Sears Christine L Gray, Wright Johnnie, O'Brien Jennie, Jezior James R, Hernandez Sandra L, Albright Todd S, Siddique Sohail, Fischer John R
National Institutes of Health/National Capital Consortium Fellowship Program, Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Walter Reed Army Medical Center, Washington, DC, USA.
J Urol. 2009 Jan;181(1):187-92. doi: 10.1016/j.juro.2008.09.035. Epub 2008 Nov 14.
We examined ethnic differences in female pelvic disorders in an equal access health care system.
An electronic medical record review was performed for patients with pelvic floor disorders at a military female pelvic medicine and reconstructive surgery division for a 1-year period. Primary diagnosis codes and patient reported race were reviewed.
Mean +/- SD cohort age was 55 +/- 16.3 years. A total of 720 patients were identified, of whom 68.8% were white and 18.6% were black. Pelvic organ prolapse was the primary diagnosis in 34.2% of the women, while 19.7% had stress urinary incontinence and 10.8% had urge urinary incontinence. There was no difference in the prevalence of prolapse between black and white women. However, of patients with incontinence there was a statistically significant difference with urge incontinence in more black women (51.2%) and stress incontinence in more white women (66.2%) (chi-square p <0.05).
There is a similar ethnic distribution of pelvic organ prolapse in an equal access health care system. Of women with incontinence there was a higher prevalence of urge urinary incontinence in black women and a higher prevalence of stress urinary incontinence in white women.
我们在一个平等获取医疗保健的系统中研究了女性盆腔疾病的种族差异。
对一家军事女性盆腔医学与重建外科部门的盆底疾病患者进行了为期1年的电子病历回顾。审查了主要诊断编码和患者报告的种族。
队列的平均年龄±标准差为55±16.3岁。共识别出720例患者，其中68.8%为白人，18.6%为黑人。盆腔器官脱垂是34.2%女性的主要诊断，而19.7%有压力性尿失禁，10.8%有急迫性尿失禁。黑人和白人女性之间脱垂的患病率没有差异。然而，在尿失禁患者中，黑人女性中急迫性尿失禁（51.2%）和白人女性中压力性尿失禁（66.2%）的比例存在统计学显著差异（卡方检验p<0.05）。
在平等获取医疗保健的系统中，盆腔器官脱垂的种族分布相似。在尿失禁女性中，黑人女性急迫性尿失禁的患病率较高，白人女性压力性尿失禁的患病率较高。
