Hysterectomies frequency in a population affiliated to a public health insurer in Colombia; 2012 - 2016

Objectives To describe the frequency of hysterectomies of women affiliated to a public health insurance company in Colombia, segmented by five-year groups over a period of five years. Methods A retrospective dynamic cohort from a subsidized and public health insurance company was followed between 20...

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Autores:
Gomez de la Rosa, F
Alvis Zakzuk, J
Zakzuk Sierra, J
Salcedo Mejia, F
Alvis Zakzuk, NR
Faciolince Camargo, J
Marrugo Arnedo, C
De la Hoz Restrepo, F
Alvis Guzman, N
Tipo de recurso:
Article of journal
Fecha de publicación:
2018
Institución:
Corporación Universidad de la Costa
Repositorio:
REDICUC - Repositorio CUC
Idioma:
eng
OAI Identifier:
oai:repositorio.cuc.edu.co:11323/4713
Acceso en línea:
https://hdl.handle.net/11323/4713
https://repositorio.cuc.edu.co/
Palabra clave:
Frecuencia de las histerectomías de mujeres
Compañía pública de seguros de salud en Colombia
Frequency of women's hysterectomies
Health insurance company in Colombia
Rights
openAccess
License
Attribution-NonCommercial-ShareAlike 4.0 International
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network_name_str REDICUC - Repositorio CUC
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dc.title.spa.fl_str_mv Hysterectomies frequency in a population affiliated to a public health insurer in Colombia; 2012 - 2016
dc.title.translated.spa.fl_str_mv Frecuencia de histerectomías en una población afiliada a una aseguradora de salud pública en Colombia; 2012 - 2016
title Hysterectomies frequency in a population affiliated to a public health insurer in Colombia; 2012 - 2016
spellingShingle Hysterectomies frequency in a population affiliated to a public health insurer in Colombia; 2012 - 2016
Frecuencia de las histerectomías de mujeres
Compañía pública de seguros de salud en Colombia
Frequency of women's hysterectomies
Health insurance company in Colombia
title_short Hysterectomies frequency in a population affiliated to a public health insurer in Colombia; 2012 - 2016
title_full Hysterectomies frequency in a population affiliated to a public health insurer in Colombia; 2012 - 2016
title_fullStr Hysterectomies frequency in a population affiliated to a public health insurer in Colombia; 2012 - 2016
title_full_unstemmed Hysterectomies frequency in a population affiliated to a public health insurer in Colombia; 2012 - 2016
title_sort Hysterectomies frequency in a population affiliated to a public health insurer in Colombia; 2012 - 2016
dc.creator.fl_str_mv Gomez de la Rosa, F
Alvis Zakzuk, J
Zakzuk Sierra, J
Salcedo Mejia, F
Alvis Zakzuk, NR
Faciolince Camargo, J
Marrugo Arnedo, C
De la Hoz Restrepo, F
Alvis Guzman, N
dc.contributor.author.spa.fl_str_mv Gomez de la Rosa, F
Alvis Zakzuk, J
Zakzuk Sierra, J
Salcedo Mejia, F
Alvis Zakzuk, NR
Faciolince Camargo, J
Marrugo Arnedo, C
De la Hoz Restrepo, F
Alvis Guzman, N
dc.subject.spa.fl_str_mv Frecuencia de las histerectomías de mujeres
Compañía pública de seguros de salud en Colombia
Frequency of women's hysterectomies
Health insurance company in Colombia
topic Frecuencia de las histerectomías de mujeres
Compañía pública de seguros de salud en Colombia
Frequency of women's hysterectomies
Health insurance company in Colombia
