CLINICAL AND EPIDEMIOLOGICAL PROFILE OF WOMEN ASSISTED AT THE GYNECOLOGY AMBULATORY OF A UNIVERSITY IN SOUTHERN BRAZIL
DOI:
https://doi.org/10.53843/bms.v8i12.543Keywords:
Saúde da Mulher, Perfil Epidemiológico, prevalência, Assistência Integral à Saúde da Mulher, AmbulatórioAbstract
OBJECTIVE: To know the clinical and epidemiological profile of women treated at an outpatient school of gynecology, in addition to characterizing the consultations and verifying if there were changes in the profiles between the years analyzed.
METHODOLOGY: Cross-sectional analytical observational study through the analysis of medical records of a university outpatient clinic, in the second semesters of 2019 and 2020.
RESULTS: 291 women were included, with a mean age in years of 38.12 in 2019 and 40.46 in 2020. Of these, 46.4% had comorbidities, with a correlation between hypothyroidism and hyperthyroidism in 2020. In 2019, 65.9% had children, with an average of 2.49 children per patient, while in 2020, 75.2% had children with an average of 2.04 children. The use of oral contraceptives decreased from 29.9% in 2019 to 19.4% in 2020. Condom use was reported by 28.5% of patients in 2019 and 27.9% in 2020. As for mammography, 96% of the patients had performed it in the last 2 years and 93.6% had undergone oncotic colpocytology in the last 3 years. The most common complaints, according to age groups, were routine, pain, abnormal uterine bleeding and climacteric. The diagnoses were routine, candidiasis, vaginosis, climacteric, myoma and polycystic ovary syndrome (PCOS), with a greater presence of PCOS in 2020.
CONCLUSIONS: It was possible to identify the profile of the patients and characterize the consultations, observing a greater presence of PCOS, hyperthyroidism and hypothyroidism in 2020, with a decrease in the use of contraceptives that year, which is important to outline improvements in care for this population.
KEYWORDS: WOMEN'S HEALTH, GYNECOLOGY, EPIDEMIOLOGICAL PROFILE, PREVALENCE, AMBULATORY CARE.
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References
Instituto brasileiro de geografia e estatística (IBGE). Pesquisa Nacional de Saúde: 2019. [Internet]. Rio de Janeiro: IBGE. 2021 [citado em 23 out. 2022]. Disponível em: https://biblioteca.ibge.gov.br/index.php/biblioteca-catalogo?view=detalhes&id=2101846.
O’Neil A, Russell JD, Thompson K, Martinson ML, Peters SAE. The impact of socioeconomic position (SEP) on women’s health over the lifetime. Maturitas [Internet]. 2020 Out [citado em 24 out. 2022]; 140:1–7. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273147/#sec0080title. DOI: https://doi.org/10.1016/j.maturitas.2020.06.001
Morris, PJ. Women’s Health. North Carolina Medical Journal [Internet]. 2016 Nov [citado em 18 out. 2022]; 77 (6): 384–384. Disponível em: https://www.ncmedicaljournal.com/content/77/6/384.long. DOI: https://doi.org/10.18043/ncm.77.6.384
Souto K, Moreira MR. Política Nacional de Atenção Integral à Saúde da Mulher: protagonismo do movimento de mulheres. Saúde em debate [Internet]. 2021 Out [citado em 15 out. 2022]; 45: 832–846. Disponível em: https://www.scielo.br/j/sdeb/a/4JncpcMDZ7TQ9Hd7dkMPMpt/. DOI: https://doi.org/10.1590/0103-1104202113020
Viegas SM da F, Penna CM de M. O SUS é universal, mas vivemos de cotas. Ciência & saúde coletiva [Internet]. 2013 Jan [citado em 23 out. 2022]; 18: 181–190. Disponível em: https://www.scielo.br/j/csc/a/HGwSMhK9Gmn8XbRXDcFWYCz/?lang=pt DOI: https://doi.org/10.1590/S1413-81232013000100019
Buskwofie A, West GD, Clara CA. Uma Revisão do Câncer Cervical: Incidência e Disparidades. Clin Obstet Ginecol [Internet]. 2020 Abr [citado em 23 out. 2022]; 12 (2): 229-232. Disponível em: https://pubmed.ncbi.nlm.nih.gov/32278478/.
