A Comparative Study of the Impact of Chronic Pelvic Pain on Quality of Life in Women With and Without Endometriosis [34A]

Sayuli Bhide, Rebecca Flyckt, Meng Yao, Tommaso Falcone
In: Obstetrics & Gynecology · 2019 · vol. 133(1) , pp. 19S · doi:10.1097/01.aog.0000559381.43356.1b · W2944756575
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This study found that while pain and quality of life scores were similar between women with endometriosis-associated and other chronic pelvic pain, significant differences existed in disability and mental health scores approached significance.

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This study compared chronic pelvic pain and quality of life outcomes in women with surgically confirmed endometriosis versus those with other causes of pelvic pain following gynecologic surgery. Researchers analyzed validated questionnaires from 84 patients with endometriosis-associated pain and 105 with other pain sources, finding no significant differences in overall health status or physical disability between the groups. Although racial demographics and disability rates differed, the data indicated that reported pain levels and general quality of life metrics were largely similar regardless of the underlying diagnosis. This paper is centrally about endometriosis — specifically comparing its associated pain profile and patient-reported outcomes against non-endometriotic chronic pelvic pain conditions.

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Abstract

INTRODUCTION: Few studies have examined the differing natural histories and quality of life in women with endometriosis-associated chronic pelvic pain (EACPP) versus other chronic pelvic pain (OCPP) in the years following surgery. In this study, we compared pain and quality of life scores in women with EACPP vs OCPP after surgery. METHODS: Women with CPP who had gynecologic surgery at the Cleveland Clinic between 2008 and 2010 with surgically confirmed endometriosis versus other CPP without endometriosis completed the EHP-30 and PROMIS validated quality of life questionnaires. Demographics and scores were compared between EACPP (N=84) versus OCPP (N=105) groups. RESULTS: Significant differences in racial demographics were seen between the two groups, with more African American patients in the OCPP group. The EACPP group had lower current disability than the OCPP group (3.6% vs 13.5%, P=.019). No significant difference was found in EHP-30 scores between groups. The PROMIS Global Health survey revealed no significant difference in Global Physical scores, however, the EACPP group had a lower mean Global Mental score compared to the OCPP group (12.5±3.4 vs 13.6±3.6, P=.057), a finding which approached significance. In exploratory regression models, higher age and higher Global Physical score were associated with lower EHP-30 scores (better health status) across all quality of life scales. CONCLUSION: Reported pain and quality of life are similar between women with EACPP vs OCPP. However, racial representation and disability status are different between groups. Furthermore, multivariable regression models indicated that higher age and physical health ratings may be associated with better quality of life.
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Introduction

Few studies have examined the differing natural histories and quality of life in women with endometriosis-associated chronic pelvic pain (EACPP) versus other chronic pelvic pain (OCPP) in the years following surgery. In this study, we compared pain and quality of life scores in women with EACPP vs OCPP after surgery.

Methods

Women with CPP who had gynecologic surgery at the Cleveland Clinic between 2008 and 2010 with surgically confirmed endometriosis versus other CPP without endometriosis completed the EHP-30 and PROMIS validated quality of life questionnaires. Demographics and scores were compared between EACPP (N=84) versus OCPP (N=105) groups.

Results

Significant differences in racial demographics were seen between the two groups, with more African American patients in the OCPP group. The EACPP group had lower current disability than the OCPP group (3.6% vs 13.5%, P=.019). No significant difference was found in EHP-30 scores between groups. The PROMIS Global Health survey revealed no significant difference in Global Physical scores, however, the EACPP group had a lower mean Global Mental score compared to the OCPP group (12.5±3.4 vs 13.6±3.6, P=.057), a finding which approached significance. In exploratory regression models, higher age and higher Global Physical score were associated with lower EHP-30 scores (better health status) across all quality of life scales.

Conclusion

Reported pain and quality of life are similar between women with EACPP vs OCPP. However, racial representation and disability status are different between groups. Furthermore, multivariable regression models indicated that higher age and physical health ratings may be associated with better quality of life.

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Outcome instruments

EHP-30

Condition tags

endometriosischronic_pelvic_pain

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