description Objectives To describe the frequency of hysterectomies of women affiliated to a public health insurance company in Colombia, segmented by five-year groups over a period of five years. Methods A retrospective dynamic cohort from a subsidized and public health insurance company was followed between 2012-2016. An average of 2,034 annual hysterectomies were performed on an average population of 765,431 women. To calculate the incidence of hysterectomies, the number of events (hysterectomies) were taken from the procedures database performed by the insurer. Every procedure was identified through the unique procedure codes (CUPS) from Colombia. Risk of hysterectomies (number of hysterectomies / number of women) and hysterectomy rates (# of hysterectomies / 10,000 women-year) were calculated from the number of events identified and follow-up of the dynamic cohort. Results The cumulative incidence of hysterectomies was 0.002. The frequencies of hysterectomies on the population presented a normal distribution, where the highest number of hysterectomies performed during the five years was concentrated in women between 45-49 years (23.7%), followed by women between 40-44 (22.5% ). The hysterectomy rate for the age group of 45-49 was 98.9 per 10,000 women-year (95% CI 79.9-121.9) and for the 40-44 group was 91.5 per 10,000 women- year (95% CI: 75.5-102.1). The risk of hysterectomies in women aged 45-49 years was 1.009% (95% CI 0.84% -1.15%), while for the 40-44 group it was 0.93% (95% CI 0.82% -1.03%) during the period. Diagnoses that most generated these procedures were leiomyoma of the uterus without another specification (49.9%) and unspecified abnormal vaginal and uterine bleeding (11.6%). Conclusions Similar to other studies findings, hysterectomies were related mostly to leiomyomas diagnoses and were mostly concentrated in the group of 40 to 49 years.
publishDate 2018
dc.date.issued.none.fl_str_mv 2018
dc.date.accessioned.none.fl_str_mv 2019-05-27T13:57:05Z
dc.date.available.none.fl_str_mv 2019-05-27T13:57:05Z
dc.type.spa.fl_str_mv Artículo de revista
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dc.identifier.uri.spa.fl_str_mv https://hdl.handle.net/11323/4713
dc.identifier.instname.spa.fl_str_mv Corporación Universidad de la Costa
dc.identifier.reponame.spa.fl_str_mv REDICUC - Repositorio CUC
dc.identifier.repourl.spa.fl_str_mv https://repositorio.cuc.edu.co/
url https://hdl.handle.net/11323/4713
https://repositorio.cuc.edu.co/
identifier_str_mv Corporación Universidad de la Costa
REDICUC - Repositorio CUC
dc.language.iso.none.fl_str_mv eng
language eng
dc.relation.ispartof.spa.fl_str_mv https://doi.org/10.1016/j.jval.2018.04.979
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dc.publisher.spa.fl_str_mv Value in health 21
institution Corporación Universidad de la Costa
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spelling Gomez de la Rosa, FAlvis Zakzuk, JZakzuk Sierra, JSalcedo Mejia, FAlvis Zakzuk, NRFaciolince Camargo, JMarrugo Arnedo, CDe la Hoz Restrepo, FAlvis Guzman, N2019-05-27T13:57:05Z2019-05-27T13:57:05Z2018https://hdl.handle.net/11323/4713Corporación Universidad de la CostaREDICUC - Repositorio CUChttps://repositorio.cuc.edu.co/Objectives To describe the frequency of hysterectomies of women affiliated to a public health insurance company in Colombia, segmented by five-year groups over a period of five years. Methods A retrospective dynamic cohort from a subsidized and public health insurance company was followed between 2012-2016. An average of 2,034 annual hysterectomies were performed on an average population of 765,431 women. To calculate the incidence of hysterectomies, the number of events (hysterectomies) were taken from the procedures database performed by the insurer. Every procedure was identified through the unique procedure codes (CUPS) from Colombia. Risk of hysterectomies (number of hysterectomies / number of women) and hysterectomy rates (# of hysterectomies / 10,000 women-year) were calculated from the number of events identified and follow-up of the dynamic cohort. Results The cumulative incidence of hysterectomies was 0.002. The frequencies of hysterectomies on the population presented a normal distribution, where the highest number of hysterectomies performed