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首页> 外文期刊>Journal of endometriosis and pelvic pain disorders. >Pain acceptance predicts healthcare utilization in women with chronic pelvic pain
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Pain acceptance predicts healthcare utilization in women with chronic pelvic pain

机译：疼痛接受度预测慢性盆腔疼痛女性的医疗保健利用率

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Background: Chronic pelvic pain (CPP) in women is common and costly, and little is known about patient characteristics predicting healthcare utilization within this population. The present study examined the role of pain acceptance and pain catastrophizing, assessed prior to treatment initiation, in predicting future uptake of medical and surgical interventions specifically for pain management. Methods: Our sample comprised women referred to a tertiary gynecological center. Baseline pain catastrophizing and pain acceptance scores were compared across each major medication class and surgery type, as well as across the total number of medication classes and the total number of surgery types using analysis of variance (ANOVA). We then performed multivariable analyses for the association between pain catastrophizing and pain acceptance and treatment utilization by controlling for potential confounders. Results: Three hundred eighteen patients met inclusion criteria. Pain catastrophizing was associated with increased likelihood of neuromodulator prescription, while pain acceptance was associated with reduced likelihood of neuromodulator prescription and fewer medication classes prescribed. Overall, no associations between pain catastrophizing and surgeries were observed, while pain acceptance was significantly associated with lower risk of hysterectomy/oophorectomy. Conclusion: Pain acceptance was a robust predictor of number of medication classes prescribed and use of radical surgeries even when controlling stringently for confounders. It is worth considering routine assessment of pain acceptance early in treatment of CPP to identify those more at-risk of higher treatment utilization, and potentially mitigate this through engagement with appropriate behavioral therapies.
机译：背景:慢性骨盆疼痛(CPP)的女性常见的和昂贵的,是知之甚少病人特点预测医疗利用在这个人口。研究了接受和疼痛的作用剧烈疼痛,治疗前评估开始,在预测未来的吸收医疗和外科干预疼痛管理。由女性称为三级妇科中心。更灾难和痛苦接受分数而在每个主要的药物类和手术类型,以及整个总数药物类和的总数手术类型使用方差分析(方差分析)。然后我们进行多变量分析的剧烈疼痛和痛苦之间的联系接受和处理利用控制了潜在的混杂因素。三百一十八例患者符合入选标准。与神经调节物质的可能性增加处方,而痛苦的接受与减少的可能性神经调质处方和更少的药物类规定。剧烈疼痛和手术观察到,而接受疼痛明显降低的风险子宫卵巢切除术。验收是一个健壮的数量的预测指标药物类规定和激进的使用手术即使控制严格混杂因素。在治疗早期疼痛的评估验收CPP来识别这些风险更高治疗使用,并有可能减轻通过与适当的接触行为疗法。

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