Pelvic pain and surgeries in women before interstitial cystitis/painful bladder syndrome
Objective The objective of the study was to compare subjects with interstitial cystitis/painful bladder syndrome (IC/PBS) with controls on prior surgeries. Study Design IC/PBS subjects were compared with matched controls on surgeries and possible surgical indications prior to their index dates. Resu...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 2010-03, Vol.202 (3), p.286.e1-286.e6 |
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| container_title | American journal of obstetrics and gynecology |
| container_volume | 202 |
| creator | Langenberg, Patricia W., PhD Wallach, Edward E., MD Clauw, Daniel J., MD Howard, Fred M., MD Diggs, Christina M., MS Wesselmann, Ursula, MD, PhD Greenberg, Patty, MA Warren, John W., MD |
| description | Objective The objective of the study was to compare subjects with interstitial cystitis/painful bladder syndrome (IC/PBS) with controls on prior surgeries. Study Design IC/PBS subjects were compared with matched controls on surgeries and possible surgical indications prior to their index dates. Results Adjusted for demographic variables, logistic regression showed subjects exceeded controls in surgeries longer than 12 months and less than 1 month before the index date. However, addition of possible surgical indications showed chronic pelvic pain (CPP) to have a strong association with IC/PBS, whereas associations with surgeries were reduced to nonsignificance. Conclusion Although women with IC/PBS were more likely to have experienced prior surgeries than controls, the apparent indications for surgeries, not the surgeries themselves, were stronger risk factors for IC/PBS. In particular, a prior history of CPP had a strong association with IC/PBS. Several features of study design, including extensive medical record review, suggest that prior CPP was not undiagnosed IC/PBS. Further investigation of CPP may yield insight into the pathogenesis of IC/PBS. |
| doi_str_mv | 10.1016/j.ajog.2009.10.866 |
| format | Article |
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Study Design IC/PBS subjects were compared with matched controls on surgeries and possible surgical indications prior to their index dates. Results Adjusted for demographic variables, logistic regression showed subjects exceeded controls in surgeries longer than 12 months and less than 1 month before the index date. However, addition of possible surgical indications showed chronic pelvic pain (CPP) to have a strong association with IC/PBS, whereas associations with surgeries were reduced to nonsignificance. Conclusion Although women with IC/PBS were more likely to have experienced prior surgeries than controls, the apparent indications for surgeries, not the surgeries themselves, were stronger risk factors for IC/PBS. In particular, a prior history of CPP had a strong association with IC/PBS. Several features of study design, including extensive medical record review, suggest that prior CPP was not undiagnosed IC/PBS. Further investigation of CPP may yield insight into the pathogenesis of IC/PBS.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2009.10.866</identifier><identifier>PMID: 20022588</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; Biological and medical sciences ; Case-Control Studies ; chronic pelvic pain ; Cystitis, Interstitial - epidemiology ; Endometriosis - epidemiology ; Fatigue Syndrome, Chronic - epidemiology ; Female ; fibromyalgia ; Fibromyalgia - epidemiology ; Gynecologic Surgical Procedures - statistics & numerical data ; Gynecology. Andrology. Obstetrics ; Humans ; hysterectomy ; interstitial cystitis ; Leiomyoma - epidemiology ; Logistic Models ; Medical sciences ; Nephrology. Urinary tract diseases ; Obstetrics and Gynecology ; oophorectomy ; Pelvic Pain - epidemiology ; risk factor ; Risk Factors ; Urinary Calculi - epidemiology ; Urinary system involvement in other diseases. Miscellaneous ; Urinary tract. Prostate gland ; Urologic Surgical Procedures - statistics & numerical data ; Uterine Neoplasms - epidemiology</subject><ispartof>American journal of obstetrics and gynecology, 2010-03, Vol.202 (3), p.286.e1-286.e6</ispartof><rights>Mosby, Inc.