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).