ArticleInternational journal of environmental research and public health2025
Diagnostic Delays and Economic Burden in Japanese Women with Endometriosis: A Cross-Sectional Analysis.
Article in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThis study investigates the association between diagnostic delay (DD) and clinical and behavioral variables among Japanese women with endometriosis, and explores an optimal cut-off point distinguishing short and long DD.
methodsa cross-sectional online survey was conducted among 220 Japanese women aged 18-49 diagnosed with endometriosis. Data on healthcare behaviors, economic expenditures, and disease-specific outcomes were analyzed by stratifying participants based on DD length. Multivariate logistic regression models were applied.
resultsthe mean age at initial symptom onset was 24.3 years, and at diagnosis, 27.7 years. The median DD was 1.5 years, with significant differences between short and long DD groups (
conclusionsdiagnostic delays longer than 1.5 years may contribute to disease progression and reliance on self-management, potentially postponing medical consultation. Early intervention strategies, including screenings and public awareness, may promote timely healthcare-seeking behavior. Future studies should prioritize clinical assessments and early diagnosis to reduce the burden of advanced disease.
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