Burden of endometriosis in Canada: III-Medical and surgical treatment patterns
CANSAGE ePoster Library. Singh S. 09/26/19; 275253; eP-120
Sony Singh
Sony Singh
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Abstract
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Objective: To characterize treatment patterns among patients with self-reported diagnosis of endometriosis (EM) in Canada. Methods: An online cross-sectional survey was administered to females aged 18 to 49 who were members of the Survey Sampling International (SSI) and two partner panels in Canada between December 2018 and January 2019. The survey was comprised of a prevalence screener and an endometriosis-focused section. Self-reported treatment patterns among women reporting endometriosis diagnosis was analyzed descriptively.Results: Total number of respondents was 30,000 among whom; 2,004 reported endometriosis diagnosis (weighted prevalence of 7%). Among endometriosis patients, 34.2% indicated they were currently treated, 35.9% reported being treated in the past but not currently and 27.1% reported never being treated before. Among endometriosis patients who were treated in the past or currently, over-the-counter medications, contraceptive pills/patches, surgical procedures and prescription pain medications (e.g. cox-2 inhibitors) were used by 42%, 37.1%, 26.4%, and 19.1%, respectively prior to diagnosis and by 39.9%, 33%, 43.5% and 22.3% respectively, following diagnosis. Among women who reported receiving surgery for endometriosis, surgical ablation/excision (37.4%), removal of endometrioma (26%), ovarian cystectomy (24.1%), abdominal hysterectomy (22.2%) and laparotomy (22%) were the most commonly reported surgeries. Most commonly used first treatment for endometriosis were over-the-counter medications (28.9%), contraceptive pills/patches (15.8%), prescription pain medications like cox-2 inhibitors (7.1%) and prescription narcotics (4.2%). Conclusions: In Canada, medical management appears to the first line for endometriosis treatment followed by surgical options. Further analysis is needed to evaluate outcomes of treatment approaches.
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