Current usage of qualitative research in female pelvic pain: a systematic review

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This systematic review characterized the usage of qualitative research in chronic pelvic pain, finding phenomenology and semi-structured interviews were common, with endometriosis being the most studied condition.

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This systematic review characterized how qualitative research has been used in women with chronic pelvic pain (CPP), using structured searches of Web of Science, PubMed, and EMBASE up to June 2019 and thematic synthesis of included studies. Across 52 qualitative studies, semi-structured interviews were the dominant data collection method, and most studies used phenomenological designs, with the most frequent diagnostic theme being endometriosis (23 studies), followed by chronic pelvic pain (8), dysmenorrhea (8), dyspareunia (4), interstitial cystitis (2), vaginismus (2), vulvodynia (2), and pelvic inflammatory disease (1). The most common contribution was documenting the impact of disease on women’s lives, but the authors note a need for more transparent descriptions of qualitative methods in published articles. Relevance to endometriosis: endometriosis was the theme of 23 included studies within a broader review of female CPP, though the paper’s main focus is the overall patterns of qualitative research usage across chronic pelvic pain conditions.

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Abstract

Purpose Qualitative research has received growing attention in the multidisciplinary investigation of patients' perceptions about chronic diseases. The purpose of this systematic review was to characterize the usage of qualitative research in women with chronic pelvic pain (CPP).

Methods

We performed a structured search in Web of Science, Pubmed, and EMBASE platforms until June 2019. The search combined the keywords: "pelvic pain", "endometriosis", "dyspareunia", "dysmenorrhea", "vaginismus", "focus groups", "qualitative research", "hermeneutics", "grounded theory", and "women". Qualitative studies on female CPP were included and the main findings combined using thematic synthesis.

Results

We found 1211 citations, of which 52 were included in this review. The majority of included studies were based on phenomenological design. The main method for data collection was semi-structured interviews. Endometriosis was the theme of 23 studies, chronic pelvic pain of eight, dysmenorrhea of eight, dyspareunia of four, interstitial cystitis of two, vaginismus of two, vulvodynia of two, and pelvic inflammatory disease of one study. We found a wide variety of contributions. Among them, the impact of the disease on women's lives was the commonest.

Conclusion

Qualitative research has the potential to reveal and explain several aspects of CPP in women. The medical community may better accept knowledge gained from these studies if the methods are described more transparently in published articles. Similar content being viewed by others

References

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Author information Authors and Affiliations Contributions BHM protocol development, data collection, data analysis, and manuscript editing. TLP protocol development and data collection. OBPN, JCRS, and AAN manuscript editing. FJCR protocol development, data collection, data analysis, and manuscript writing. Corresponding author Ethics declarations Conflict of interest The authors declare that they have no conflict of interest related to the contents of this article. Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Rights and permissions About this article Cite this article Mellado, B.H., Pilger, T.L., Poli-Neto, O.B. et al. Current usage of qualitative research in female pelvic pain: a systematic review. Arch Gynecol Obstet 300, 495–501 (2019). https://doi.org/10.1007/s00404-019-05212-x Received: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s00404-019-05212-x

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Condition tags

dysmenorrheadyspareuniaendometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Pelvic Pain Adult Chronic Disease Chronic Pain Cystitis, Interstitial Dysmenorrhea Dyspareunia Female Humans Qualitative Research

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