Estimation of the rate of pelvic inflammatory disease diagnoses: trends in England, 2000-2008

Pelvic inflammatory disease (PID) is difficult to define and diagnose; therefore, a standardized methodology for identifying and monitoring PID diagnoses is required. We estimated the rate of PID in general practice in England, and investigated variations by definition of PID, time, age, and geograp...

Full description

Saved in:
Bibliographic Details
Published inSexually transmitted diseases Vol. 38; no. 3; p. 158
Main Authors French, Clare E, Hughes, Gwenda, Nicholson, Amanda, Yung, Mandy, Ross, Jonathan D, Williams, Tim, Soldan, Kate
Format Journal Article
LanguageEnglish
Published United States 01.03.2011
Subjects
Online AccessGet more information

Cover

Loading…
Abstract Pelvic inflammatory disease (PID) is difficult to define and diagnose; therefore, a standardized methodology for identifying and monitoring PID diagnoses is required. We estimated the rate of PID in general practice in England, and investigated variations by definition of PID, time, age, and geographical area. We analyzed the United Kingdom General Practice Research Database between 2000 and 2008. Definitions of "definite," "probable," and "possible" PID among female patients (aged 16 to 44 years) were determined according to medical codes that denoted diagnoses or symptoms indicative of PID. Diagnoses rates were calculated per 100,000 person-years (py). Trends were assessed using Poisson regression. The rate of clinical PID diagnoses was 281/100,000 py (95% confidence interval [95% CI]: 277-286) for definite cases; 326/100,000 py (95% CI: 321-331) for definite and probable cases; and 1117/100,000 py (95% CI: 1107-1126) for definite, probable, and possible cases. During 2000 to 2008, the rate of definite/probable PID decreased by 10.4% per year (95% CI: 9.7-11.1; P<0.001). Rates declined in all areas and among all age groups with greatest decline in women aged 16 to 19 years. Meanwhile, the rate of possible PID increased. The definition of PID used has a major effect on the rate and trends over time. There was heterogeneity in rates of definite/probable PID by age and region, but homogeneity with regard to a trend of declining rates. Ongoing monitoring of PID diagnoses, with standard case definitions, will contribute to the evaluation of chlamydia screening in England.
AbstractList Pelvic inflammatory disease (PID) is difficult to define and diagnose; therefore, a standardized methodology for identifying and monitoring PID diagnoses is required. We estimated the rate of PID in general practice in England, and investigated variations by definition of PID, time, age, and geographical area. We analyzed the United Kingdom General Practice Research Database between 2000 and 2008. Definitions of "definite," "probable," and "possible" PID among female patients (aged 16 to 44 years) were determined according to medical codes that denoted diagnoses or symptoms indicative of PID. Diagnoses rates were calculated per 100,000 person-years (py). Trends were assessed using Poisson regression. The rate of clinical PID diagnoses was 281/100,000 py (95% confidence interval [95% CI]: 277-286) for definite cases; 326/100,000 py (95% CI: 321-331) for definite and probable cases; and 1117/100,000 py (95% CI: 1107-1126) for definite, probable, and possible cases. During 2000 to 2008, the rate of definite/probable PID decreased by 10.4% per year (95% CI: 9.7-11.1; P<0.001). Rates declined in all areas and among all age groups with greatest decline in women aged 16 to 19 years. Meanwhile, the rate of possible PID increased. The definition of PID used has a major effect on the rate and trends over time. There was heterogeneity in rates of definite/probable PID by age and region, but homogeneity with regard to a trend of declining rates. Ongoing monitoring of PID diagnoses, with standard case definitions, will contribute to the evaluation of chlamydia screening in England.
