Analysis of morbidity and mortality due to endometriosis in Brazil: an ecological study from 2014 to 2024

Abstract

Introduction: Endometriosis is a chronic disease affecting women of reproductive age, with significant clinical and economic impacts on the healthcare system. Objective: To analyze the profile of hospital morbidity and mortality due to endometriosis in Brazil from 2014 to 2024. Methodology: An ecological observational study using secondary data from the Hospital Information System (SIH/SUS) and Mortality Information System (SIM). Incidence, mortality rates, hospital stay duration, and healthcare costs were analyzed. Results: The national average hospitalization rate was 10.0 per 100,000 women, with higher incidence in the South and Southeast regions. Elective care predominated over emergency care (p < 0.0001). The average hospital stay was 16.45 days, with annual costs exceeding R$ 10 million and a significant increase in 2024. Correlation between hospitalizations and costs was weak and not significant. Conclusion: Endometriosis imposes a considerable burden on the healthcare system, highlighting the need for public policies to expand early diagnosis, professional training, and integrated care, especially in regions with limited diagnostic capacity. Limitations include the use of secondary data and lack of information on indirect costs and quality of life.