Endometriosis and negative perception of the medical profession

Ng, Nicole, Wahl, Kate, Orr, Natasha L., Noga, Heather, Williams, Christina, Allaire, Catherine, Bedaiwy, Mohamed Ali, 1968-, Yong, Paul J.
2022 · doi:10.14288/1.0421293 · W6960994803
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In patients with endometriosis presenting to a tertiary center, negative perception of the medical profession was independently associated with unhelpful prior surgery, emergency room visits, and use of complementary healthcare providers.

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This cross-sectional study analyzed data from a prospective registry at a tertiary referral center to identify factors associated with negative perceptions of the medical profession among patients with surgically confirmed endometriosis. The researchers found that prior surgical failure, recent emergency room visits, and previous use of complementary health care providers were independently linked to higher levels of dissatisfaction with standard medical care. These associations remained significant even after controlling for pain-related morbidity, suggesting that treatment outcomes and alternative care seeking significantly influence patient trust. This paper is centrally about endometriosis — specifically examining how clinical experiences and treatment failures shape patient attitudes toward healthcare providers within this patient population.

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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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