Cited by 24Endometriosis Research and TreatmentGynecological conditions and treatmentsEctopic Pregnancy Diagnosis and Management

Women’s Pain Experience Predicts Future Surgery for Pain Associated With Endometriosis

Jarrell, John, Brant, Rollin, Leung, Wynne, Taenzer, Paul·2007·Journal of Obstetrics and Gynaecology Canada

Abstract

Objectives A previous randomized controlled trial from 1991 to 1993 comparing excision of endometriosis with sham surgery demonstrated no difference in reported pain after blinding between the excision and sham groups for one year. Overall, when both groups were considered, there was a significant reduction in pain one year postoperatively. This trial was done to determine the predictors of subsequent surgery. Methods The time to repeat surgery was the outcome of interest as a marker for significant pain. Survival analysis and log rank tests were performed to determine if the time to repeat surgery differed by group or by age, parity, original level of pain pre-operatively and stage of the disease. Results Only the reported measurement of pain prior to the initial trial was a significant covariate in the overall prediction of repeat surgery among all subjects. The overall repeat surgical operation rate was 48.3% in the sham surgery group and 51.7% in the excision group. The estimated relative risk for repeat surgery (excision vs. sham) was 1.42 (95% confidence intervals 0.539- 3.75). Conclusion Pain experience preoperatively was found to be an important predictor of subsequent surgical need. In this study, age, stage of disease, and excision of endometriosis were not associated with improvement in pain as measured by the time to repeat surgery.

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Crossref · 10.1016/s1701-2163(16)32689-5

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Authors
Jarrell, J., Brant, R., Leung, W., & Taenzer, P.
Affiliations
University of Calgary (CA)
Venue
Journal of Obstetrics and Gynaecology Canada
Publisher
Elsevier BV
Published
2007-12
Volume
29
Issue
12
Pages
988-991
ISSN
1701-2163 (ISSN-L)
OpenAlex
W2337231947
Cited by
24
References
20
Citations by year
2023: 3 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 2 · 2015: 1 · 2014: 1 · 2013: 1
FWCI
2.20
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Obstetrics and Gynaecology Canada (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
Keywords
endometriosis, endometriosis excision, sham surgery, chronic pelvic pain, reoperation, preoperative pain
MeSH terms
Endometriosis, Female, Follow-Up Studies, Forecasting, Humans, Pain, Pain Measurement, Reoperation, Time Factors

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