Endometriosis and Negative Perception of the Medical Profession

Nicole Ng, Ng N, Wahl K, Kate Wahl, Natasha L Orr, Orr NL, Heather Noga, Williams C, Christina Williams, Catherine Allaire, Allaire C, Mohamed A Bedaiwy, Paul J Yong
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2019 · vol. 42(3) , pp. 248–255 · doi:10.1016/j.jogc.2019.08.034 · PMID:31864912 · W2937005878
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This study investigated the relationship between endometriosis and negative perceptions of the medical profession among patients.

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This cross-sectional study analyzed a prospective registry (Dec 2013 to Jun 2017) of women with surgically and histologically diagnosed endometriosis presenting to a tertiary pelvic pain/endometriosis referral center, using the Endometriosis Health Profile-30 four-item subscale to quantify negative impression of the medical profession. In ordinal logistic regression controlling for an endometriosis pain-related morbidity composite, higher levels of negative impressions were independently associated with previous surgery that did not help symptoms (aOR 1.77), emergency room presentation within the past 3 months (aOR 1.90), and previous visits to complementary health care providers (aOR 2.16). The study’s design is limited by its cross-sectional nature and the fact that only patients presenting to a tertiary referral center were included. This paper is centrally about endometriosis — it examines factors associated with negative perceptions of the medical profession among women with endometriosis.

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Abstract

ObjectiveThis study sought to identify factors independently associated with a negative impression of the medical profession in patients with endometriosis who were presenting to a tertiary referral centre.MethodsA cross-sectional analysis was conducted on a prospective data registry between December 2013 and June 2017 at a tertiary referral centre for pelvic pain and endometriosis. The main outcome variable, negative impression about the medical profession, was measured with the four-item subscale of the Endometriosis Health Profile-30 and divided into three groups: no (0), some (1-8), and many (9-16) negative impressions. Patients with a surgical and histological diagnosis of endometriosis were included. Postmenopausal women were excluded. Bivariate analyses determined significant associations (P < 0.05) between variables from the registry and the main outcome. Variables with a significant association were put into ordinal logistic regression with sequential backwards elimination.ResultsNegative impression of the medical profession was independently associated with previous surgery that did not help symptoms (adjusted odds ratio [aOR] 1.77; 95% confidence interval [CI] 1.09-2.87; P = 0.021), presentation to an emergency room in the past 3 months (aOR 1.90; 95% CI 1.17-3.07; P = 0.009), and previous visits to a complementary health care provider (aOR 2.16; 95% CI 1.42-3.29; P < 0.0005), while controlling for an endometriosis pain-related morbidity composite variable.ConclusionNegative perception of the medical profession in women with endometriosis was associated with surgical treatment failure, emergency room use, and accessing complementary health care. Each identified factor offers an opportunity for intervention to improve the perception of the medical profession among women with endometriosis.
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Abstract

Objective: This study sought to identify factors independently associated with a negative impression of the medical profession in patients with endometriosis who were presenting to a tertiary referral centre. Methods: A cross-sectional analysis was conducted on a prospective data registry between December 2013 and June 2017 at a tertiary referral centre for pelvic pain and endometriosis. The main outcome variable, negative impression about the medical profession, was measured with the four-item subscale of the Endometriosis Health Profile-30 and divided into three groups: no (0), some (1-8), and many (9-16) negative impressions. Patients with a surgical and histological diagnosis of endometriosis were included. Postmenopausal women were excluded. Bivariate analyses determined significant associations (P < 0.05) between variables from the registry and the main outcome. Variables with a significant association were put into ordinal logistic regression with sequential backwards elimination.Results: Negative impression of the medical profession was independently associated with previous surgery that did not help symptoms (adjusted odds ratio [aOR] 1.77; 95% confidence interval [CI] 1.09-2.87; P = 0.021), presentation to an emergency room in the past 3 months (aOR 1.90; 95% CI 1.17-3.07; P = 0.009), and previous visits to a complementary health care provider (aOR 2.16; 95% CI 1.42-3.29; P < 0.0005), while controlling for an endometriosis pain-related morbidity composite variable.Conclusion: Negative perception of the medical profession in women with endometriosis was associated with surgical treatment failure, emergency room use, and accessing complementary health care. Each identified factor offers an opportunity for intervention to improve the perception of the medical profession among women with endometriosis. Item Metadata | Title | Endometriosis and negative perception of the medical profession | | Creator | | | Contributor | | | Publisher | Elsevier | | Date Issued | 2019 | | Description |

Objective

This study sought to identify factors independently associated with a negative impression of the medical profession in patients with endometriosis who were presenting to a tertiary referral centre. Methods: A cross-sectional analysis was conducted on a prospective data registry between December 2013 and June 2017 at a tertiary referral centre for pelvic pain and endometriosis. The main outcome variable, negative impression about the medical profession, was measured with the four-item subscale of the Endometriosis Health Profile-30 and divided into three groups: no (0), some (1-8), and many (9-16) negative impressions. Patients with a surgical and histological diagnosis of endometriosis were included. Postmenopausal women were excluded. Bivariate analyses determined significant associations (P < 0.05) between variables from the registry and the main outcome. Variables with a significant association were put into ordinal logistic regression with sequential backwards elimination.Results: Negative impression of the medical profession was independently associated with previous surgery that did not help symptoms (adjusted odds ratio [aOR] 1.77; 95% confidence interval [CI] 1.09-2.87; P = 0.021), presentation to an emergency room in the past 3 months (aOR 1.90; 95% CI 1.17-3.07; P = 0.009), and previous visits to a complementary health care provider (aOR 2.16; 95% CI 1.42-3.29; P < 0.0005), while controlling for an endometriosis pain-related morbidity composite variable.Conclusion: Negative perception of the medical profession in women with endometriosis was associated with surgical treatment failure, emergency room use, and accessing complementary health care. Each identified factor offers an opportunity for intervention to improve the perception of the medical profession among women with endometriosis. | | Subject | | | Genre | | | Type | | | Language | eng | | Date Available | 2022-10-17 | | Provider | Vancouver : University of British Columbia Library | | Rights | Attribution-NonCommercial-NoDerivatives 4.0 International | | DOI | 10.14288/1.0421293 | | URI | | | Affiliation | | | Citation | Ng N, Wahl K, Orr NL, Noga H, Williams C, Allaire C, Bedaiwy MA, Yong PJ. Endometriosis and Negative Perception of the Medical Profession. J Obstet Gynaecol Can. 2020 Mar;42(3):248-255 | | Publisher DOI | 10.1016/j.jogc.2019.08.034 | | Peer Review Status | Reviewed | | Scholarly Level | Faculty; Researcher; Graduate | | Rights URI | | | Aggregated Source Repository | DSpace | Item Media Item Citations and Data Rights Attribution-NonCommercial-NoDerivatives 4.0 International

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Patient Satisfaction Pelvic Pain Physician-Patient Relations Physicians Adult Attitude of Health Personnel Cross-Sectional Studies Endometriosis Female Humans Pelvic Pain Perception Physicians Prospective Studies Quality of Health Care

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