Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden,
Department of Obstetrics and Gynecology in Norrköping, Linköping, Sweden,
Gynecol Obstet Invest. 2020;85(3):237-244. doi: 10.1159/000507326. Epub 2020 Apr 3.
Endometriosis is known for its substantial effect on women's wellbeing and quality of life. In order to evaluate disease burden, treatments and health services, assessments of healthcare consumption and cost estimates are necessary.
The aim of this study was to estimate healthcare consumption and annual cost per woman with endometriosis in Sweden and to examine healthcare consumption and costs in different age groups.
A questionnaire was distributed to 400 members of the Endometriosis Association and to 400 randomly selected women with surgically confirmed endometriosis. Official statistics were obtained via correspondence, publications, and database searches.
Analysis of the 431 returned questionnaires showed that women under 30 years utilized more inpatient and outpatient care than older women. The mean annual cost among all women was EUR 8,768/woman. The direct healthcare cost of managing the disease was EUR 4,282, while the indirect cost was EUR 4,486. Absence from work was reported by 32% of the women, while 36% reported reduced time at work because of endometriosis.
Our results confirm the substantial negative effect of endometriosis upon women's lives and their relatively high healthcare consumption.
子宫内膜异位症对女性的健康和生活质量有重大影响。为了评估疾病负担、治疗方法和卫生服务，需要评估卫生保健的消费和成本估算。
本研究旨在评估瑞典子宫内膜异位症患者的卫生保健消费和每位女性的年平均成本，并研究不同年龄组的卫生保健消费和成本。
向 400 名子宫内膜异位症协会成员和 400 名经手术证实患有子宫内膜异位症的随机选择的女性分发了一份问卷。通过信函、出版物和数据库搜索获取官方统计数据。
对 431 份返回的问卷进行分析显示，30 岁以下的女性比年龄较大的女性使用更多的住院和门诊护理。所有女性的年平均成本为 8768 欧元/人。管理该疾病的直接医疗保健成本为 4282 欧元，而间接成本为 4486 欧元。32%的女性报告缺勤，36%的女性因子宫内膜异位症减少了工作时间。
我们的结果证实了子宫内膜异位症对女性生活的重大负面影响，以及她们相对较高的卫生保健消费。
