RESUMO
A retrospective population-based study aimed to assess the incidence of endometriosis in the general population in Spain and in each of its autonomous communities. The authors used the incidence of diagnosed endometriosis in the minimum basic dataset at discharge in the national hospital discharge registry of Spain. This analysis was carried out with hospital data with a diagnosis of endometriosis (International Classification of Diseases (ICD)-9 code 617.xx and ICD-10 code N80.xx) and covered the period from 1 January 2014 to 31 December 2017 and a population of 12,775,911 women of reproductive age (15-54 years). The data were then analyzed at the national level and separately for each autonomous community. This nationwide Spanish study estimated the overall incidence of endometriosis among autonomous communities in Spain to be 16.1 per 10,000 women (range, 6.8 to 24). The mean age of the 20,547 women diagnosed with endometriosis during the study period was 36.8 ± 5.4 years. The types (proportions) of endometriosis were uterine (28.4%), tubo-ovarian (35.2%), peritoneal (8.1%), vesical (6.8%) and intestinal (3.2%) endometriosis. Further studies are needed to assess the reasons for the decrease in the observed incidence and for the significant differences in the regional incidence rates of this disease.
Assuntos
Endometriose , Adolescente , Adulto , Endometriose/epidemiologia , Feminino , Humanos , Incidência , Pessoa de Meia-Idade , Sistema de Registros , Estudos Retrospectivos , Espanha/epidemiologia , Adulto JovemRESUMO
El objetivo de este trabajo es visibilizar la relevancia de uno de los personajes que fueron víctimas del exilio científico tras la guerra civil española. Se trata de Antonio Chamorro Daza (Huesa, Jaén, 1903-Banyoles, Girona, 2003), un Profesor Ayudante de Clases prácticas de la Facultad de Medicina de Granada que, sorprendido en Berlín por la sublevación militar, posteriormente fue juzgado por el Tribunal para la Represión de la Masonería y el Comunismo e inhabilitado para el ejercicio profesional en España. Como refugiado político en París, formó parte de una élite de investigadores que volcaron sus esfuerzos en la investigación experimental sobre el origen hormonal del cáncer de mama, basándose en la llamada medicina de laboratorio, con notables hallazgos, reconocidos en el gran número de publicaciones en las que se les tuvo en cuenta. El grupo de trabajo estuvo dirigido por el médico francés Antoine Lacassagne, quien influyó decisivamente en el porvenir de Antonio Chamorro. (AU)
The objective of this work is to make visible the relevance of one of the characters who were victims of scientific exile after the Spanish civil war. This is Antonio Chamorro Daza, an Assistant Professor of Practical Classes of the Faculty of Medicine of Granada, who was surprised in Berlin by the military uprising, was subsequently tried by the Court for the Repression of Freemasonry and Communism and disabled for the professional exercise in Spain. As a political refugee in Paris, he was part of the elite of researchers who turned their efforts into experimental research on the hormonal origin of breast cancer, based on the so-called laboratory medicine, with remarkable findings, recognized in the large number of publications in those that were taken into account. The working group was led by the French doctor Antoine Lacassagne, who decisively influenced the future of Antonio Chamorro.(AU)
Assuntos
Humanos , Masculino , Neoplasias da Mama , História da Medicina , Educação Médica , EspanhaRESUMO
Objective: To establish the features of menstrual bleeding and their interindividual variations in a population of healthy women in Southern Andalusia, Spain. Material and methods: Observational, cross-sectional study of the Pictorial Blood Loss Assessment Charts (PABC) filled in by women aged between 12 and 50 years with spontaneous menstruation who were not taking estrogen-progestin contraceptives. The women were recruited at 2 educational institutions and a workplace in the city of Granada (Spain). Results: A total of 327 women participated, with a mean (SD) age of 30.36 (9.08) years. The results showed that the duration of bleeding was 5.09 (1.41) days and that this was age-related (p=0.002). The mean consumption of menstrual hygiene products was 20.39 (11.68) per menstruation, with a PBAC score of 192.33 (155.75). This was higher in older women (p=0.019) and in those with more days of bleeding (p=0.000); the PBAC score was higher than 100 in 231 cases (71%). Conclusions: Applying the PBAC in a sample of healthy women enabled us to conclude that in our region, a high percentage of women could be suffering from heavy menstrual bleeding, depending on their age and the duration of menstruation
Objetivo: Establecer las características del sangrado menstrual y sus variaciones interindividuales en una población de mujeres sanas del sur de Andalucía. Material y métodos: Estudio observacional, transversal de un PBAC (Pictorial Blood Loss Assessment Chart), cumplimentado por mujeres con menstruaciones espontáneas (edades entre 12 y 50 años), sin estar bajo los efectos de fármacos estro-progestagénicos, y captadas en dos centros educativos y en un centro de trabajo de Granada. Resultados: Participaron un total de 327 mujeres, con una media edad de 30 (DE 9,08) años. Se encontró que la duración de su sangrado era de 5,09 (DE 1,41) días y que ésta guardaba relación con la edad (p = 0,002). El consumo medio de Productos de Higiene Menstrual fue de 20,39 (DE 11,68) por menstruación, el PBAC score era de 192,33 (DE 155,75), siendo más elevado en las mujeres de más edad (p = 0,019) o en las que tenían más días de sangrado (p = 0,000); en 231 casos (71%) el PBAC score fue superior a 100. Conclusiones: Aplicando el PBAC, en una población de mujeres sanas, hemos podido constatar que en nuestro medio, un elevado porcentaje de las mismas podrían estar padeciendo sangrado menstrual abundante, en función de su edad y de la duración de la menstruación
