Comorbidity profiles among women with postcoital bleeding

a nationwide health insurance database

Hsin Li Liu, Chuan Mei Chen, Lee Wen Pai, Yueh Juen Hwu, Horng Mo Lee, Yueh Chin Chung

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Purpose: Most of the existing studies on postcoital bleeding (PCB) in Western countries. To date, no study has focused on the various PCB-related comorbidities in Taiwan women. This work aims to analyze and compare the presence or absence of PCB among Taiwanese women with gynecological comorbidity. Methods: This study is a population-based retrospective cohort investigation. Outpatients with PCB after the index date were considered. A total of 2377 female patients with PCB (ICD-9 626.7) were identified using a nationwide outpatient sample from 2001 to 2010. For comparison, 7131 cases were randomly matched with the study group in terms of gender and age. Results: The PCB incidence rate was 39–59 cases/100,000 Taiwanese women, with mean age (±SD) of 36.74 ± 10.79 years, median age of 36 years, and mode age of 29 years. Women with PCB exhibited 1.47-fold risk of cervical dysplasia and 1.59-fold risk for malignant neoplasm of cervix. Young women with PCB showed high risk of cervical cancer. The most common benign diseases among PCB- related comorbidities were cervical erosion and ectropion (20.66%), followed by vaginitis and vulvovaginitis (19.18%). Comparison between PCB and non-PCB groups indicated several significant high-risk comorbidities including cervical polyps, cervical erosion, leukoplakia of cervix, intrauterine contraceptive device, cervicitis, vaginitis, menopause, dyspareunia, and vulvodynia. Conclusions: This study provides evidence that PCB-related comorbidities manifested benign diseases (51.58%), lower genital tract infection (46.11%), and cervical cancer (2.31%). Thus, healthcare providers must ensure that appropriate routine screening tests and counseling are given to women with PCB.

Original languageEnglish
Pages (from-to)935-941
Number of pages7
JournalArchives of Gynecology and Obstetrics
Volume295
Issue number4
DOIs
Publication statusPublished - Apr 1 2017

Fingerprint

Health Insurance
Comorbidity
Databases
Hemorrhage
Uterine Cervical Neoplasms
Vaginitis
Uterine Cervical Erosion
Outpatients
Vulvodynia
Vulvovaginitis
Ectropion
Uterine Cervicitis
Uterine Cervical Dysplasia
Reproductive Tract Infections
Leukoplakia
Dyspareunia
Intrauterine Devices
International Classification of Diseases
Menopause
Polyps

Keywords

  • Cervical dysplasia
  • Cervical erosion
  • Comorbidity
  • Gynecology infection
  • Postcoital bleeding

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynaecology

Cite this

Comorbidity profiles among women with postcoital bleeding : a nationwide health insurance database. / Liu, Hsin Li; Chen, Chuan Mei; Pai, Lee Wen; Hwu, Yueh Juen; Lee, Horng Mo; Chung, Yueh Chin.

In: Archives of Gynecology and Obstetrics, Vol. 295, No. 4, 01.04.2017, p. 935-941.

Research output: Contribution to journalArticle

Liu, Hsin Li ; Chen, Chuan Mei ; Pai, Lee Wen ; Hwu, Yueh Juen ; Lee, Horng Mo ; Chung, Yueh Chin. / Comorbidity profiles among women with postcoital bleeding : a nationwide health insurance database. In: Archives of Gynecology and Obstetrics. 2017 ; Vol. 295, No. 4. pp. 935-941.
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abstract = "Purpose: Most of the existing studies on postcoital bleeding (PCB) in Western countries. To date, no study has focused on the various PCB-related comorbidities in Taiwan women. This work aims to analyze and compare the presence or absence of PCB among Taiwanese women with gynecological comorbidity. Methods: This study is a population-based retrospective cohort investigation. Outpatients with PCB after the index date were considered. A total of 2377 female patients with PCB (ICD-9 626.7) were identified using a nationwide outpatient sample from 2001 to 2010. For comparison, 7131 cases were randomly matched with the study group in terms of gender and age. Results: The PCB incidence rate was 39–59 cases/100,000 Taiwanese women, with mean age (±SD) of 36.74 ± 10.79 years, median age of 36 years, and mode age of 29 years. Women with PCB exhibited 1.47-fold risk of cervical dysplasia and 1.59-fold risk for malignant neoplasm of cervix. Young women with PCB showed high risk of cervical cancer. The most common benign diseases among PCB- related comorbidities were cervical erosion and ectropion (20.66{\%}), followed by vaginitis and vulvovaginitis (19.18{\%}). Comparison between PCB and non-PCB groups indicated several significant high-risk comorbidities including cervical polyps, cervical erosion, leukoplakia of cervix, intrauterine contraceptive device, cervicitis, vaginitis, menopause, dyspareunia, and vulvodynia. Conclusions: This study provides evidence that PCB-related comorbidities manifested benign diseases (51.58{\%}), lower genital tract infection (46.11{\%}), and cervical cancer (2.31{\%}). Thus, healthcare providers must ensure that appropriate routine screening tests and counseling are given to women with PCB.",
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AB - Purpose: Most of the existing studies on postcoital bleeding (PCB) in Western countries. To date, no study has focused on the various PCB-related comorbidities in Taiwan women. This work aims to analyze and compare the presence or absence of PCB among Taiwanese women with gynecological comorbidity. Methods: This study is a population-based retrospective cohort investigation. Outpatients with PCB after the index date were considered. A total of 2377 female patients with PCB (ICD-9 626.7) were identified using a nationwide outpatient sample from 2001 to 2010. For comparison, 7131 cases were randomly matched with the study group in terms of gender and age. Results: The PCB incidence rate was 39–59 cases/100,000 Taiwanese women, with mean age (±SD) of 36.74 ± 10.79 years, median age of 36 years, and mode age of 29 years. Women with PCB exhibited 1.47-fold risk of cervical dysplasia and 1.59-fold risk for malignant neoplasm of cervix. Young women with PCB showed high risk of cervical cancer. The most common benign diseases among PCB- related comorbidities were cervical erosion and ectropion (20.66%), followed by vaginitis and vulvovaginitis (19.18%). Comparison between PCB and non-PCB groups indicated several significant high-risk comorbidities including cervical polyps, cervical erosion, leukoplakia of cervix, intrauterine contraceptive device, cervicitis, vaginitis, menopause, dyspareunia, and vulvodynia. Conclusions: This study provides evidence that PCB-related comorbidities manifested benign diseases (51.58%), lower genital tract infection (46.11%), and cervical cancer (2.31%). Thus, healthcare providers must ensure that appropriate routine screening tests and counseling are given to women with PCB.

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