Patterns of Pediatric and Adolescent Gynecologic Problems in China: A Hospital-Based Retrospective Study of 97,252 Patients

In: Journal of Pediatric and Adolescent Gynecology · 2022 · vol. 35(4) , pp. 444–449 · doi:10.1016/j.jpag.2022.01.010 · PMID:35143978 · W4210358820
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This retrospective study analyzed gynecologic problems in 97,252 pediatric and adolescent patients across Chinese hospitals, identifying common patterns and conditions within this population.

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Abstract

Study objectiveTo describe the pattern and population characteristics of pediatric and adolescent gynecologic (PAG) problems in China DESIGN: A clinic-based retrospective study of gynecologic patients (aged 0-18 years) over a period of 13 years SETTING: Department of PAG in the Children's Hospital, Zhejiang University School of Medicine PARTICIPANT: The final analyses included 97,252 patients with gynecologic problems.Interventions/methodsDescriptive analysis was conducted to evaluate the pattern of PAG problems.Main outcome measuresSpectrum of PAG problems RESULTS AND CONCLUSIONS: The number of first-visit PAG patients increased from 4,582 to 11,876 from 2006 to 2018. Overall, genital inflammation was the most common presentation (57.0%), followed by precocious puberty (18.2%). The disease pattern varied across age groups; the most common problems were genital inflammation for age 0-6 years, genital inflammation and precocious puberty for age 7-9 years, and consultation, genital inflammation, and menstrual disorders for age 10-18 years. Overall, genital inflammation, precocious puberty, consultation, and menstrual disorders were common issues for pediatric and adolescent patients with gynecologic problems in China.

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