Factors associated with chronic pelvic pain in women with endometriosis: A national study on clinical and sociodemographic characteristics, lifestyles, quality of life, and perceptions of quality of care, during the COVID-19 pandemic
Background: Endometriosis is a persistent inflammatory condition that affects women of reproductive age and causes pelvic pain. Chronic pelvic pain is a chronic regional pain syndrome involving the pelvic area. Objectives: This survey aimed to characterize the clinical and sociodemographic character...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2024-03-01
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| Series: | Women's Health |
| Online Access: | https://doi.org/10.1177/17455057241227361 |
| _version_ | 1797271030004187136 |
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| author | Vincenza Cofini Mario Muselli Emiliano Petrucci Chiara Lolli Erika Pelaccia Maurizio Guido Franco Marinangeli Leila Fabiani Stefano Necozione |
| author_facet | Vincenza Cofini Mario Muselli Emiliano Petrucci Chiara Lolli Erika Pelaccia Maurizio Guido Franco Marinangeli Leila Fabiani Stefano Necozione |
| author_sort | Vincenza Cofini |
| collection | DOAJ |
| description | Background: Endometriosis is a persistent inflammatory condition that affects women of reproductive age and causes pelvic pain. Chronic pelvic pain is a chronic regional pain syndrome involving the pelvic area. Objectives: This survey aimed to characterize the clinical and sociodemographic characteristics, lifestyles, quality of life, and perceptions of quality of care in women with endometriosis who reported chronic pelvic pain during the Covid pandemic. Design: We conducted a cross-sectional survey among the Italian population from July to September 2021. Methods: Snowball sampling was used to interview a large sample of adult women who reported a diagnosis of endometriosis, through a self-reported questionnaire. Univariate and multivariable logistic regression analyses were performed to identify the factors associated with chronic pelvic pain. The primary outcome was describing women who reported chronic pelvic pain. Results: A total of 661 out of 1045 (63%) women who responded to the survey reported chronic pelvic pain. The multivariable analysis evidenced that chronic pelvic pain was related to physical and mental quality perception, pelvic floor disorders (adjusted odds ratio = 1.58; 95% CI = 1.10–2.27; p = 0.012), dyspareunia (adjusted odds ratio = 1.87; 95% CI = 1.31–2.65; p < 0.001), adhesions syndrome (adjusted odds ratio = 1.49; 95% CI = 1.05–2.11; p = 0.026), and the delay in diagnosing endometriosis (adjusted odds ratio = 1.04; 95% CI = 1.00–1.09; p = 0.034). The only social factor associated with chronic pelvic pain was marital status (adjusted odds ratio = 0.66; 95% CI = 0.46–0.93; p = 0.019). Conclusion: In the pandemic period, there was a very high prevalence of chronic pelvic pain in women with endometriosis in Italy. The pandemic highlighted the need for careful attention to diagnose endometriosis and the need for psychological and partner support, which would allow better pain management and prevent chronicity. |
| first_indexed | 2024-04-25T02:13:40Z |
| format | Article |
| id | doaj.art-36907b3fb6ef4fc19de7e3a243c16c43 |
| institution | Directory Open Access Journal |
| issn | 1745-5065 |
| language | English |
| last_indexed | 2024-04-25T02:13:40Z |
| publishDate | 2024-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Women's Health |
| spelling | doaj.art-36907b3fb6ef4fc19de7e3a243c16c432024-03-07T11:03:53ZengSAGE PublishingWomen's Health1745-50652024-03-012010.1177/17455057241227361Factors associated with chronic pelvic pain in women with endometriosis: A national study on clinical and sociodemographic characteristics, lifestyles, quality of life, and perceptions of quality of care, during the COVID-19 pandemicVincenza Cofini0Mario Muselli1Emiliano Petrucci2Chiara Lolli3Erika Pelaccia4Maurizio Guido5Franco Marinangeli6Leila Fabiani7Stefano Necozione8Public Health Section, Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, ItalyPublic Health Section, Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, ItalyDepartment of Anaesthesia and Intensive Care Unit, San Salvatore Hospital, L’Aquila, ItalyPublic Health Section, Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, ItalyObstetrics & Gynaecology