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Abstract:
BACKGROUND:Family history of pelvic organ prolapse among first-degree relatives is an established risk factor for pelvic organ prolapse; however, consideration of the constellation of family history extending to distant relationships allows for more accurate determination of risk and may improve pelvic organ prolapse risk prediction estimates. OBJECTIVE:To assess risk for pelvic organ prolapse treatment based on varying family histories of pelvic organ prolapse, including number and types of affected relatives, ages of relatives at POP treatment, and whether the family history is of maternal or paternal origin. STUDY DESIGN:This is a retrospective, population-based study that involves the Utah Population Database: a population resource that includes extensive genealogy information linked to medical records. The study population included 453,522 total females, 4,628 females with a diagnosis of treated (surgical or pessary) pelvic organ prolapse and their 15,530 first-degree relatives (FDR), 33,782 second-degree relatives, and 66,469 third-degree relatives. We estimated relative risk (RR) of treated pelvic organ prolapse based on specific family history constellations. RESULTS:Relative risk estimates increased with a family history of increasing numbers of treated first-degree relatives with pelvic organ prolapse (FDR≥1: RR=2.36, 95% CI (2.15-2.58); FDR≥2: RR=3.79 (2.65-5.24); and FDR≥3: RR=6.26 (1.29-18.30). Having a family history of three or more affected third-degree relatives (e.g. first cousins) and no affected first- or second-degree relatives was similar in risk to having one affected first-degree relative. Relative risk estimates decreased with increasing age of treatment for first-degree family members. Risks in individuals with a positive maternal family history for pelvic organ prolapse were consistently higher than risks in individuals with equivalent paternal family history, but paternal inheritance still played a role. Approximately 4% of the total, studied female population was found to have a greater than 2-fold risk of being treated for pelvic organ prolapse, and is considered high-risk based on their family history. CONCLUSIONS:We provide estimates for treated pelvic organ prolapse based on an extensive family history of pelvic organ prolapse using a large population-based sample. Risk for treated pelvic organ prolapse increased with increasing numbers of affected close and distant female relatives, earlier age of pelvic organ prolapse treatment in relatives, and maternal inheritance. These risk estimates may be useful for genetic studies and investigation of risk reduction strategies in those at highest risk for pelvic organ prolapse.
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最新影响因子:10.693 | 期刊ISSN:0002-9378 | CiteScore:3.5 |
出版周期:Monthly | 是否OA:YES | 出版年份:1920 |
期刊官方网址:http://www.ajog.org/
自引率:11.90% | 研究方向:医学-妇产科学 |
出版地区:UNITED STATES |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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The American Journal of Obstetrics and Gynecology, “The Gray Journal”, covers the full spectrum of Obstetrics and Gynecology. The aim of the Journal is to publish original research (clinical and translational), reviews, opinions, video clips, podcasts and interviews that will have an impact on the understanding of health and disease and that has the potential to change the practice of women's health care. An important focus is the diagnosis, treatment, prediction and prevention of obstetrical and gynecological disorders. The Journal also publishes work on the biology of reproduction, and content which provides insight into the physiology and mechanisms of obstetrical and gynecological diseases.
美国妇产科杂志,“灰色杂志”,涵盖了妇产科的所有领域。该杂志的目的是发表原创研究(临床和翻译)、评论、意见、视频剪辑、播客和访谈,这些将对健康和疾病的理解产生影响,并有可能改变妇女保健的做法。妇产科疾病的诊断、治疗、预测和预防是一个重要的研究重点。该杂志还出版了生殖生物学方面的著作,内容涉及妇产科疾病的生理学和机制。 好处的作者
大类(学科) | 小类(学科) | 学科排名 |
医学 |
OBSTETRICS & GYNECOLOGY (妇产科学) 1区 |
2/82 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
343 | 310 | 33 |
引文计数(2018)
文献(2015-2017)
6254次引用
1788篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Obstetrics and Gynecology
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#5/168
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liting7111
研究方向:妇产科
liting7111
研究方向:妇产科
审稿时间: 2个月内
liting7111
研究方向:妇科肿瘤
审稿时间: 2个月内 接受率: 比较困难(25%命中)
liting7111
研究方向:临床 流行病学 妇科学
审稿时间: 2个月内 接受率: 比较困难(25%命中)
liting7111
liting7111
研究方向:妇产科
审稿时间: 2个月内 接受率: 比较困难(25%命中)
影响因子:1.992
ISSN:1976-1457
研究方向:NUTRITION & DIETETICS-
影响因子:1
ISSN:0139-3006
研究方向:农林科学-食品科技
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研究方向:FOOD SCIENCE & TECHNOLOGY-NUTRITION & DIETETICS
影响因子:9.298
ISSN:1930-7381
研究方向:医学-内分泌学与代谢
影响因子:4.807
ISSN:1662-4025
研究方向:医学-内分泌学与代谢
影响因子:4.725
ISSN:2044-4052
研究方向:ENDOCRINOLOGY & METABOLISM-NUTRITION & DIETETICS
影响因子:1.417
ISSN:1575-0922
研究方向:-
影响因子:5.551
ISSN:0307-0565
研究方向:医学-内分泌学与代谢
影响因子:0.704
ISSN:0985-0562
研究方向:医学-内分泌学与代谢
发表一篇学和医学成像类SCI论文
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