- Briefly describe a specific question, or set of related questions, about a health care test or treatment that this program should consider.
1.Among women who have been diagnosed with noncyclicmixed cyclic and noncyclic chronic pelvic pain what is the prevalence of the following comorbidities dysmenorrhea major depressive disorder anxiety disorder temporomandibular joint pain disorder fibromyalgia irritable bowel syndrome interstitial cystitispainful bladder syndrome complex regional pain syndrome vulvodynia functional abdominal pain syndrome low back pain headache and sexual dysfunction2.What constitutes an adequate diagnostic evaluation for women in the ambulatory care setting on which to base treatment of chronic pelvic paina.What are the diagnostic values of baseline examination history and physical examination when compared with diagnostic laparoscopyb.What are the diagnostic values of baseline examination history and physical examination when compared with diagnostic imagingc.What is the association between patient outcomes and pelvic pain diagnostic methods1.In women with chronic pelvic pain of unknown etiology what is the effectiveness and harms of therapies for treatmenta.Medicationsi.Neuropathicii.Antidepressantsiii.Analgesics opioid and nonopioidb.Counselingcognitivebehavioral therapyc.Complementaryalternative medicine therapiesi.Herbal and nutritional therapiesii.Magnetic field therapyiii.Acupuncture2.In women with chronic pelvic pain associated with endometriosis what is the effectiveness and harms of therapies for treatmenta.Medical managementi.Progestinsii.Combined oral contraceptivesiii.Levonorgestrel intrauterine systemiv.Danazolv. Gonadotropinreleasing hormone agonistsvi.Aromatase inhibitorsb.Surgical managementi.Ablationexcisionii.Nerve interruptioniii.Adhesiolysisiv.Hysterectomy bilateral salpingooophorectomy3.In women with chronic pelvic pain and dyspareunia associated with myofascial causes what is the effectiveness and harms of therapies for treatment a.Pelvic physical therapyb.Transcutaneous electrical nerve stimulationc.Botox4.In women with introital dyspareunia associated with provoked vestibulodynia what is the effectiveness and harms of therapies for treatmenta.Topical treatmentsb.Injectable treatmentsc.Physical therapyd.Cognitivebehavioral therapye.VestibulectomyWe are interested in improving the quality of life of those severely affected by chronic pelvic pain including dyspareunia understanding which treatments are the most effective and weighing the benefits and harms of these treatments.
- Describe why this topic is important.
Chronic pelvic pain is a common disorder of women that often has no clear etiology. There are a variety of ways to evaluate and treat chronic pelvic pain that need to be considered in a systematic review to be able to provide clinicians with evidencebased options for diagnosis and management.
- How will an answer to your research question be used or help inform decisions for you or your group?
Clinicians will be more equipped to make appropriate treatment decisions for women with chronic pelvic pain based on the needs of the individual patient resources and limitations unique to the institution or type of practice. Recommendations based on the systematic review will be used by clinicians to optimize treatment and improve outcomes for these patients.
- Other Information About You: (optional)
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- Please choose a description that best describes your role or perspective: (you may select more than one category if appropriate)
- Professional society
- If you are you making a suggestion on behalf of an organization, please state the name of the organization
- American College of Obstetricians and Gynecologists
- Please tell us how you heard about the Effective Health Care Program
- Stephanie Chang MD MPH Agency for Healthcare Research and Quality