Unit, San Salvatore Hospital, L’Aquila, ItalyObstetrics & Gynaecology Unit, San Salvatore Hospital, L’Aquila, ItalyDepartment of Anaesthesia and Intensive Care Unit, San Salvatore Hospital, L’Aquila, ItalyPublic Health Section, Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, ItalyPublic Health Section, Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, ItalyBackground: Endometriosis is a persistent inflammatory condition that affects women of reproductive age and causes pelvic pain. Chronic pelvic pain is a chronic regional pain syndrome involving the pelvic area. Objectives: This survey aimed to characterize the clinical and sociodemographic characteristics, lifestyles, quality of life, and perceptions of quality of care in women with endometriosis who reported chronic pelvic pain during the Covid pandemic. Design: We conducted a cross-sectional survey among the Italian population from July to September 2021. Methods: Snowball sampling was used to interview a large sample of adult women who reported a diagnosis of endometriosis, through a self-reported questionnaire. Univariate and multivariable logistic regression analyses were performed to identify the factors associated with chronic pelvic pain. The primary outcome was describing women who reported chronic pelvic pain. Results: A total of 661 out of 1045 (63%) women who responded to the survey reported chronic pelvic pain. The multivariable analysis evidenced that chronic pelvic pain was related to physical and mental quality perception, pelvic floor disorders (adjusted odds ratio = 1.58; 95% CI = 1.10–2.27; p = 0.012), dyspareunia (adjusted odds ratio = 1.87; 95% CI = 1.31–2.65; p < 0.001), adhesions syndrome (adjusted odds ratio = 1.49; 95% CI = 1.05–2.11; p = 0.026), and the delay in diagnosing endometriosis (adjusted odds ratio = 1.04; 95% CI = 1.00–1.09; p = 0.034). The only social factor associated with chronic pelvic pain was marital status (adjusted odds ratio = 0.66; 95% CI = 0.46–0.93; p = 0.019). Conclusion: In the pandemic period, there was a very high prevalence of chronic pelvic pain in women with endometriosis in Italy. The pandemic highlighted the need for careful attention to diagnose endometriosis and the need for psychological and partner support, which would allow better pain management and prevent chronicity.https://doi.org/10.1177/17455057241227361 |
| spellingShingle | Vincenza Cofini Mario Muselli Emiliano Petrucci Chiara Lolli Erika Pelaccia Maurizio Guido Franco Marinangeli Leila Fabiani Stefano Necozione Factors associated with chronic pelvic pain in women with endometriosis: A national study on clinical and sociodemographic characteristics, lifestyles, quality of life, and perceptions of quality of care, during the COVID-19 pandemic Women's Health |
| title | Factors associated with chronic pelvic pain in women with endometriosis: A national study on clinical and sociodemographic characteristics, lifestyles, quality of life, and perceptions of quality of care, during the COVID-19 pandemic |
| title_full | Factors associated with chronic pelvic pain in women with endometriosis: A national study on clinical and sociodemographic characteristics, lifestyles, quality of life, and perceptions of quality of care, during the COVID-19 pandemic |
| title_fullStr | Factors associated with chronic pelvic pain in women with endometriosis: A national study on clinical and sociodemographic characteristics, lifestyles, quality of life, and perceptions of quality of care, during the COVID-19 pandemic |
| title_full_unstemmed | Factors associated with chronic pelvic pain in women with endometriosis: A national study on clinical and sociodemographic characteristics, lifestyles, quality of life, and perceptions of quality of care, during the COVID-19 pandemic |
| title_short | Factors associated with chronic pelvic pain in women with endometriosis: A national study on clinical and sociodemographic characteristics, lifestyles, quality of life, and perceptions of quality of care, during the COVID-19 pandemic |
| title_sort | factors associated with chronic pelvic pain in women with endometriosis a national study on clinical and sociodemographic characteristics lifestyles quality of life and perceptions of quality of care during the covid 19 pandemic |
| url | https://doi.org/10.1177/17455057241227361 |
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