Rojas K, Stuckey A. Breast Cancer Epidemiology and Risk Factors. Journal of the national medical association [Internet]. 2016 Dez [citado em 23 out. 2022]; 59 (4): 651-672. Disponível em: https://pubmed.ncbi.nlm.nih.gov/27681694/. DOI: https://doi.org/10.1097/GRF.0000000000000239
Sales MC, et al. Características sociodemográficas e fatores importantes para a manutenção da saúde em mulheres. Revista Brasileira em Promoção da Saúde [Internet]. 2014 Dez [citado em 16 out. 2022]; 27 (4): 503–512. Disponível em: https://www.redalyc.org/articulo.oa?id=40840410010. DOI: https://doi.org/10.5020/18061230.2014.p503
Ministério da Saúde. Manual dos comitês de mortalidade materna [Internet]. Brasília, DF: 2015 [citado em 23 out. 2022]; 192. Disponível em: https://www.who.int/eportuguese/publications/Mulheres_Saude.pdf
Lodi CT, Sedlmaier MM, Barros FC. Perfil epidemiológico da mulher atendida em ambulatório ginecológico universitário. Revista interdisciplinar ciências médicas [Internet]. 2020 Set [citado em 23 out. 2022]; 3 (2): 03–09. Disponível em: http://revista.fcmmg.br/ojs/index.php/ricm/article/view/174/0
Cintra KA, França LF, Scalia M, Ferreira GM. Análise das principais queixas ginecológicas no ambulatório escola da Universidade de Franca e correlação com dados epidemiológicos. Revista eletrônica acervo saúde [Internet]. 2019 Abr [citado em 13 out. 2022]; 11 (9): 368. Disponível em: https://acervomais.com.br/index.php/saude/article/view/368 DOI: https://doi.org/10.25248/reas.e368.2019
Bueno, LC et al. Perfil clinico - epidemiológico das mulheres atendidas pelo serviço de ginecologia e obstetrícia em uma unidade básica de saúde no município de Mineiros- GO. Repositório institucional da FAMP [Internet]; 2019 [citado em 13 out. 2022]. 15p. Disponível em: https://repositorio.fampfaculdade.com.br/items/show/144
Lucà F, Abrignani MG, Parrini I, et al. Update on Management of Cardiovascular Diseases in Women. Journal Clinical Medicine [Internet]. 2022 Mar [citado em 26 out. 2022]; 11 (5): 1176. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8911459/ DOI: https://doi.org/10.3390/jcm11113086
Maciel GA. Epidemiologia da obesidade e suas implicações sobre a saúde global. In: Obesidade na mulher. São Paulo: Federação Brasileira das Associações de Ginecologia e Obstetrícia; 2019. [citado em 22 de out. 2022]; 1:1-8. Disponível em: https://www.febrasgo.org.br/media/k2/attachments/OrientaesZeZRecomendaesZ-ZObesidade.pdf
Leeners B, Geary N, Tobler PN, Asarian L. Ovarian hormones and obesity. Human reproduction update [Internet]. 2017 Mar [citado em 26 de out. 2022]; 23 (3): 300–321. Disponível em: https://doi.org/10.1093/humupd/dmw045 DOI: https://doi.org/10.1093/humupd/dmw045
Boaventura P, Macedo S, Ribeiro F, Jaconiano S, Soares P. Post-COVID-19 Condition: Where Are We Now?. Life (Basel) [Internet]. 2022 Abr [citado em 24 de out. 2022]; 12 (4): 517. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9029703/ DOI: https://doi.org/10.3390/life12040517
Lui DT, Lee CH, Chow WS, Lee AC, Tam AR, Fong CH, et al. Thyroid Dysfunction in Relation to Immune Profile, Disease Status, and Outcome in 191 Patients with COVID-19. The jornal of clinical endocrinology & metabolism. 2020 Nov [citado em 23 de out. 2022]; 106 (2): 926-935. Disponível em: https://academic.oup.com/jcem/article/106/2/e926/5952837?login=true DOI: https://doi.org/10.1210/clinem/dgaa813
Naques FS, Rezende JE, Souza VZ, Dair EL, Carloni MB. Perfil epidemiológico das pacientes ginecológicas do ambulatório escola de Franca: uma visão e análise de prontuários eletrônicos. Revista Eletrônica Acervo Saúde [Internet]. 2020 Mai [citado em 24 de out. 2022]; 12: 3240. Disponível em: https://acervomais.com.br/index.php/saude/article/view/3240/2030 DOI: https://doi.org/10.25248/reas.e3240.2020
IBGE. Coordenação de população e indicadores sociais Projeções da população: Brasil e unidades da federação: revisão 2018 [Internet]. Rio de Janeiro. 2018. [citado em 24 de out. 2022]; 40: 56p. Disponível em: https://biblioteca.ibge.gov.br/visualizacao/livros/liv101597.pdf
Ferreira ES Filho, Melo NR, Sorpreso IC, Bahamondes L, Simões RS, Soares JM Júnior, et al. Contraception and reproductive planning during the COVID-19 pandemic. Expert Review of Clinical Pharmacology [Internet]. 2020 Jun [citado em 24 de out. 2022]; t13 (6): 615–622. Disponível em: https://www.tandfonline.com/doi/full/10.1080/17512433.2020.1782738 DOI: https://doi.org/10.1080/17512433.2020.1782738
