessible for everyone.
Anubis is a compromise. Anubis uses a Proof-of-Work scheme in the vein of Hashcash, a proposed proof-of-work scheme for reducing email spam. The idea is that at individual scales the additional load is ignorable, but at mass scraper levels it adds up and makes scraping much more expensive.
Ultimately, this is a placeholder solution so that more time can be spent on fingerprinting and identifying headless browsers (EG: via how they do font rendering) so that the challenge proof of work page doesn't need to be presented to users that are much more likely to be legitimate.
Please note that Anubis requires the use of modern JavaScript features that plugins like JShelter will disable. Please disable JShelter or other such plugins for this domain.
Text is read by the "Ask this paper" AI Q&A widget below.
Extraction quality varies by source — PMC NXML preserves structure
cleanly, OA-HTML may include some navigation residue, and OA-PDF can
have broken hyphenation. The publisher copy
is the canonical version.