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DOI: 10.1055/s-0043-1770953
Pattern of Surgical Diseases Affecting Females in a Teaching Hospital in Central India: A Demographic Study

Abstract
Introduction Despite progress in eliminating the social and health disparity between men and women during the last century, gender equality remains an elusive goal, particularly in the developing world. This gender-based bias has been found to directly result into poor health outcome in females. Hence, it is vital to know the number and pattern of surgical diseases affecting females in any setup, so as to improve their admission rates and reach out to this neglected half of population.
Materials and Methods This was a demographic study done at a teaching hospital in Central India from January to June 2020. Data of patients discharged from female surgery ward were collected from medical record department. Age, diagnosis, urban–rural distribution, and length of hospital stay of patients were noted, and data were analyzed statistically.
Results A total of 187 patient records were studied, which revealed that the mean age of the patients was 40.35 years; maximum patients were of gastrointestinal surgery (53.42%) in which the most common diagnosis was cholelithiasis (25.13%). Urological diseases (15.50%), breast diseases (12.83%), perianal disease (9.09%), and thyroid diseases (5.34%) were found in decreasing order of frequency. Overall hospital stays of patients ranged from 1 to 14 days with average stay of 6.35 days.
Conclusion In our study, cholelithiasis was found to be the most common surgically treated disease followed by urological diseases. Breast symptoms, although commonly affecting females, did not turn into admissions as there remains a social taboo attached to it. Breast cancer still presents late, despite being the most common cancer in females in India. Approximately 65% patients were discharged within first 5 days of their admission, which indicates good hospital care and improves patient satisfaction levels. Still there is greater need for public health efforts to improve the monitoring, safety, and availability of surgical services to female patients.
Publication History
Received: 28 December 2020
Accepted: 26 May 2023
Article published online:
10 July 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 Ariana P, Arif N. An Introduction to the Human Development Capability Approach: Freedom and Agency. London: Earthscan; 2009: 228-245
- 2 Chatterjee A, Paily VP. Achieving Millennium Development Goals 4 and 5 in India. BJOG 2011; 118 (Suppl. 02) 47-59
- 3 Balarajan Y, Selvaraj S, Subramanian SV. Health care and equity in India. Lancet 2011; 377 (9764): 505-515
- 4 Raj A. Gender equity and universal health coverage in India. Lancet 2011; 377 (9766): 618-619
- 5 Jamison DT, Breman JG, Measham AR. et al, eds. Disease Control Priorities in Developing Countries, 2nd ed. Washington (DC): The International Bank for Reconstruction and Development/The World Bank/ Co-published by Oxford University Press; New York; 2006
- 6 Weiser TG, Regenbogen SE, Thompson KD. et al. An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet 2008; 372 (9633): 139-144
- 7 Johnston DE, Kaplan MM. Pathogenesis and treatment of gallstones. N Engl J Med 1993; 328 (06) 412-421
- 8 Lopis S. The incidence of cholelithiasis in the Bantu. Clin Proc (Cape Town) 1947; 6 (08) 338-347
- 9 Biss K, Ho KJ, Mikkelson B, Lewis L, Taylor CB. Some unique biologic characteristics of the Masai of East Africa. N Engl J Med 1971; 284 (13) 694-699
- 10 Mhamunkar SR, Bapat RD, Mahadik SP, Abhyankar BA. Epidemiological study of cholelithiasis: Indian context: BY. Accessed June 9, 2014 at: http://www.indian-doctor.com/papers/nutri/gallston.htm
- 11 Machoy P. Analytical evaluation of urinary calculi mineral composition [article in Polish]. Ann Acad Med Stetin 1995; 41: 259-271
- 12 Srivastava T, Alon US. Pathophysiology of hypercalciuria in children. Pediatr Nephrol 2007; 22 (10) 1659-1673
- 13 Scales Jr. CD, Curtis LH, Norris RD. et al. Changing gender prevalence of stone disease. J Urol 2007; 177 (03) 979-982
- 14 Lieske JC, Peña de la Vega LS, Slezak JM. et al. Renal stone epidemiology in Rochester, Minnesota: an update. Kidney Int 2006; 69 (04) 760-764
- 15 Bailey RR, Dann E, Greenslade NF, Little PJ, McRae CU, Utley WL. Urinary stones: a prospective study of 350 patients. N Z Med J 1974; 79 (516) 961-965
- 16 Caleffi M, Filho DD, Borghetti K. et al. Cryoablation of benign breast tumors: evolution of technique and technology. Breast 2004; 13 (05) 397-407
- 17 Murillo Ortiz B, Botello Hernández D, Ramírez Mateos C, Reynaga García FJ. [Benign breast diseases: clinical, radiological and pathological correlation]. Ginecol Obstet Mex 2002; 70: 613-618
- 18 Heuser L, Spratt JS, Polk Jr HC. Growth rates of primary breast cancers. Cancer 1979; 43 (05) 1888-1894
- 19 Kumar N, Prasad J. Epidemiology of benign breast lumps, is it changing: a prospective study. Int Surg J 2019; 6: 465-469
- 20 Ferlay J, Soerjomataram I, Dikshit R. et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 2015; 136 (05) E359-E386
- 21 Asthana S, Chauhan S, Labani S. Breast and cervical cancer risk in India: an update. Indian J Public Health 2014; 58 (01) 5-10
- 22 Khokhar A. Breast cancer in India: where do we stand and where do we go?. Asian Pac J Cancer Prev 2012; 13 (10) 4861-4866
- 23 Johanson JF, Sonnenberg A. The prevalence of hemorrhoids and chronic constipation. An epidemiologic study. Gastroenterology 1990; 98 (02) 380-386
- 24 Haas PA, Fox Jr TA, Haas GP. The pathogenesis of hemorrhoids. Dis Colon Rectum 1984; 27 (07) 442-450
- 25 Goligher J. Surgery of the Anus, Rectum and Colon, 5th ed. London, United Kingdom: Bailliere Tindal; 1984
- 26 Gangadharan P, Nair MK, Pradeep VM. Thyroid cancer in Kerala. In: Shah AH, Samuel AM, Rao RS. eds. Thyroid Cancer—An Indian Perspective. Mumbai: Quest Publications; 1999: 17-32
- 27 Gore RW, Pandey R, Gupta DO. Incidence of thyroid disorders in central India: retrospective analysis at rural tertiary care hospital. Galore Int J Health Sci Res 2019; 4 (04) 76-80
- 28 Bueno H, Ross JS, Wang Y. et al. Trends in length of stay and short-term outcomes among Medicare patients hospitalized for heart failure, 1993-2006. JAMA 2010; 303 (21) 2141-2147
- 29 Rotter T, Kinsman L, James E. et al. The effects of clinical pathways on professional practice, patient outcomes, length of stay, and hospital costs: Cochrane systematic review and meta-analysis. Eval Health Prof 2012; 35 (01) 3-27