Evidence map›Paper›PMID 36281527›Full record

ArticleWomen's health (London, England)

Endometriosis prevalence and incidence trends in a large population-based study in Catalonia (Spain) from 2009 to 2018.

Laura Medina-Perucha, Andrea Pistillo, Berta Raventós, Constanza Jacques-Aviñó, Jordina Munrós-Feliu, Cristina Martínez-Bueno, Carme Valls-Llobet, Francisco Carmona, Tomàs López-Jiménez, Georgina Pujolar-Díaz and 3 more

Abstract read
In one paragraph

Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
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  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Effects of Endometriosis on Anti-Müllerian Hormone.Journal of clinical medicine · 2025
    Article
  11. Article
  12. Consensus on Symptom Selection for Endometriosis Questionnaires: A Modified e-Delphi Study.BJOG : an international journal of obstetrics and gynaecology · 2025
    Article
  13. Article
  14. Endometriosis: time to think differently (and together).The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  15. Article
  16. Review
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Laura Medina-PeruchaFundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
Andrea PistilloFundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
Berta RaventósFundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
Constanza Jacques-AviñóFundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.ORCID 0000-0001-8506-780X
Jordina Munrós-FeliuAtenció a la Salut Sexual i Reproductiva (ASSIR) Muntanya/La Mina, Institut Català de la Salut, Barcelona, Spain.ORCID 0000-0001-6663-0943
Cristina Martínez-BuenoSexual and Reproductive Health Care Research Group (GRASSIR), University Institute in Primary Care Research Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain.
Carme Valls-LlobetCentro de Análisis y Programas Sanitarios (CAPS), Barcelona, Spain.
Francisco CarmonaInstitute Clinic of Gynecology, Obstetrics and Neonatology, Hospital Clinic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain.
Tomàs López-JiménezFundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
Georgina Pujolar-DíazFundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
Eva Flo ArcasAssociació d'Afectades d'Endometriosi de Catalunya (EndoCat), Barcelona, Spain.
Anna BerengueraFundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
Talita Duarte-SallesFundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.ORCID 0000-0002-8274-0357

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEndometriosis greatly impacts women's health and quality of life. However, research on the prevalence and incidence of endometriosis remains inconclusive. This study assesses time trends in the prevalence and incidence of endometriosis diagnoses in Catalonia (Spain) from 2009 to 2018, considering differences by age and socioeconomic status.

methodsPopulation-based cohort study using data from the Information System for Research in Primary Care (SIDIAP) database. Data were included from over 2.4 million women aged 15-55 years between 1 January 2006 and 31 December 2018.

resultsA total of 2,337,717 women were selected as the incident population; 0.7% had an endometriosis diagnosis. Median (interquartile range) age at diagnosis was 37 (32-43) years. Most women were European (92.3%) and lived in urban areas (73.6%). Overall prevalence of endometriosis consistently increased during the 2009-2018 period, and it was 1.24% in 2018. Trends were the highest for women with less socioeconomic deprivation and for the 35-44 years age group. Median incidence rates were 94.9 (92.6-102.9) per 100,000 women-years, being the highest in women aged 35-44 years throughout the whole study period. Overall, incidence increased between 2015 and 2017, and plateaued or decreased in 2018. Incidence rates in women from the most deprived and rural areas were lower, although incidence time trends by socioeconomic status were unclear.

conclusionHealthcare services and public health strategies need to be strengthened to ensure timely endometriosis diagnosis and treatment. Special attention should be given to the most affected populations and the social inequities of health.

Indexed as

EndometriosisAdultCohort StudiesFemaleHumansIncidencePrevalenceQuality of LifeSpainendometriosisepidemiologyincidenceprevalencesocial inequities of healthtime trendswomen

Identifiers

PMID36281527
PMCPMC9608029

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.