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首页> 外文期刊>BMC Public Health >Female genital mutilation/cutting (FGM/C) coding capacities in Swiss university hospitals using the International Classification of Diseases (ICD)
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Female genital mutilation/cutting (FGM/C) coding capacities in Swiss university hospitals using the International Classification of Diseases (ICD)

机译:使用国际疾病分类(ICD)的瑞士大学医院编码容量(ICD)的女性生殖器肢解/切割(FGM / C)编码能力

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The real prevalence and incidence of women living with or at risk of female genital mutilation/cutting (FGM/C) is unknown in Switzerland and many parts of Europe, as there are no representative surveys similar to DHS or MICS for European countries. Indirect estimates are commonly used to estimate the number of women with FGM/C in high-income countries, but may not reflect the actual FGM/C prevalence among migrants. Direct measures may provide more accurate estimates that could guide policy- and clinical decision-making. Swiss hospital data may provide a sample of patients that can be used to describe the prevalence of FGM/C in Swiss hospitals. Our study assesses the number of inpatient women and girls in Swiss university hospitals from countries with high FGM/C prevalence, and of inpatients with a coded diagnosis of FGM/C. We conducted an exploratory descriptive study in Switzerland to assess the number of women and girls admitted to Swiss university hospitals between 2016 and 2018 from 30 FGM/C practicing?countries, as well as inpatients with a coded diagnosis of FGM/C using anonymized data. We calculated indirect estimates for inpatient women and girls living with or at risk of FGM/C and compared them with the number of inpatients with a coded diagnosis of FGM/C. 8720 women and girls from?FGM/C practicing countries were admitted. 207 patients had a coded diagnosis of FGM/C, including 7 with a nationality outside the 30 targeted countries, corresponding to an overall prevalence of 2.3% (95%CI, 2.0–2.6). The number of FGM/C cases by hospital was significantly different across years (P??0.001), with a higher proportion of cases collected in Geneva, Switzerland. The comparison between indirect estimates of inpatients with or at risk of FGM/C and the low number of FGM/C cases coded, suggests low recording and coding capacities of FGM/C. The capacity of coding primary and secondary diagnosis of FGM/C in Swiss university hospitals seems low. Protocol number: 2018–01851: SwissEthics Committee, Canton of Geneva, Switzerland.
机译:瑞士和欧洲许多部分的妇女与女性生殖器残肢/切割(FGM / C)的真正患病率和发生率是未知的,因为没有类似的代表调查与欧洲国家的DHS或MICS类似。间接估计通常用于估算高收入国家/地区的妇女人数,但可能不会反映移民之间的实际FGM / C流行。直接措施可以提供更准确的估计,可以指导政策和临床决策。瑞士医院数据可以提供可用于描述瑞士医院中FGM / C的患病率的患者样本。我们的研究评估了瑞士大学医院的住院妇女和女孩的人数,从患有高FGM / C流行,住院患者进行编码诊断的FGM / C.我们在瑞士进行了一项探索性描述性研究,以评估2016年至2018年间的瑞士大学医院的妇女和女孩的人数从30个FGM / C练习?国家,以及使用匿名数据的FGM / C编码诊断的住院患者。我们计算了住院性女性和女性的间接估计,其患有FGM / C的风险,并将其与住院患者的数量进行比较,编码诊断为FGM / C. 8720名妇女和女孩来自?CGM / C练习国家。 207例患者对FGM / C的编码诊断,包括7个目标国家以外的国籍,对应于2.3%的总体患病率(95%CI,2.0-2.6)。跨年(P?& <0.001)的医院的FGM / C病例数量显着不同,瑞士日内瓦收集的案例比例较高。具有FGM / C风险与患有FGM / C风险和较少的FGM / C案例编码风险的间接估计的比较表明FGM / C的记录低记录和编码能力。瑞士大学医院中FGM / C编码和二次诊断的能力似乎很低。议定书号:2018-01851:瑞士日内瓦州的士气委员会。

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