Exploring pre-diagnosis hospital contacts in women with endometriosis using ICD-10: a Danish case-control study.

Study Question: How does pre-diagnosis use of hospital care differentiate between women later diagnosed with endometriosis and age-matched controls without a diagnosis?

Summary Answer: Women with hospital-diagnosed endometriosis had more frequent hospital contacts in the 10 years leading up to the diagnosis compared to women without a diagnosis of endometriosis, and the contacts were related to registered diagnoses in nearly all of the included ICD-10 chapters for the entire period.

What Is Known Already: Only a few studies have investigated the utilization of health care among women with endometriosis in the time before diagnosis, but current research shows that women with endometriosis have a higher utilization compared to women without diagnosed endometriosis. To our knowledge, no study has investigated the type of contact related to the higher utilization by using the ICD-10 diagnoses registered to the hospital contact.

The Achieving Self-directed Integrated Cancer Aftercare Intervention for Detection of Recurrent and Second Primary Melanoma in Survivors of Melanoma: Pilot Randomized Controlled Trial.

Background: Melanoma is common with increasing incidence. Guidelines recommend monthly total skin self-examinations (TSSEs) by survivors to detect recurrent and new primary melanomas. TSSE is underperformed despite evidence of benefit.

Risk of melanoma in women with endometriosis: A Scottish national cohort study.

Objective: To explore the risk of melanoma in women with endometriosis.

Study Design: A retrospective cohort study using Scottish national population-based data was conducted. The study comprised 281,937 women with nearly 5 million person years (4,923,628) of follow up from 1981 to 2010.

Urban-rural and socioeconomic status: Impact on multimorbidity prevalence in hospitalized patients.

Objective: The aim of this study was to describe multimorbidity prevalence in hospitalized adults, by urban-rural area of residence and socioeconomic status (SES).

Methods: Linked hospital episode data were used. Adults (≥18 years) admitted to hospital as an inpatient during 2014 in Grampian, Scotland, were included.

The impact of third- or fourth-degree perineal tears on the second pregnancy: A cohort study of 182,445 Scottish women.

This study aimed to investigate the reproductive impact of a third- or fourth-degree tear in primigravid women. A retrospective population-based cohort study was conducted using data from Scottish Morbidity Records (SMR02). Primigravid women with a vaginal birth in Scotland from 1997 until 2010 were included.

Measuring multimorbidity in hospitalised patients using linked hospital episode data: comparison of two measures.

Introduction: Multimorbidity is a complex and growing health challenge. There is no accepted "gold standard" multimorbidity measure for hospital resource planning, and few studies have compared measures in hospitalised patients.

Aim: To evaluate operationalisation of two multimorbidity measures in routine hospital episode data in NHS Grampian, Scotland.

Pointers to earlier diagnosis of endometriosis: a nested case-control study using primary care electronic health records.

Background: Endometriosis is a condition with relatively non-specific symptoms, and in some cases a long time elapses from first-symptom presentation to diagnosis.

Aim: To develop and test new composite pointers to a diagnosis of endometriosis in primary care electronic records.

Design And Setting: This is a nested case-control study of 366 cases using the Practice Team Information database of anonymised primary care electronic health records from Scotland.

Impact of endometriosis on risk of further gynaecological surgery and cancer: a national cohort study.

Objective: To evaluate the long-term risk of further gynaecological surgery and cancer in women with endometriosis.

Design: Cohort study.

Setting: Scotland.

Long term effects of gestational hypertension and pre-eclampsia on kidney function: Record linkage study.

Objective: To assess the long term effects of hypertensive disorders of pregnancy on renal function.

Design: Cohort study where exposure was gestational hypertension or preeclampsia in the first pregnancy. Normotensive women formed the comparison group.

Does the UKCAT predict performance on exit from medical school? A national cohort study.

Objectives: Most UK medical programmes use aptitude tests during student selection, but large-scale studies of predictive validity are rare. This study assesses the UK Clinical Aptitude Test (UKCAT: http://www.ukcat.

Do personality traits assessed on medical school admission predict exit performance? A UK-wide longitudinal cohort study.

Traditional methods of assessing personality traits in medical school selection have been heavily criticised. To address this at the point of selection, "non-cognitive" tests were included in the UK Clinical Aptitude Test, the most widely-used aptitude test in UK medical education (UKCAT: http://www.ukcat.

Pregnancy outcomes in women with endometriosis: a national record linkage study.

Objective: To determine pregnancy outcomes in women with endometriosis.

Design: A national population based cohort study using record linkage.

Setting: Scotland.

Case management vocational rehabilitation for women with breast cancer after surgery: a feasibility study incorporating a pilot randomised controlled trial.

Background: There is a paucity of methodologically robust vocational rehabilitation (VR) intervention trials. This study assessed the feasibility and acceptability of a VR trial of women with breast cancer to inform the development of a larger interventional study.

Methods: Women were recruited in Scotland and randomised to either a case management VR service or to usual care.

Provision of hormonal and long-acting reversible contraceptive services by general practices in Scotland, UK (2004-2009).

Background: In the UK, a large proportion of contraceptive services are provided from general practice. However, little is known about which contraceptive services are provided and to whom.

Study Design: Descriptive serial cross-sectional study of women aged 12-55 years, registered with 191 general practices in Scotland, UK between 2004 and 2009.

PP038. Are women with gestational hypertension or preeclampsia at an increased long term risk of kidney function impairment?

Introduction: Preeclampsia is known to cause impairment of kidney function in pregnancy, which manifests as proteinuria. Previous studies have found an association between preeclampsia and kidney disease but were restricted in their numbers or had a short follow up time.

Objectives: To assess the long term effects of hypertensive disorders of pregnancy on kidney function in later life.

Clinical and cost effectiveness of mobile phone supported self monitoring of asthma: multicentre randomised controlled trial.

Objective: To determine whether mobile phone based monitoring improves asthma control compared with standard paper based monitoring strategies.

Design: Multicentre randomised controlled trial with cost effectiveness analysis.

Setting: UK primary care.

Vocational rehabilitation services for patients with cancer: design of a feasibility study incorporating a pilot randomised controlled trial among women with breast cancer following surgery.

Background: Due to improvements in cancer survival the number of people of working age living with cancer across Europe is likely to increase. UK governments have made commitments to reduce the number of working days lost to ill-health and to improve access to vocational rehabilitation (VR) services. Return to work for people with cancer has been identified as a priority.

Comparison of patient survival in non-diabetic transplant-listed patients initially treated with haemodialysis or peritoneal dialysis.

Background: It is still not known whether patients survive longer on one modality of dialysis compared to the other. We have tried to answer this question using data from the Scottish Renal Registry.

Methods: To avoid the confounding effects of co-morbidity, we limited our survival analysis to those patients listed for a renal transplant and excluded patients with a primary renal diagnosis (PRD) of diabetic nephropathy.

Preoperative determinants for failure of transobturator tapes in the management of female urodynamic stress incontinence.

Objectives: To determine significant preoperative risk factors for failure of transobturator tapes.

Methods: Secondary analysis of data from the E-TOT (Evaluation of Transobturator Tapes) study. Patient-reported outcomes (n=310) and objective outcomes (n=297) were analyzed using univariate and multivariate analyses.