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Sun L, Jiang Y, Gao H, He Y, Song P, Shen Q, Zhu L, Zhao Y, Yan S, Zhang X, Yu X, Grover S, Chan SS, Ma J, Yuan C. Patterns of Pediatric and Adolescent Gynecologic Problems in China: A Hospital-Based Retrospective Study of 97,252 Patients. J Pediatr Adolesc Gynecol 2022; 35:444-449. [PMID: 35143978 DOI: 10.1016/j.jpag.2022.01.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Revised: 12/31/2021] [Accepted: 01/23/2022] [Indexed: 11/26/2022]
Abstract
STUDY OBJECTIVE To describe the pattern and population characteristics of pediatric and adolescent gynecologic (PAG) problems in China DESIGN: A clinic-based retrospective study of gynecologic patients (aged 0-18 years) over a period of 13 years SETTING: Department of PAG in the Children's Hospital, Zhejiang University School of Medicine PARTICIPANT: The final analyses included 97,252 patients with gynecologic problems. INTERVENTIONS/METHODS Descriptive analysis was conducted to evaluate the pattern of PAG problems. MAIN OUTCOME MEASURES Spectrum of PAG problems RESULTS AND CONCLUSIONS: The number of first-visit PAG patients increased from 4,582 to 11,876 from 2006 to 2018. Overall, genital inflammation was the most common presentation (57.0%), followed by precocious puberty (18.2%). The disease pattern varied across age groups; the most common problems were genital inflammation for age 0-6 years, genital inflammation and precocious puberty for age 7-9 years, and consultation, genital inflammation, and menstrual disorders for age 10-18 years. Overall, genital inflammation, precocious puberty, consultation, and menstrual disorders were common issues for pediatric and adolescent patients with gynecologic problems in China.
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Affiliation(s)
- Liying Sun
- Department of Pediatrics and Adolescent Gynecology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China, 310000
| | - Yiran Jiang
- Department of Pediatrics and Adolescent Gynecology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China, 310000; School of Public Health, Zhejiang University School of Medicine, Hangzhou, China, 310000
| | - Huihui Gao
- Department of Pediatrics and Adolescent Gynecology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China, 310000
| | - Yusa He
- School of Public Health, Zhejiang University School of Medicine, Hangzhou, China, 310000
| | - Peige Song
- School of Public Health, Zhejiang University School of Medicine, Hangzhou, China, 310000
| | - Qiuxiang Shen
- Department of Pediatrics and Adolescent Gynecology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China, 310000
| | - Li Zhu
- Department of Pediatrics and Adolescent Gynecology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China, 310000
| | - Yonggen Zhao
- Department of Information System, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China, 310000
| | - Shiyu Yan
- Department of Pediatrics and Adolescent Gynecology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China, 310000; School of Public Health, Zhejiang University School of Medicine, Hangzhou, China, 310000
| | - Xi Zhang
- Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Beijing Office for Cancer Prevention and Control, Peking University Cancer Hospital & Institute, Beijing, China, 100142
| | - Xiaojin Yu
- School of Public Health, Dongnan University, Nanjing, China, 210000
| | - Sonia Grover
- Department of Paediatric and Adolescent Gynaecology, Royal Children's Hospital, Melbourne, Australia, 3052
| | - Symphorosa Sc Chan
- Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Hong Kong, China, 999077
| | - Jing Ma
- Department of Population Medicine, Harvard Medical School, Boston, Massachusetts, United States, 02215.
| | - Changzheng Yuan
- Department of Pediatrics and Adolescent Gynecology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China, 310000; School of Public Health, Zhejiang University School of Medicine, Hangzhou, China, 310000.
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