Background: Chronic pelvic pain (CPP), defined as a noncyclical pain lasting for more than 6
months can lead to lower physical performance and quality of life in women. CPP is a worldwide
problem affecting women of all ages. However, health care professionals and researchers, due to
its complex nature and the lack of knowledge surrounding the condition, frequently neglect CPP.
Subsequently, basic data and knowledge regarding CPP remain incomplete.
Objective: To update the review of the worldwide estimation of the CPP prevalence considering
the World Health Organization systematic review by Latthe et al in 2006 as point of departure.
Study Design: A systematic review of CPP prevalence studies.
Method: Electronic search was performed to find related articles through PubMed between 2005
and 2012 based on the PRISMA statement (2009).
Results: From 140 studies, only 7 studies were about CPP prevalence. Their study design consisted
of 3 cross sectional studies, one population based mailing questionnaire study, one survey study
(computer assisted telephone interview), one data analysis by questionnaire, and one prospective
community based study.
Limitations: Paucity of population based studies in addition to probability of existence of studies
at the local level with limited access to worldwide databases, lack of consensus about definition of
CPP among researchers and therapists, and non-inclusion of CPP related key words in databases
such as PubMed.
Conclusion: Based on these articles, prevalence in general ranged between 5.7% and 26.6%.
There were many countries and regions without basic data in the field of CPP. This review shows
the paucity of studies, especially multidisciplinary researches with multifactorial views on CPP.
Multidisciplinary studies would provide more reliable data for estimating the prevalence of CPP and
its psycho-socioeconomic burden, as well as finding its etiologies and characteristics. This would be
the first step towards better treatment and care for women with CPP.
Key words: Chronic pelvic pain, women, epidemiology, prevalence, human, female
In PCOS patients, normalisation of metabolic dysfunction may be incomplete by 6 months after RYGB surgery, and the start of ovulatory menstrual cycles may indicate normalisation of metabolic dysfunction.
Kinesiophobia is one of the pain complications which eventually might cause disability. Several studies showed correlation between age-related problems with kinsiophobia. The objective was to investigate clinical trials about managing kinesiophobia among older adults aged +65 years until March 2020. PubMed, CINAHL, Google Scholar, and PsycINFO databases were electronically searched until March 2020. All studies about kinesiophobia, with clinical trials, and randomized trials study design among older adults aged +65 years were included in the review. Two set of searching terms including “kinesiophobia AND intervention” and “fear of movement AND intervention” were used. From a total of 2669 articles, after excluding for different reasons, only three articles with total of 87 participants, mean age 68.5, all from Turkey related to the objectives of this study remained. Two of them were evaluated using two different physiotherapy approaches to manage neck pain and low back pain and one of them was regarding falls. Kinesiophobia was used as measure for the effectiveness of treatments. Older adults with routine and properly designed exercise and activity are healthier, with a lower probability for disability and therefore higher QoL and longer healthy life. But to reach those goals, age-related diseases and barriers should be investigated.
Overall, we found that, in this population of older adults in six LMICs, recent pain was associated with moderate use of alcohol, although there were differences between countries. The findings provide a platform for country-specific research to better understand bi-directional associations between pain and alcohol in older adults.
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