Assessment of PAG problems
Outpatient record information including patient number, name, age, date
of birth, telephone number, address, date of visit, diagnoses and the
patient category (first visit or subsequent visit) were recorded and
analyzed. All EMR information was extracted by one individual. Then the
data was independently reviewed by a second individual and a third
individual if necessary. Extensive assessment depending on first visit
and further consultation data, first diagnosis, second diagnosis, third
diagnosis, referral information, symptoms, admission to hospital,
treatment and follow-up situation were carried out by descriptive
analysis and interference analysis.
In the study, PAG problems were assessed based on the first diagnosis
among patients at their first clinical visit. Referring to
the
ICD-10 code for adult gynecology, all newly diagnosed patients were
selected as new data and divided into ten major categories: genital
inflammation (including vulva and vaginal abscess, vulvitis,
vulvovaginitis, lichen sclerous, labia adhesion, foreign body in
vagina), early puberty (including skeptical precocity, peripheral
precocious puberty, central precocious puberty), consultation of growth
and development, gynecological examination, menstrual disorder
(including
abnormal
uterine bleeding-ovulatory dysfunction (AUB-O), amenorrhea, ovarian
failure, dysmenorrhea, metabolic syndrome and polycystic ovary
syndrome), other endocrine problems (including abnormal development of
breast and accessory breast, growth retardation and dwarfism,
hypothalamic-pituitary lesion, congenital adrenal hyperplasia, sexual
dysplasia), genital trauma (including trauma from accident or fall,
etc.), masturbation syndrome, anomalies of the genital tract (including
hymen atresia, excessive hymen, vaginal atresia, oblique vaginal septum
syndrome, Mayer-Rokitansky- Küster-Hauser syndrome and so on) and ovary
and genital tumor (including ovarian neoplasms, postmenopausal
osteoporosis and vaginal neoplasms).