Analyse des traitements chirurgicaux conservateurs des pathologies de l’endomètre en France de 2008 à 2010 dans les établissements de santé. Analyse des données du programme médicalisé des systèmes d’information (PMSI)

H. Fernandez, Vincent Villefranque, P. Panel
In: Journal de Gynécologie Obstétrique et Biologie de la Reproduction · 2015 · vol. 44(5) , pp. 411–418 · doi:10.1016/j.jgyn.2015.01.009 · PMID:25721347 · W35467345
article OA: closed CC0
View on OpenAlex View on PubMed View at publisher

Abstract

ObjectiveTo evaluate the conservative surgical treatment for abnormal uterine bleeding from the Medicalized Information System Program (PMSI).Materials and methodsThe diagnosis codes were selected from 10th version of the international classification disease. A transversal and longitudinal descriptive analysis was performed from hospital stays, patient's characteristics, medical procedures between 2008-2010.ResultsNineteen thousand six hundred and seventy-nine patients were admitted in hospital (public or private) for treatment of abnormal uterine bleeding. Endometrial ablation increased by 16,7%, 10.2% for first generation technique (G1) and 63.5% for second generation techniques (G2). G2 were used in 15% of indications. The median age was respectively 45.2±6.4 years old versus 45.8±4.9 years old for G2. The median length of hospital stay was 1.6 ±1with 69% of patients in ambulatory care. The likelihood to have a hysterectomy in the 3 years follow-up was higher after G1 than G2 treatments (P=0.0034) for the patients above 40 years old. In longitudinal study, defined only by endometrial hyperplasia, 11,532 patients were included and only 8.2% had been treated by G2.ConclusionIn spite of the international guidelines since 2008, 85% of patients treated with first generation surgical technique. The failure rate defined by a re-ablation or a hysterectomy is higher after G1. This result must be discussed in relationship with cost effective aspects.

My notes (saved in your browser only)

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (4)

References (19)

Source provenance

openalex
last seen: 2026-05-11T06:42:59.773506+00:00
License: CC0 · commercial use OK