Author French, Clare E
Nicholson, Amanda
Ross, Jonathan D
Soldan, Kate
Hughes, Gwenda
Williams, Tim
Yung, Mandy
Author_xml – sequence: 1
  givenname: Clare E
  surname: French
  fullname: French, Clare E
  email: clare.french.09@ucl.ac.uk
  organization: Microbiology and Epidemiology of STIs and HIV (MESH) Department, Health Protection Agency Centre for Infections, London, United Kingdom. clare.french.09@ucl.ac.uk
– sequence: 2
  givenname: Gwenda
  surname: Hughes
  fullname: Hughes, Gwenda
– sequence: 3
  givenname: Amanda
  surname: Nicholson
  fullname: Nicholson, Amanda
– sequence: 4
  givenname: Mandy
  surname: Yung
  fullname: Yung, Mandy
– sequence: 5
  givenname: Jonathan D
  surname: Ross
  fullname: Ross, Jonathan D
– sequence: 6
  givenname: Tim
  surname: Williams
  fullname: Williams, Tim
– sequence: 7
  givenname: Kate
  surname: Soldan
  fullname: Soldan, Kate
BackLink https://www.ncbi.nlm.nih.gov/pubmed/21311319$$D View this record in MEDLINE/PubMed
BookMark eNo1j9tKxDAYhIMo7kHfQCQPYNf8Sdqk3slSD7DgjV7KkjZ_1kqbrE0U9u2NqDDMNxfDwCzIsQ8eCbkAtgJWq-swfKxYy0CgAA2OcyfwiMyhFKqQJYcZWcT4zhhIzeCUzDgIyKrn5LWJqR9N6oOnwdH0hnQyCX_yHoevvqO9d4MZcyVMB2r7iCZiptn5EDHe0DShtzHXaON3g_H2inLGWJFNn5ETZ4aI539ckpe75nn9UGye7h_Xt5uik7VKheTW1BWCQdGhbSvtsIIOtbLYlU5YqTgTyrSWSamUKlthaueE4hpL54zmS3L5u7v_bEe02_2UP02H7f9P_g11k1bI
CitedBy_id crossref_primary_10_1371_journal_pone_0212292
crossref_primary_10_1016_j_gyobfe_2011_09_008
crossref_primary_10_1155_2014_350195
crossref_primary_10_1016_j_ijcard_2012_06_030
crossref_primary_10_1016_j_ijantimicag_2015_05_004
crossref_primary_10_1093_infdis_jiw178
crossref_primary_10_1177_0956462415598251
crossref_primary_10_1016_j_jiac_2014_04_001
crossref_primary_10_1007_s10096_017_2913_z
crossref_primary_10_1007_s00431_012_1786_5
crossref_primary_10_1097_EDE_0b013e31829e110e
crossref_primary_10_1056_NEJMra1411426
crossref_primary_10_1186_s12905_023_02214_5
crossref_primary_10_1177_1359105313476973
crossref_primary_10_1111_j_1600_0897_2011_01034_x
crossref_primary_10_1590_0037_8682_602_2020
crossref_primary_10_1177_0956462415618838
crossref_primary_10_2217_fmb_14_110
crossref_primary_10_1177_0956462415618837
crossref_primary_10_1097_OLQ_0b013e31824717ae
crossref_primary_10_3310_hta20220
crossref_primary_10_1017_S0950268816002065
crossref_primary_10_1136_bmjopen_2012_002007
crossref_primary_10_1016_j_disamonth_2021_101287
crossref_primary_10_1016_S1473_3099_17_30310_9
crossref_primary_10_1590_s1679_4974202100011_esp1
crossref_primary_10_1136_sextrans_2011_050205
crossref_primary_10_3389_fmicb_2021_729016
crossref_primary_10_1016_j_ijcard_2012_05_014
crossref_primary_10_1093_humrep_dev315
crossref_primary_10_1155_2020_5372839
crossref_primary_10_2807_1560_7917_ES_2017_22_5_30453
crossref_primary_10_15406_ogij_2021_12_00595
crossref_primary_10_1097_MOP_0000000000000183
