[Analysis from the French DRG-based information system (PMSI) of conservative surgical treatment for abnormal uterine XXXX in 2008-2010.]

@entity1 @entity1869 @entity548
OBJECTIVE: To evaluate the conservative surgical treatment for abnormal uterine @entity548 from the Medicalized Information System Program (PMSI). MATERIALS AND METHODS: The diagnosis codes were selected from 10th version of the international classification disease. A transversal and longitudinal descriptive analysis was performed from hospital stays, @entity1 's characteristics, medical procedures between 2008-2010. RESULTS: Nineteen thousand six hundred and seventy-nine @entity1 were admitted in hospital (public or private) for treatment of abnormal uterine @entity548 . Endometrial ablation increased by 16,7%, 10.2% for first generation technique (G1) and 63.5% for second generation techniques (G2). G2were used in 15% of indications. The median age was respectively 45.2  6.4years old versus 45.8  4.9years old for G2. The median length of hospital stay was 1.6   1with 69% of @entity1 in ambulatory care. The likelihood to have a hysterectomy in the 3years follow-up was higher after G1  than G2  treatments (P=0.0034) for the @entity1 above 40  years old. In longitudinal study, defined only by @entity1869 , 11,532  @entity1 were included and only 8.2% had been treated by G2. CONCLUSION: In spite of the international guidelines since 2008, 85% of @entity1 treated with first generation surgical technique. The failure rate defined by a re-ablation or a hysterectomy is higher after G1. This result must be discussed in relationship with cost effective aspects.
