1. In each of the last three financial years how many women a year are diagnosed with:
a. symptomatic fibroids
| 2013-2014 | 2014-2015 | 2015-2016 |
| 408 | 436 | 340 |
b. endometriosis
| 2013-2014 | 2014-2015 | 2015-2016 |
| 161 | 157 | 162 |
2. In each of the last three financial years how many women with chronic pain were i) investigated by laparoscopy and ii) what proportion of these women received a diagnosis for
a. endometriosis
b. fibroids
c. other, please state where possible
The Trust does hold this information, however we estimate that compliance with your request would exceed the appropriate costs limit under section 12 of the Freedom of information Act 2000. This is currently £450 and relates to the cost of identifying and reviewing individual patient records.
3. In each of the last three financial years how many women have received a diagnostic or other test(s) for:
a. endometriosis – (the information below relates to histopathology which is the main areas which conducts these diagnostic tests)
Year Total number of Patients
2013-14 80 Patients
2014-15 83 Patients
2015-16 65 Patients
b. fibroids – (the information below relates to histopathology which is the main areas which conducts these diagnostic tests)
Year Total number of Patients
2013-14 322 Patients
2014-15 339 Patients
2015-16 299 Patients
4. On average how many diagnostic and other tests do women receive who later receive a diagnosis of:
a. endometriosis Endometriosis- One or sometimes two
b. fibroids
Fibroid- usually 1, sometimes diagnosis is made clinically or on hysteroscopy but usually one scan and it will pick up if patient has fibroids
5. What information is offered to women who present with :
a. pelvic pain
b. heavy menstrual bleeding
For both pelvic pain and menorrhagia- women are given verbal information during consultant about various causes , investigations and treatment options. This often followed by a written letter.
We also have a paper version of information leaflet for pelvic pain in the gynaecology clinic at Heartlands hospital, which is provided to patients. We have specific information leaflet on intranet about Mirena IUS, Fibroid treatment and endometrial ablation, which are used to treat heavy period problems.
6. On average, how much money a year is spent on hospital admissions for women with:
a. fibroids – £1,031,061
b. endometriosis – £404,193
7. In each of the last 5 years, how many times have the below codes been logged?
a. Open Myomectomy – code Q09.2
b. Endoscopic myomectomy – code Q17.1
c. Hysterectomy – code Q07.1-Q08.9
d. Heavy menstrual bleeding – code N92
e. Fibroids – code D25.0-25.02 and D25.9
f. Uterine Fibroid Embolisation – code RC41Z
| Year | Q7.a) | Q7.b) | Q7.c) | Q7.d) | Q7.e) | Q7.f) |
| 2012-13 | 23 | 245 | 553 | 872 | 556 | 143 |
| 2013-14 | 30 | 196 | 520 | 773 | 638 | 133 |
| 2014-15 | 20 | 193 | 558 | 761 | 719 | 130 |
| 2015-16 | 18 | 309 | 500 | 802 | 597 | 112 |
| 2016-17 (Apr-Sep) | 18 | 156 | 241 | 452 | 339 | 46 |
| Grand Total | 109 | 1099 | 2372 | 3660 | 2849 | 564 |
8. How many laparoscopies have you carried out over the last three financial years for:
a. diagnostic endometriosis
| 2013-2014 | 2014-2015 | 2015-2016 |
| 9 | 10 | 3 |
b. treatment for endometriosis
| 2013-2014 | 2014-2015 | 2015-2016 |
| 132 | 137 | 145 |
c. fibroids
| 2013-2014 | 2014-2015 | 2015-2016 |
| 385 | 401 | 310 |
9. How many laparoscopic excision surgeries and hysterectomies (code Q07.1-Q08.9) due to endometriosis/adenomyosis/fibroids have you carried out over the last three financial years broken down by year?
| Q9 | |
| CountOfRECID | finyr |
| 210 | 2016-17 |
| 373 | 2015-16 |
| 381 | 2013-14 |
| 382 | 2012-13 |
| 424 | 2014-15 |
10. What is the cost of the number of hysterectomies (code Q07.1-Q08.9) related to a) endometriosis b) adenomyosis and c) fibroids over the last three financial years?
| 2015-16 | £1,102,961 |
| 2014-15 | £1,253,768 |
| 2013-14 | £1,126,617 |
11. How many uterine artery/fibroid embolization procedures (code RC41Z) have you carried out over the last three financial years, for fibroids, broken down by year?
| 2013-2014 | 2014-2015 | 2015-2016 |
| 132 | 127 | 133 |