crossref_primary_10_1016_S1470_2045_11_70351_5
crossref_primary_10_1111_j_1600_0897_2011_01103_x
crossref_primary_10_1136_sextrans_2015_052063
crossref_primary_10_1097_MD_0000000000002726
crossref_primary_10_1155_2014_601932
ContentType Journal Article
DBID CGR
CUY
CVF
ECM
EIF
NPM
DOI 10.1097/olq.0b013e3181f22f3e
DatabaseName Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
DatabaseTitleList MEDLINE
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod no_fulltext_linktorsrc
Discipline Medicine
EISSN 1537-4521
ExternalDocumentID 21311319
Genre Research Support, Non-U.S. Gov't
Journal Article
GeographicLocations England
GeographicLocations_xml – name: England
GrantInformation_xml – fundername: Department of Health
GroupedDBID ---
-ET
..I
.GJ
.XZ
.Z2
01R
0R~
123
1CY
1J1
354
40H
4Q1
4Q2
4Q3
53G
5RE
5VS
71W
77Y
7O~
AAAAV
AAAXR
AAGIX
AAHPQ
AAIQE
AAJCS
AAMOA
AAMTA
AAQKA
AARTV
AASCR
AASOK
AASXQ
AAUEB
AAWTL
AAXQO
AAYEP
ABASU
ABBHK
ABBUW
ABDIG
ABHFT
ABJNI
ABVCZ
ABXSQ
ABXVJ
ABZAD
ACCJW
ACDDN
ACEWG
ACGFO
ACGFS
ACILI
ACLDA
ACOAL
ACPRK
ACWDW
ACWRI
ACXJB
ACXNZ
ADACV
ADFPA
ADGGA
ADHPY
ADNKB
ADULT
AE3
AE6
AEBDS
AEETU
AEJYH
AENEX
AFDTB
AFEXH
AFFNX
AFRAH
AFSOK
AFUWQ
AGINI
AHMBA
AHOMT
AHQNM
AHVBC
AIJEX
AILCM
AINUH
AJIOK
AJNWD
AJNYG
AJZMW
AKULP
ALMA_UNASSIGNED_HOLDINGS
ALMTX
AMJPA
AMKUR
AMNEI
AOHHW
ASUFR
AWKKM
BKOMP
BOYCO
BQLVK
BS7
BYPQX
C45
CGR
CS3
CUY
CVF
DIWNM
DU5
DUNZO
E.X
EBS
ECM
EEVPB
EIF
EJD
ERAAH
EX3
F2M
F2N
F5P
FCALG
FL-
FRP
FW0
GNXGY
GQDEL
H0~
HLJTE
HZ~
IKREB
IKYAY
IN~
IPNFZ
JENOY
JF9
JG8
JK3
JK8
JKPJF
JPL
JPM
JSODD
JST
JVCUD
K8S
KD2
L-C
L7B
LMP
NPM
N~7
N~B
N~M
O9-
OAG
OAH
OBH
OCUKA
ODA
ODMTH
OHH
OHYEH
OK1
OLB
OLG
OLH
OLU
OLW
OLY
OPUJH
ORVUJ
OUVQU
OVD
OVDNE
OVIDH
OVLEI
OVOZU
OWU
OWV
OWW
OWZ
OXXIT
P-K
P2P
PQQKQ
R58
RIG
RLZ
RXW
S4R
S4S
SA0
T8P
TAE
TAF
TEORI
TR2
TSPGW
V2I
VVN
W2D
W3M
WH7
WOQ
WOW
X3V
X3W
XFW
XXN
XYM
YFH
YOC
ZFV
ZGI
ZXP
ZY1
ZZMQN
ID FETCH-LOGICAL-c497t-42da96e1ae3cedb68fe61ce87dec5f3d472037abd0447775b3a9ff3728e5ffa82
IngestDate Tue Oct 15 23:40:31 EDT 2024
IsDoiOpenAccess false
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 3
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c497t-42da96e1ae3cedb68fe61ce87dec5f3d472037abd0447775b3a9ff3728e5ffa82
OpenAccessLink https://doi.org/10.1097/olq.0b013e3181f22f3e
PMID 21311319
ParticipantIDs pubmed_primary_21311319
PublicationCentury 2000
PublicationDate 2011-03-01
PublicationDateYYYYMMDD 2011-03-01
PublicationDate_xml – month: 03
  year: 2011
  text: 2011-03-01
  day: 01
PublicationDecade 2010
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle Sexually transmitted diseases
PublicationTitleAlternate Sex Transm Dis
PublicationYear 2011
SSID ssj0014801
Score 2.2427802
Snippet Pelvic inflammatory disease (PID) is difficult to define and diagnose; therefore, a standardized methodology for identifying and monitoring PID diagnoses is...
