A Systematic Review of the Cost of Chronic Pelvic Pain in Women

Huang G, Ghi Huang, Le AL, Ai-Lien Le, Yvette Goddard, Goddard Y, Daniel James, James D, Kednapa Thavorn, Thavorn K, Magdalene Payne, Payne M, Innie Chen
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2021 · vol. 44(3) , pp. 286–293.e3 · doi:10.1016/j.jogc.2021.08.011 · PMID:34587539 · W3203114652
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This systematic review synthesizes existing literature to present an overview of the economic burden associated with chronic pelvic pain in women.

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Abstract

ObjectiveTo systematically summarize the evidence on costs related to chronic pelvic pain (CPP) for women.Data sourcesElectronic databases (MEDLINE, EMBASE, PubMed, and Cochrane Library) were searched for English and French articles published from 1990 to January 2021 STUDY SELECTION: Of 1304 articles screened, 67 were screened in full-text form, and a total of 13 articles were included in the final analysis. Articles included involved cost studies that estimated hospital or health system costs for pelvic pain, dysmenorrhea, dyspareunia, endometriosis with pain, interstitial cystitis, or painful bladder syndrome.Data extraction and synthesisA standardized form was created to extract study setting, design, and population; patient demographics; study duration; and reported costs of CPP components and amounts. Two independent reviewers completed the data extraction, and discrepancies were resolved through discussion with a third reviewer.ConclusionEstimated health care costs ranged from US$1367 to US$7043 per woman per year. Prescription costs ranged from US$193 to US$2457 per woman per year. Indirect costs ranged from US$4216 to US$12 789 per woman per year. Combined costs ranged from US$1820 to US$20 898 per woman per year. The yearly costs of CPP varied according to country; yearly costs were estimated to be $2.8 billion, ¥191,680 to ¥246,488, and $16 970 to $20 898 per woman per year in the United Sates, Japan, and Australia, respectively. The literature suggests that CPP represents a considerable economic burden on women and health care systems internationally, with indirect costs contributing a significant portion of total costs.

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Condition tags

dysmenorrheadyspareuniachronic_pelvic_pain

MeSH descriptors

Chronic Pain Chronic Pain Dyspareunia Dysmenorrhea Female Health Care Costs Humans Pelvic Pain Pelvic Pain

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Cited by (31)

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License: CC0 · commercial use OK