Reproductive endocrinology

Rising Incidence, Health Resource Utilization, and Costs of Polycystic Ovary Syndrome in the United Kingdom

J Clin Endocrinol MetabPublished Population-based matched cohort study

Authors' conclusion

The incidence of PCOS has risen significantly. Health resource utilization and costs of PCOS are significantly greater than controls.

Study context

Population
Patients with Polycystic Ovary Syndrome (PCOS) in the UK, Clinical Practice Research Datalink Aurum and Hospital Episode Statistics, 2004–2020matched 1:1
Exposure
PCOS vs matched controls
Outcome
PCOS incidence and point prevalence
Follow-up
2004-2020
Methodological detailsmatched 1:1 by age, BMI and primary care practice, Clinical Practice Research Datalink Aurum and Hospital Episode Statistics databases, Primary care contacts assigned an average cost; prescriptions a net ingredient cost; inpatient and outpatient care costed to the national tariff via healthcare resource groups
  • Matched 1:1 by age, BMI and primary care practice
  • Clinical Practice Research Datalink Aurum and Hospital Episode Statistics databases
  • Primary care contacts assigned an average cost; prescriptions a net ingredient cost; inpatient and outpatient care costed to the national tariff via healthcare resource groups

Main finding

As reported in the abstract

2004-2020
PCOS incidence, 2004
1.22 per 1000 person years
PCOS incidence, 2012
1.77 per 1000 person years
PCOS incidence, 2019
2.20 per 1000 person years
Point prevalence, 2004
1.02%
Point prevalence, 2012
2.2%
Point prevalence, 2020
3.5%

Observational data: associations, not effects.

Further findings

Inpatient contacts per person year (ppy)

P < 0.001

Outpatient contacts ppy

P < 0.001

Primary care contacts ppy

P < 0.001

Mean healthcare costs ppy: inpatients
P < 0.001
Mean healthcare costs ppy: outpatients
P < 0.001
Mean healthcare costs ppy: primary care prescriptions
P < 0.001

Point prevalence of PCOS · 2004, 2012, 2020

Point prevalence 2004
1.02%
Point prevalence 2012
2.2%
Point prevalence 2020
3.5%
Prevalence highest in Asians

Total healthcare contacts and total costs ppy

Total healthcare contacts ppy
P < 0.001
Total associated costs
P < 0.001
Health resource utilization and costs of PCOS significantly greater than controls

Original publication

Rising Incidence, Health Resource Utilization, and Costs of Polycystic Ovary Syndrome in the United Kingdom. J Clin Endocrinol Metab. Published 25 July 2024. doi:10.1210/clinem/dgae518

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