Spatial analysis of the distribution of endometriosis in northwestern Italy

Giuseppe Migliaretti, Migliaretti G, G Migliaretti, F Deltetto, Deltetto F, Francesco Deltetto, E M Delpiano, Delpiano EM, Elena Maria Delpiano, Bonino L, L Bonino, Luca Bonino, Paola Berchialla, P Berchialla, P Dalmasso, Paola Dalmasso, Cavallo F, Franco Cavallo, F Cavallo, Marco Camanni, Camanni M, M Camanni
Gynecologic and obstetric investigation · 2011 · vol. 73(2) , pp. 135–140 · doi:10.1159/000332367 · PMID:22104627 · W2037840697
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This study estimated the incidence of endometriosis in northwestern Italy, finding geographical variations in risk and suggesting a potential association with environmental factors in certain areas.

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Abstract

OBJECTIVE: The aim of this study is to estimate the incidence of endometriosis in a northwestern region of Italy. The potential sources of geographical variations in the incidence of endometriosis within the region are discussed. METHODS: The patients selected were women between 18 and 45 years of age, born and residing in Piedmont who had undergone medical or surgical treatment for endometriosis between 2000 and 2005. The data were obtained from official hospital discharge records. RESULTS: The number of women contributed to the study was 3,929. The age-standardized incidence rate of endometriosis was 81.8/100,000 patient-years (95% CI 79.1-84.2). The distribution of relative risks showed some areas with an increased rate of around 30% (southern and central Piedmont), while for other areas the disease risk was lower (southwestern Piedmont). These areas have greater exposure to environmental risk due to the presence of chemical pollutants. CONCLUSION: In order to achieve reliable data and good management of the disease, there is great need for national registers, as well as networks of excellence for the treatment of endometriosis. Our findings suggest that environmental factors may be associated with the development of the disease, but the observed results need to be cautiously interpreted in the context of ineligible biases.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Adolescent Adolescent Adult Adult Cohort Studies Cohort Studies Endometriosis Endometriosis Endometriosis Environmental Pollutants Environmental Pollutants Environmental Pollutants Female Female Humans Humans Incidence Incidence Italy

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (33)

Cited by (13)

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