title: [Epidemiological data for uterine fibroids in France in 2010-2012 in medical center--analysis from the French DRG-based information system (PMSI)].
abstract: OBJECTIVE
  Uterine fibroids are a common disorder, responsible for menorrhagia/metrorrhagia and pelvic pain and remain the leading reason for hysterectomy in France. Although it is common disorder, French epidemiological data are locking. The objective of this study was to realize an epidemiological analysis from the medicalized information system program (PMSI).
  
  
  METHODS
  The diagnosis codes were selected from 10th version of the International Classification Disease. The medical procedures concerning uterine fibroids were selected (so called: procedures listed). A descriptive analysis was performed from hospitals stays, patients' characteristics and medical procedures (mean, standard distribution, median, range, quartile).
  
  
  CONCLUSIONS
  In 2012, 46,126 patients (median age: 46 years old) were admitted in hospital (public or private hospitals) due to uterine fibroid corresponding to 47,690 hospital stays (hospital stays for surgery: 32,397). Diagnosis of anemia was reported in approximately 8% of patients and 7.1% of patients hospitalized in 2012 had already been hospitalized between 2004-2012. The median length of hospital stay was 4 days. In 2012, 16,070 hospital stays were reported for total or subtotal hysterectomy, 16,384 hospitals stays for myomectomy and 1376 hospital stays for embolization. In terms of management care, among 46,126 patients with uterine fibroids (principal or related diagnosis), 31,846 patients received a procedure listed in a surgical diagnostic related groups (DRG).
  
  
  CONCLUSIONS
  To conclude, the study permits to update the epidemiological data concerning uterine fibroid management between 2010-2011-2012 in final. Because the PMSI collects partially information regarding epidemiological data, a clear epidemiological study is needed either with database from health insurance or with dedicated study.
authors.affiliation: Service de gynécologie-obstétrique, hôpital Bicêtre, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France; Inserm U1018, CESP « reproduction et développement de l'enfant », 82, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France; Université Paris Sud 11, 63, rue Gabriel-Péri, 94270 Le Kremlin-Bicêtre, France. Electronic address: herve.fernandez@bct.aphp.fr.
authors.forename: H
authors.initials: H
authors.lastname: Fernandez
authors.affiliation: Service de gynécologie-obstétrique, hôpital Tenon, 4, rue de la Chine, 75019 Paris, France.
authors.forename: N
authors.initials: N
authors.lastname: Chabbert-Buffet
authors.affiliation: Service de gynécologie-obstétrique, hôpital Bichat-Claude-Bernard, 46, rue Henri-Huchard, 75018 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Koskas
authors.affiliation: Service de gynécologie-obstétrique, hôpital Bicêtre, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France; Laboratoire de physique des interfaces et des couches minces, école polytechnique, 91128 Palaiseau, France.
authors.forename: A
authors.initials: A
authors.lastname: Nazac
mesh_terms: D000328:Adult; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D005260:Female; D005602:France / Q000453:epidemiology; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007889:Leiomyoma / Q000150:complications / Q000453:epidemiology* / Q000601:surgery; D008875:Middle Aged; D014594:Uterine Neoplasms / Q000150:complications / Q000453:epidemiology* / Q000601:surgery
keywords: Embolisation; Embolization; Fibrome utérin; Hospitalisation; Hospitalization; Hysterectomia; Hystérectomie; Information system databases; Léiomyome utérin; Myomectomia; Myomectomie; PMSI; Uterine fibroid; Uterine leiomyoma