Document Detail


Geographical distribution and demographic characteristics of gestational trophoblastic disease.
MedLine Citation:
PMID:  20795343     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To outline the geographical distribution pattern of gestational trophoblastic disease (GTD) in a referral center in Bahia, Brazil, and determine the demographics of the disease. STUDY DESIGN: We conducted a study of data retrieved from medical records of 140 GTD patients referred to our Trophoblastic Diseases Center in 2002-2007, assessing geographical distribution across health care districts, demographics, referral sources, and previous pregnancy status. RESULTS: The most common GTD types were hydatidiform mole (106, 75.7%), invasive mole (32, 22.9%), choriocarcinoma (1, 0.7%), and placental site trophoblastic tumor (1, 0.7%). GTD incidence was 8.5 in 1,000 deliveries. Most patients originated from the coastal region (East district), which includes the state capital (77.9%). The 20-34 age group predominated (65%). Education level (67.9% attended elementary school only) and employment rate (42.9%) were low. Secondary hospitals were the principal source of referral (84.3%), followed by self-referrals (15.7%). Regarding previous pregnancy status, 42.1% (n = 59) had had term pregnancy, 39.3% (n = 55) no pregnancy, 15% (n = 21) miscarriage, and 0.7% (n = 1) ectopic pregnancy; 4 patients (2.9%) had previous hydatidiform mole. CONCLUSION: GTD predominated in the peak fertility age group and among patients of unfavorable sociodemographic status.
Authors:
Patrícia Daniela Paranhos B Soares; Izildinha Maestá; Olívia Lúcia Nunes Costa; Rafael Cortés Charry; Adriano Dias; Marilza Vieira Cunha Rudge
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  55     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-08-27     Completed Date:  2010-09-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  305-10     Citation Subset:  IM    
Affiliation:
Trophoblastic Diseases Center, Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Distribution
Brazil / epidemiology
Child
Educational Status
Employment / statistics & numerical data
Female
Gestational Trophoblastic Neoplasms / epidemiology*
Humans
Incidence
Parity
Pregnancy
Uterine Neoplasms / epidemiology*
Young Adult

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