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HeatherAdministrator

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Recognition and treatment of irritable bowel syndrome among women with chronic pelvic pain
      03/28/05 12:18 PM

American Journal of Obstetrics and Gynecology
Volume 192, Issue 3 , March 2005, Pages 761-767

Copyright © 2005 Elsevier Inc. All rights reserved.

General Obstetrics and Gynecology: Gynecology

Recognition and treatment of irritable bowel syndrome among women with chronic pelvic pain

Rachel E. Williams PhDa, , , Katherine E. Hartmann MD, PhDa, b, Robert S. Sandler MD, MPHa, c, William C. Miller MD, PhD, MPHa, c, Lucy A. Savitz MBA, PhDd and John F. Steege MDb

aDepartment of Epidemiology, School of Public Health
bDepartments of Obstetrics and Gynecology
cMedicine
dSchool of Medicine, Department of Health Policy and Administration, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC

Received 15 May 2004; revised 13 October 2004; accepted 29 October 2004. Available online 25 February 2005.

Objective
We sought to describe irritable bowel syndrome (IBS) treatment among women with chronic pelvic pain.

Study design
We performed a cross-sectional study of new chronic pelvic pain patients between 1993 and 2000 (n = 987). IBS was defined by Rome I criteria. IBS treatment was defined as lower gastrointestinal drugs or referral. Analyses were descriptive and multivariable.

Results
IBS occurred in 35% of patients. In the highest quartile of pain, women with IBS were not more likely to have IBS treatment initiated. In the lowest three quarters of pain, women with IBS were 5.08 times more likely to have IBS treatment initiated. IBS was not diagnosed 40% of the time. IBS treatments were not recommended to 67% of patients with IBS. More than 35% of patients were prescribed narcotics.

Conclusion
IBS is not consistently diagnosed and treated even in a pelvic pain clinic. Yet, treatment of IBS may reduce the overall abdominal pain of these patients.

Key words: Irritable bowel syndrome; Chronic pelvic pain; Treatment; Epidemiology; Diagnosis


This research was supported, in part, by an unrestricted educational grant from GlaxoSmithKline and by the Sunshine Lady Foundation.
Reprint requests: Rachel E. Williams, PhD, 1200 Willow Dr, Chapel Hill, NC 27517.






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American Journal of Obstetrics and Gynecology
Volume 192, Issue 3 , March 2005, Pages 761-767

http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6W9P-4FJVYH8-R&_user=10&_handle=V-WA-A-W-ZW-MsSAYVW-UUW-U-AAABDAVUCA-AAAAWEVYCA-EEABDDBWZ-ZW-U&_fmt=summary&_coverDate=03%2F01%2F2005&_rdoc=21&_orig=browse&_srch=%23toc%236688%232005%23998079996%23575189!&_cdi=6688&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=9e0e5d133e146c96d2a379975bfc3668

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