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  • 1
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objectives To estimate the prevalence and incidence in primary care of chronic pelvic pain in women in the UK.Design Cross-sectional analysis of MediPlus UK Primary Care Database. Setting One hundred and thirty-six general practices in the UK.Population From 284,162 women aged 12–70 who were registered on the database and who had a general practice contact in 1991,24,053 chronic pelvic pain cases were identified between 1991 and 1995.Methods Chronic pelvic pain was defined as pelvic pain lasting for at least six months, and cases were identified on the basis of contacts with general practice. Pain due to malignancy, chronic inflammatory bowel diseases or pregnancy, or which occurred only during menstruation or sexual intercourse, was excluded.Main outcome measures Prevalence and incidence rates of chronic pelvic pain in primary care by age and region.Results Monthly prevalence and incidence rates of chronic pelvic pain were 21.5/1000 and 1.58/1000, respectively, with an annual prevalence of 38.3/1000. Monthly prevalence rates increased significantly with age (P 〈 0.001) from 18.2/1000 in 15–20 year olds to 27.6/1000 in women older than 60, as symptoms persisted longer in older women. Prevalence and incidence rates varied significantly between regions (P 〈 0.001), with the lowest monthly prevalence in Scotland (16.0/1000) and the highest in Wales (29.4/1000).Conclusions Chronic pelvic pain is a common condition in the UK, with a prevalence in primary care comparable to migraine, back pain, and asthma. Its prevalence in the general population is likely to be considerably higher.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objectives To describe duration of symptoms and patterns of diagnosis and referral in women with chronic pelvic pain.Design Retrospective cohort analysis of the MediPlus UK Primary Care Database.Setting One hundred and thirty-six general practices in the UK.Study group A cohort of 5051 incident cases of chronic pelvic pain.Methods The cohort was followed up from the start of their symptoms in 1992 until the end of the chronic pelvic pain episode or the end of 1995.Main outcome measures Duration of symptoms, frequency of diagnoses and referral rates.Results A third of women had symptoms persisting for more than two years. Duration of symptoms increased significantly with age (P 〈 0.001) from a median of 13.7 months in 13–20 year olds to 20.2 months in women over the age of 60. Irritable bowel syndrome and cystitis were the most common diagnoses at all ages. Twenty-eight percent of women never received a diagnosis during three to four years of follow up after first consultation, and 60% of women had no evidence of a specialist referral. Women aged 21–50 and women whose final diagnosis was endometriosis received the largest number of diagnoses and had the highest referral rates.Conclusions The numbers and types of diagnosis given to a woman with chronic pelvic pain and the likelihood of specialist referral depend on her age, as well as on the duration of symptoms. Women seen in secondary care for chronic pelvic pain are a highly selected group and are likely to represent only the tip of the iceberg.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objective Toobtain a prevalence estimate for chronic pelvic pain in women in the United Kingdom by analysing published data.Design Systematic review of published papers.Setting The general population or hospitals in the United Kingdom.Population Women participating in relevant community surveys or control women participating in hospital-based studies.Methods Papers were retrieved by systematically searching the databases MEDLINE, EMBASE and PsycLit, and by hand searching. Studies were included if they 1. were community-based and reported prevalence rates of chronic pelvic pain, dyspareunia, dysmenorrhoea, or abdominal pain, or 2. referred to a clinical population but reported prevalence rates in a disease-free control group.Main outcome measures Prevalence rates for chronic pelvic pain including any overlap with dyspareunia, dysmenorrhoea and abdominal pain.Results No community-based study has been performed that provides an estimate of the prevalence of chronic pelvic pain in the general UK population. A rate of 39% was reported in women undergoing laparoscopy for sterilisation or investigation of infertility in the single study from the United Kingdom investigating chronic pelvic pain unrelated to menstruation or intercourse. Prevalence rates for dyspareunia, dysmenorrhoea, and abdominal pain found in UK community-based studies were 8%, 45%, to 97%, and 23% to 29%, respectively, but definitions used varied greatly.Conclusions Because chronic pelvic pain can reduce the quality of life and general wellbeing, there is a need for a community-based study into the prevalence of chronic pelvic pain and its effect upon the lives of women in the UK.
    Type of Medium: Electronic Resource
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