Understanding diagnostic delay for endometriosis: A scoping review using the social-ecological framework.

IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Care for Women International Pub Date : 2024-10-17 DOI:10.1080/07399332.2024.2413056
Jodie Fryer, Amanda J Mason-Jones, Amie Woodward
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Abstract

Diagnostic delay for endometriosis is a well-established phenomenon. Despite this, little is known about where in the health care system these delays occur or why they occur. Our review is the first attempt to synthesize and analyze this international evidence. A systematic scoping review with a pre-specified protocol incorporated the literature on diagnostic delay for endometriosis using the social-ecological theoretical framework. Four databases (PubMed, MEDLINE, EMBASE, PsychINFO) were searched from inception to September 2023. The search yielded 403 studies, 23 of which met the inclusion criteria. Most were from high-income country researchers. The average diagnostic delay reported across studies was 6.8 years (range 1.5-11.4 years) but this masked the very wide differences reported between countries. Considering the impact on individuals and the health system, addressing diagnostic delay for endometriosis must remain a priority for researchers, health care providers and policy makers.

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了解子宫内膜异位症的诊断延迟:利用社会生态框架进行范围界定审查。
子宫内膜异位症的诊断延误是一个公认的现象。尽管如此,人们对这些延误发生在医疗系统的哪个环节或其原因知之甚少。我们的综述是对这些国际证据进行综合分析的首次尝试。我们采用社会生态学的理论框架,对有关子宫内膜异位症诊断延迟的文献进行了系统性的范围界定综述。检索了从开始到 2023 年 9 月的四个数据库(PubMed、MEDLINE、EMBASE、PsychINFO)。共检索到 403 项研究,其中 23 项符合纳入标准。大部分研究来自高收入国家的研究人员。各研究报告的平均诊断延迟时间为 6.8 年(范围为 1.5-11.4 年),但这掩盖了各国报告的巨大差异。考虑到对个人和医疗系统的影响,解决子宫内膜异位症诊断延迟问题必须继续成为研究人员、医疗服务提供者和政策制定者的优先事项。
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来源期刊
CiteScore
3.30
自引率
7.10%
发文量
91
期刊介绍: Health Care for Women International is a critically acclaimed, international publication that provides a unique interdisciplinary approach to health care and related topics that concern women around the globe. Published twelve times a year, Health Care for Women International includes the newest research, theories, and issues in the fields of public health, social science, health care practice, and health care policy. Scholars and practitioners address topics such as cultural differences, alternative lifestyles, domestic violence, public health issues associated with the aging of the population, maternal morbidity and mortality, infectious diseases, and a host of other gender-based ethical issues. The editor also encourages discussion topics, inviting readers to comment on articles that focus on specific aspects of health issue for women.
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