</rights><rights>2010 Mosby, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright 2010 Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-d92a54c90b0a7ed832354156bfe5599905c57e6cb471c156f161d1d93e79ff483</citedby><cites>FETCH-LOGICAL-c440t-d92a54c90b0a7ed832354156bfe5599905c57e6cb471c156f161d1d93e79ff483</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002937809020043$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22560845$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20022588$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Langenberg, Patricia W., PhD</creatorcontrib><creatorcontrib>Wallach, Edward E., MD</creatorcontrib><creatorcontrib>Clauw, Daniel J., MD</creatorcontrib><creatorcontrib>Howard, Fred M., MD</creatorcontrib><creatorcontrib>Diggs, Christina M., MS</creatorcontrib><creatorcontrib>Wesselmann, Ursula, MD, PhD</creatorcontrib><creatorcontrib>Greenberg, Patty, MA</creatorcontrib><creatorcontrib>Warren, John W., MD</creatorcontrib><title>Pelvic pain and surgeries in women before interstitial cystitis/painful bladder syndrome</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective The objective of the study was to compare subjects with interstitial cystitis/painful bladder syndrome (IC/PBS) with controls on prior surgeries. Study Design IC/PBS subjects were compared with matched controls on surgeries and possible surgical indications prior to their index dates. Results Adjusted for demographic variables, logistic regression showed subjects exceeded controls in surgeries longer than 12 months and less than 1 month before the index date. However, addition of possible surgical indications showed chronic pelvic pain (CPP) to have a strong association with IC/PBS, whereas associations with surgeries were reduced to nonsignificance. Conclusion Although women with IC/PBS were more likely to have experienced prior surgeries than controls, the apparent indications for surgeries, not the surgeries themselves, were stronger risk factors for IC/PBS. In particular, a prior history of CPP had a strong association with IC/PBS. Several features of study design, including extensive medical record review, suggest that prior CPP was not undiagnosed IC/PBS. Further investigation of CPP may yield insight into the pathogenesis of IC/PBS.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>chronic pelvic pain</subject><subject>Cystitis, Interstitial - epidemiology</subject><subject>Endometriosis - epidemiology</subject><subject>Fatigue Syndrome, Chronic - epidemiology</subject><subject>Female</subject><subject>fibromyalgia</subject><subject>Fibromyalgia - epidemiology</subject><subject>Gynecologic Surgical Procedures - statistics & numerical data</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>hysterectomy</subject><subject>interstitial cystitis</subject><subject>Leiomyoma - epidemiology</subject><subject>Logistic Models</subject><subject>Medical sciences</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Obstetrics and Gynecology</subject><subject>oophorectomy</subject><subject>Pelvic Pain - epidemiology</subject><subject>risk factor</subject><subject>Risk Factors</subject><subject>Urinary Calculi - epidemiology</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary tract. Prostate gland</subject><subject>Urologic Surgical Procedures - statistics & numerical data</subject><subject>Uterine Neoplasms - epidemiology</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUGLFDEQhYMo7uzqH_AgfRFPPVtJJ90JiLAsugoLCip4C-mksqTNdI9J98r8e9POqODBU6oe71WFrwh5RmFLgbaXw9YM092WAagibGXbPiAbCqqrW9nKh2QDAKxWTSfPyHnOw9oyxR6TM7ZWQsoN-foR432w1d6EsTKjq_KS7jAFzFURfkw7HKse_ZSw9DOmPIc5mFjZw68qX65Bv8Sqj8Y5TFU-jC6V2BPyyJuY8enpvSBf3r75fP2uvv1w8_766ra2nMNcO8WM4FZBD6ZDJxvWCE5F23sUQikFwooOW9vzjtqie9pSR51qsFPec9lckJfHufs0fV8wz3oXssUYzYjTknXXNB2IjvLiZEenTVPOCb3ep7Az6aAp6BWoHvQKVK9AV60ALaHnp_FLv0P3J_KbYDG8OBlMtib6ZEYb8l8fEy1ILorv1dGHBcZ9wKSzDThadCGhnbWbwv__8fqfuI1hDGXjNzxgHqYljQWzpjozDfrTeuv18qCgjOFN8xNA7akj</recordid><startdate>20100301</startdate><enddate>20100301</enddate><creator>Langenberg, Patricia W., PhD</creator><creator>Wallach, Edward E., MD</creator><creator>Clauw, Daniel J., MD</creator><creator>Howard, Fred M., MD</creator><creator>Diggs, Christina M., MS</creator><creator>Wesselmann, Ursula, MD, PhD</creator><creator>Greenberg, Patty, MA</creator><creator>Warren, John W., MD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100301</creationdate><title>Pelvic pain and surgeries in women before interstitial cystitis/painful bladder syndrome</title><author>Langenberg, Patricia W., PhD ; Wallach, Edward E., MD ; Clauw, Daniel J., MD ; Howard, Fred M., MD ; Diggs, Christina M., MS ; Wesselmann, Ursula, MD, PhD ; Greenberg, Patty, MA ; Warren, John W., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-d92a54c90b0a7ed832354156bfe5599905c57e6cb471c156f161d1d93e79ff483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>chronic pelvic pain</topic><topic>Cystitis, Interstitial - epidemiology</topic><topic>Endometriosis - epidemiology</topic><topic>Fatigue Syndrome, Chronic - epidemiology</topic><topic>Female</topic><topic>fibromyalgia</topic><topic>Fibromyalgia - epidemiology</topic><topic>Gynecologic Surgical Procedures - statistics & numerical data</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>hysterectomy</topic><topic>interstitial cystitis</topic><topic>Leiomyoma - epidemiology</topic><topic>Logistic Models</topic><topic>Medical sciences</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Obstetrics and Gynecology</topic><topic>oophorectomy</topic><topic>Pelvic Pain - epidemiology</topic><topic>risk factor</topic><topic>Risk Factors</topic><topic>Urinary Calculi - epidemiology</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract. Prostate gland</topic><topic>Urologic Surgical Procedures - statistics & numerical data</topic><topic>Uterine Neoplasms - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Langenberg, Patricia W., PhD</creatorcontrib><creatorcontrib>Wallach, Edward E., MD</creatorcontrib><creatorcontrib>Clauw, Daniel J., MD</creatorcontrib><creatorcontrib>Howard, Fred M., MD</creatorcontrib><creatorcontrib>Diggs, Christina M., MS</creatorcontrib><creatorcontrib>Wesselmann, Ursula, MD, PhD</creatorcontrib><creatorcontrib>Greenberg, Patty, MA</creatorcontrib><creatorcontrib>Warren, John W., MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Langenberg, Patricia W., PhD</au><au>Wallach, Edward E., MD</au><au>Clauw, Daniel J., MD</au><au>Howard, Fred M., MD</au><au>Diggs, Christina M., MS</au><au>Wesselmann, Ursula, MD, PhD</au><au>Greenberg, Patty, MA</au><au>Warren, John W., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pelvic pain and surgeries in women before interstitial cystitis/painful bladder syndrome</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2010-03-01</date><risdate>2010</risdate><volume>202</volume><issue>3</issue><spage>286.e1</spage><epage>286.e6</epage><pages>286.e1-286.e6</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective The objective of the study was to compare subjects with interstitial cystitis/painful bladder syndrome (IC/PBS) with controls on prior surgeries. Study Design IC/PBS subjects were compared with matched controls on surgeries and possible surgical indications prior to their index dates. Results Adjusted for demographic variables, logistic regression showed subjects exceeded controls in surgeries longer than 12 months and less than 1 month before the index date. However, addition of possible surgical indications showed chronic pelvic pain (CPP) to have a strong association with IC/PBS, whereas associations with surgeries were reduced to nonsignificance. Conclusion Although women with IC/PBS were more likely to have experienced prior surgeries than controls, the apparent indications for surgeries, not the surgeries themselves, were stronger risk factors for IC/PBS. In particular, a prior history of CPP had a strong association with IC/PBS. Several features of study design, including extensive medical record review, suggest that prior CPP was not undiagnosed IC/PBS. Further investigation of CPP may yield insight into the pathogenesis of IC/PBS.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>20022588</pmid><doi>10.1016/j.ajog.2009.10.866</doi><tpages>3</tpages></addata></record> |
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| subjects | Adult Biological and medical sciences Case-Control Studies chronic pelvic pain Cystitis, Interstitial - epidemiology Endometriosis - epidemiology Fatigue Syndrome, Chronic - epidemiology Female fibromyalgia Fibromyalgia - epidemiology Gynecologic Surgical Procedures - statistics & numerical data Gynecology. Andrology. Obstetrics Humans hysterectomy interstitial cystitis Leiomyoma - epidemiology Logistic Models Medical sciences Nephrology. Urinary tract diseases Obstetrics and Gynecology oophorectomy Pelvic Pain - epidemiology risk factor Risk Factors Urinary Calculi - epidemiology Urinary system involvement in other diseases. Miscellaneous Urinary tract. Prostate gland Urologic Surgical Procedures - statistics & numerical data Uterine Neoplasms - epidemiology |
| title | Pelvic pain and surgeries in women before interstitial cystitis/painful bladder syndrome |
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