SourceID pubmed
SourceType Index Database
StartPage 158
SubjectTerms Adolescent
Adult
Age Factors
England - epidemiology
Female
General Practice - trends
Humans
Pelvic Inflammatory Disease - classification
Pelvic Inflammatory Disease - diagnosis
Pelvic Inflammatory Disease - epidemiology
Regression Analysis
Time Factors
Young Adult
Title Estimation of the rate of pelvic inflammatory disease diagnoses: trends in England, 2000-2008
URI https://www.ncbi.nlm.nih.gov/pubmed/21311319
Volume 38
hasFullText
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3fSxwxEA5nhdIXqfaXbZU89LFr3U2yyfZNyqkI-qKCPohkdydt4fbuxC3F_hX9kzuzye4Fq6XKQViSJSyZL3OTmW8mjH0A66RxtkpqW24nMkurxFglE6HwLGbxhy2xLY7y_VN5cKbORqPfEWvpR1tuVb_uzCt5jFSxD-VKWbIPkOwwKXbgM8oXW5Qwtv8l4zHuz2aw-TqyoPVh_zlMUAUQ1Qol3vhIeojFkLuV2HWeDNcOnNhwnQeteZcITpSF2HQ97oozT27oVonpdfO9JVs1zBklkeD6-KjNhDhl4wVsvn7zGmnvJ0RuAEQi6t-Q9rXT2GjoPOihQ-y8ib0TaUTP2oJeo1JhdZ8G3atcYSJoiUh_pr6O-1963dcLnk2uFo7b1GWZExC_jss2bzpZZ1RFSHhl_O_RW9W2-6EltqQNXQVyRN6fEJWiUjt9-mWhP931OV1xaT_FrYNKZ7CcPGcr4aTBdzxsVtkIpmvs6WHgUrxgFwv08JnjiB5O6KFnjx4eo4cHSfMBPZ-5xw6-xgN2PvIBOS_Z6e745Mt-Ei7bSCpZ6Ba3aY0bE1ILooK6zI2DPK3A6Boq5UQtKV6vbVlvS6m1VqWwhXNCZwaUc9Zkr9iT6WwKbxjPlUMj0xT4Z2BkDVkpy0KpvFYWQFWFXGev_cJczn1Flct-yd7eO_KOPVvA6z1bdriFYQPtwbbc7IT0B4RjX18
link.rule.ids 780
linkProvider National Library of Medicine
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Estimation+of+the+rate+of+pelvic+inflammatory+disease+diagnoses%3A+trends+in+England%2C+2000-2008&rft.jtitle=Sexually+transmitted+diseases&rft.au=French%2C+Clare+E&rft.au=Hughes%2C+Gwenda&rft.au=Nicholson%2C+Amanda&rft.au=Yung%2C+Mandy&rft.date=2011-03-01&rft.eissn=1537-4521&rft.volume=38&rft.issue=3&rft.spage=158&rft_id=info:doi/10.1097%2Folq.0b013e3181f22f3e&rft_id=info%3Apmid%2F21311319&rft_id=info%3Apmid%2F21311319&rft.externalDocID=21311319