Recognition and treatment of irritable bowel syndrome among women with chronic pelvic pain
03/28/05 12:18 PM
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Heather
Reged: 12/09/02
Posts: 7799
Loc: Seattle, WA
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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.
This Document Abstract Full Text + Links PDF (146 K) Actions E-mail Article 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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