during the five years was concentrated in women between 45-49 years (23.7%), followed by women between 40-44 (22.5% ). The hysterectomy rate for the age group of 45-49 was 98.9 per 10,000 women-year (95% CI 79.9-121.9) and for the 40-44 group was 91.5 per 10,000 women- year (95% CI: 75.5-102.1). The risk of hysterectomies in women aged 45-49 years was 1.009% (95% CI 0.84% -1.15%), while for the 40-44 group it was 0.93% (95% CI 0.82% -1.03%) during the period. Diagnoses that most generated these procedures were leiomyoma of the uterus without another specification (49.9%) and unspecified abnormal vaginal and uterine bleeding (11.6%). Conclusions Similar to other studies findings, hysterectomies were related mostly to leiomyomas diagnoses and were mostly concentrated in the group of 40 to 49 years.Los objetivos Describir la frecuencia de las histerectomías de mujeres afiliadas a una compañía pública de seguros de salud en Colombia, segmentadas por grupos de cinco años en un período de cinco años. Los metodos Entre 2012 y 2016, se realizó un seguimiento de una cohorte dinámica retrospectiva de una compañía de seguros de salud pública y subsidiada. Un promedio de 2,034 histerectomías anuales se realizaron en una población promedio de 765,431 mujeres. Para calcular la incidencia de histerectomías, el número de eventos (histerectomías) se tomó de la base de datos de procedimientos realizada por el asegurador. Cada procedimiento fue identificado a través de los códigos de procedimientos únicos (CUPS) de Colombia. El riesgo de histerectomías (número de histerectomías / número de mujeres) y tasas de histerectomía (número de histerectomías / 10,000 mujeres-año) se calcularon a partir del número de eventos identificados y el seguimiento de la cohorte dinámica. Resultados La incidencia acumulada de histerectomías fue de 0,002. Las frecuencias de histerectomías en la población presentaron una distribución normal, donde el mayor número de histerectomías realizadas durante los cinco años se concentró en mujeres entre 45-49 años (23.7%), seguido de mujeres entre 40-44 (22.5%). La tasa de histerectomía para el grupo de edad de 45-49 fue de 98.9 por 10,000 mujeres-año (95% CI 79.9-121.9) y para el grupo de 40-44 fue de 91.5 por 10,000 mujeres-año (95% CI: 75.5-102.1). El riesgo de histerectomías en mujeres de 45 a 49 años fue de 1.009% (IC 95%: 0.84% ​​-1.15%), mientras que para el grupo de 40-44 fue de 0.93% (IC 95% 0.82% -1.03%) durante el período. Los diagnósticos que más generaron estos procedimientos fueron leiomioma del útero sin otra especificación (49.9%) y sangrado vaginal y uterino anormal no especificado (11.6%). Conclusiones Al igual que en los hallazgos de otros estudios, las histerectomías se relacionaron principalmente con los diagnósticos de leiomiomas y se concentraron principalmente en el grupo de 40 a 49 años.Gomez de la Rosa, F-ade1ab75-051e-4dc5-b038-103e3b6260b4-0Alvis Zakzuk, J-c205d6d0-c415-44e1-be9d-cc0f767d6efd-0Zakzuk Sierra, J-cb72c842-f852-47df-b2ca-3c6d9273e22a-0Salcedo Mejia, F-1fb10e04-7865-4ca6-9881-94930923048a-0Alvis Zakzuk, NR-f13151ce-693c-4f42-8f8f-01765dbb970c-0Faciolince Camargo, J-22b48053-f929-440a-be7c-a5775d27cd0f-0Marrugo Arnedo, C-fbec2519-4534-4d1f-bcb1-5a5363e6dedf-0De la Hoz Restrepo, F-80aa1af5-ef82-4baa-835c-489bd882c684-0Alvis Guzman, N-2d13fafb-f99f-45da-90f0-c24f33bc4418-0engValue in health 21https://doi.org/10.1016/j.jval.2018.04.979Attribution-NonCommercial-ShareAlike 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Frecuencia de las histerectomías de mujeresCompañía pública de seguros de salud en ColombiaFrequency of women's hysterectomiesHealth insurance company in ColombiaHysterectomies frequency in a population affiliated to a public health insurer in Colombia; 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