Chronic pelvic pain: Prevalence, health-related quality of life, and economic correlates
Chronic pelvic pain: Prevalence, health-related quality of life, and economic correlates
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DOI：
10.1016/0029-7844(95)00458-0
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发表时间：
1996-03-01
影响因子：
7.2
通讯作者：
Steege, JF
中科院分区：
文献类型：
--
作者：
Mathias, SD;Kuppermann, M;Steege, JF
目的：确定美国18-50岁女性慢性盆腔疼痛的患病率，并检查其与健康相关的生活质量、工作效率和卫生保健利用的关系。方法：1994年4月和5月，盖洛普组织致电17,927个美国家庭，以确定18-50岁的妇女谁经历了慢性盆腔疼痛，即，最少6个月。那些报告慢性盆腔疼痛的严重程度，频率和诊断，生活质量，工作损失和生产力，和卫生保健utilization.Results：在5263符合条件的妇女谁同意参加，773（14.7%）报告慢性盆腔疼痛在过去3个月。那些报告慢性盆腔疼痛的患者的一般健康状况平均评分显著低于那些没有报告的患者（70.5比78.8，P <0.05），61%的慢性盆腔疼痛患者报告病因不明。被诊断患有子宫内膜异位症的妇女报告了最多的健康困扰，性交期间或之后的疼痛，以及由于疼痛而干扰活动。据估计，美国18-50岁女性的慢性盆腔疼痛门诊直接医疗费用为每年8.815亿美元。在548就业的受访者中，15%的人报告从有偿工作中损失的时间和45%的人报告减少工作production.Conclusion：经常，慢性盆腔疼痛的原因是未确诊的，虽然它影响大约七分之一的美国妇女。提高对它的成本和对生活质量的影响的认识，应促进对这一问题的更多医疗关注。
Objective: To determine the prevalence of chronic pelvic pain in U.S. women aged 18-50 years, and to examine its association with health-related quality of life, work productivity, and health care utilization.Methods: In April and May 1994, the Gallup Organization telephoned 17,927 U.S. households to identify women aged 18-50 years who experienced chronic pelvic pain, ie, of at least 6 months' duration. Those who reported chronic pelvic pain were surveyed on severity, frequency, and diagnosis; quality of life; work loss and productivity; and health care utilization.Results: Among 5263 eligible women who agreed to participate, 773 (14.7%) reported chronic pelvic pain within the past 3 months. Those who reported chronic pelvic pain had significantly lower mean scores for general health than those who did not (70.5 versus 78.8, P < .05), and 61% of those with chronic pelvic pain reported that the etiology was unknown. Women diagnosed with endometriosis reported the most health distress, pain during or after intercourse, and interference with activities because of pain. Estimated direct medical costs for outpatient visits for chronic pelvic pain for the U.S. population of women aged 18-50 years are $881.5 million per year. Among 548 employed respondents, 15% reported time lost from paid work and 45% reported reduced work productivity.Conclusion: Frequently, the cause of chronic pelvic pain is undiagnosed, although it affects approximately one in seven U.S. women. Increased awareness of its cost and impact on quality of life should promote increased medical attention to this problem.