Chronic Pelvic Pain After Pelvic Inflammatory Disease

盆腔炎性疾病是临床上疑似上盆腔感染的总称。产后疼痛与许多疾病有关，包括慢性盆腔疼痛。然而，对产后慢性盆腔疼痛的病因或后果知之甚少。这项拟议的研究将分析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，还将收集和提取门诊、急诊科和医院的病历，以确定与PID相关的情况和初步就诊诊断。对于所有获得医疗记录的与PID相关的就诊，也将收集账单记录。该项目的具体目标是：1)检查慢性盆腔疼痛发作后的预测因素；2)确定患有慢性盆腔疼痛的女性是否比没有慢性盆腔疼痛的女性更有可能使用医疗保健系统，确定她们是否更强烈地使用医疗系统，并确定使用情况是否因疼痛强度和残疾程度而异；3)估计患有盆腔疼痛的女性的总医疗费用，并确定慢性盆腔疼痛的成本是否更高；4)以及确定盆腔炎后的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.