Lethaby A, Wise MR, Weterings MA, Rodriguez MB, Brown J. Contraceptivos hormonais combinados para sangramento menstrual intenso. Banco de Dados Cochrane de Revisões Sistemáticas [Internet]. 2019 Fev [citado em 24 de out. 2022]; Disponível em: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD000154.pub3/full?highlightAbstract=benefits%7Ccontracept%7Ccontraceptive%7Cbenefit%7Ccontraceptiv
Teede H, Tassone EC, Piltonen T, Malhotra J, Mol BW, Peña A, et al. Effect of the combined oral contraceptive pill and/or metformin in the management of polycystic ovary syndrome: A systematic review with meta-analyses. Clinical Endocrinology [Internet]. 2019 Mai [citado em 24 de out. 2022]; 91 (4): 479-489. Disponível em: https://onlinelibrary.wiley.com/doi/10.1111/cen.14013 DOI: https://doi.org/10.1111/cen.14013
Petrova D, Garcia-Retamero R. Effective Evidence-Based Programs For Preventing Sexually-Transmitted Infections: A Meta-Analysis. Current HIV research [Internet]. 2015 Mai [citado em 24 de out. 2022]; 13 (5): 432-8. Disponível em: https://pubmed.ncbi.nlm.nih.gov/26149164/ DOI: https://doi.org/10.2174/1570162X13666150511143943
Barazi H, Gunduru M. Mammography BI RADS Grading. Em: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 [citado em 23 de outubro de 2022]. Disponível em: http://www.ncbi.nlm.nih.gov/books/NBK539816/
Marmota MG, Altman DG, Cameron DA, Thompson SG, Dewar JA, Wilcox M. The benefits and harms of breast cancer screening: an independent review. British Journal of Cancer [Internet]. 2013 Jun [citado em 26 out. 2022]; 108 (11): 2205–2240. Disponível em: http://dx.doi.org/10.1038/bjc.2013.177 DOI: https://doi.org/10.1038/bjc.2013.177
Lee KA, Talati N, Oudsema R, Steinberger S, Margolies LR. BI-RADS 3: Current and Future [Internet]. 2018 Jan [citado em 26 out. 2022]; 6 (2): 5. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5787219/ DOI: https://doi.org/10.1007/s40134-018-0266-8
Wuerthner BA, Wallace MA. Cervical cancer: Screening, management, and prevention. The Nurse Practitioner [Internet]. 2016 Set [citado em 26 out. 2022]; 41 (9): 18–23. Disponível em: https://pubmed.ncbi.nlm.nih.gov/27513347/ DOI: https://doi.org/10.1097/01.NPR.0000490390.43604.5f
Dias AF, Pantalião AA, Duarte AO, Cnop AC, Martins CJ, Gomes MEA, et al. Polycystic ovary syndrome (PCOS): associated risk factors and observations in the Covid-19 pandemic. Brazilian Journal of Development [Internet]. 2022 Mai [citado em 26 out. 2022]; 8 (5):34331–34350. Disponível em: https://brazilianjournals.com/ojs/index.php/BRJD/article/view/47621 DOI: https://doi.org/10.34117/bjdv8n5-110
Azziz R. Polycystic Ovary Syndrome. Obstetrics & Gynecology [Internet]. 2018 Ago [citado em 26 out. 2022]; 132 (2): 321–236. Disponível em: https://pubmed.ncbi.nlm.nih.gov/29995717/ DOI: https://doi.org/10.1097/AOG.0000000000002698
Dydyk AM, Gupta N. Chronic Pelvic Pain. StatPearls [Internet]. 2022 Mai [citado em 26 out. 2022]. Disponível em: https://www.ncbi.nlm.nih.gov/books/NBK554585/
Kruszka PS, Kruszka SJ. Evaluation of acute pelvic pain in women. Am Fam Physician [Internet]. 2010 Jul [citado em 26 out. 2022]; 82 (2): 141-147. Disponível em: https://www.aafp.org/pubs/afp/issues/2010/0715/p141.html
Benetti-Pinto CL, Rosa-E-Silva ACJ, Yela DA, Soares Júnior JM. Abnormal Uterine Bleeding. Revista Brasileira Ginecologia Obstetrícia [Internet]. 2017 Jul [citado em 26 out. 2022]; 39 (7): 358–368. Disponível em: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0037-1603807 DOI: https://doi.org/10.1055/s-0037-1603807
Paladine HL, Desai UA. Vaginitis: Diagnosis and Treatment. Am Fam Physician [Internet]. 2018 Mar [citado em 26 out. 2022]; 97 (5): 321–329. https://pubmed.ncbi.nlm.nih.gov/29671516/
Hainer BL, Gibson MV. Vaginitis. Am Fam Physician [Internet]. 2011 Abr [citado em 26 out. 2022]; 83 (7): 807–815. Disponível em: https://www.aafp.org/pubs/afp/issues/2011/0401/p807.html
Santoro N, Roeca C, Peters BA, Neal-Perry G. The Menopause Transition: Signs, Symptoms, and Management Options. The Journal of Clinical Endocrinology & Metabolism [Internet]. 2021 Jan; [citado em 26 out. 2022]; 106 (1): 1–15. Disponível em: https://academic.oup.com/jcem/article/106/1/1/5937009?login=false DOI: https://doi.org/10.1210/clinem/dgaa764
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