Chronic Pelvic Pain After Pelvic Inflammatory Disease

盆腔炎（PID），是临床疑似上盆腔道感染的总称。PID与许多疾病有关，包括慢性盆腔疼痛。然而，对于PID后慢性盆腔疼痛的病因和后果知之甚少。拟议的研究将分析一项正在进行的随机临床试验，PID评估和临床健康（PEACH）研究的数据。此外，门诊、急诊和医院病历将被收集和提取，以确定pid相关性和初诊诊断。对于获得医疗记录的所有与身份证有关的就诊，也将收集账单记录。该项目的具体目的是：1)检查盆腔炎发作后慢性盆腔疼痛的预测因素；2)确定慢性盆腔疼痛的女性是否比无慢性盆腔疼痛的女性更可能使用该医疗保健系统，是否更强烈地使用该医疗保健系统，以及是否随疼痛强度和残疾程度的不同而不同；3)估计PID后女性的医疗保健总成本，并确定慢性盆腔疼痛女性的成本是否更高；4)确定盆腔炎后慢性盆腔疼痛对生活质量的影响。

Pelvic Inflammatory Disease (PID), is the general term to describe clinically suspected infection of the upper pelvic tract. PID is associated with a number of morbidities, including chronic pelvic pain. However, very little is known about the etiology or consequences of chronic pelvic pain following PID. The proposed research will analyze data from an ongoing randomized clinical trial, the PID Evaluation and Clinical Health (PEACH) Study. Additionally, outpatient, emergency department, and hospital medical records will be collected and abstracted to determine PID-relatedness and primary visit diagnosis. For all PID-related visits for which medical records are obtained, billing records will also be gathered. The specific aims of this project are: 1) to examine predictors of chronic pelvic pain following an episode of PID; 2) to determine whether women with chronic pelvic pain are more likely to use the healthcare system than those without, to determine whether they use it more intensely, and to determine whether use varies with the grade of pain intensity and disability; 3) to estimate the total cost of medical care for women following PID and to determine whether the costs are higher for women with chronic pelvic pain; 4) and to determine the impact of chronic pelvic pain following pelvic inflammatory disease on quality of life.