Navigating the COVID‐19 waters with chronic pelvic pain

Villegas-Echeverri, Juan Diego; Carrillo, Jorge Fernando García

doi:10.1002/ijgo.13359

Cited by 3 publications

(5 citation statements)

References 21 publications

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“… 58 , 59 This concern for family safety could then potentially lead to frustration, anger, and resentment toward those ignoring COVID-19 precautions. Several studies have also identified disruption to the health care system as a direct result of the COVID-19 pandemic, specifically focusing on the impacts of triaging or prioritizing acute physical needs, 24 leading to individuals with chronic pain experiencing delayed access 60–63 and increased anxiety, helplessness, and pain. 24 These findings highlight the importance of ensuring that individuals with chronic conditions continue to have stable access to various therapies even amidst public health crises.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have also identified disruption to the health care system as a direct result of the COVID-19 pandemic, specifically focusing on the impacts of triaging or prioritizing acute physical needs, 24 leading to individuals with chronic pain experiencing delayed access 60–63 and increased anxiety, helplessness, and pain. 24 These findings highlight the importance of ensuring that individuals with chronic conditions continue to have stable access to various therapies even amidst public health crises. 64 Utilization of virtual telemedicine can help to improve access for some individuals, 65 , 66 but such online interventions must include evidence-based, multidisciplinary pain management supports 64 and, as highlighted in our analysis, virtual care may not always be a suitable alternative.…”

Section: Discussionmentioning

confidence: 99%

“… 20 Despite the onset of both new symptoms as well as exacerbations of preexisting pain, many youth and families experienced reduced access to both medical and mental health care during the pandemic. 23 , 24 These circumstances contributed to patients reporting increased anxiety, fear, and helplessness and, in some cases, resulted in delayed diagnoses and higher complication rates. 25 Prior to the COVID-19 pandemic, the role of family had been shown to be especially influential on pediatric pain experiences as well as quality of life.…”

Section: Introductionmentioning

confidence: 99%

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“We survived the pandemic together”: The impact of the COVID-19 pandemic on Canadian families living with chronic pain

Killackey

Soltani

Noel

et al. 2023

Canadian Journal of Pain

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Introduction Pediatric chronic pain is a significant problem in Canada, affecting one in five youth. This study describes the impact of the pandemic on the experiences of Canadian families living with chronic pain through interviews with youth living with chronic pain, parents, and siblings. Methods Employing a qualitative descriptive design, in-depth semistructured interviews were completed with Canadian youth living with pain, as well as parents and siblings. Participants were not required to be related. Interviews were analyzed using a reflexive thematic analysis approach. Results Forty-four interviews were completed with 14 parents, 19 youth with chronic pain, and 11 siblings from across the country. Three key themes were developed: (1) absorbing and shifting: the toll of the pandemic on the family system (e.g., loss of coping mechanisms, shifting roles to respond to the pandemic), (2) social ambiguity and abandonment (e.g., social sacrifice and abandonment by the health care system), and (3) building community resilience: familial adaptation to the pandemic (e.g., family cohesion, confidence, and self-management). Discussion/Conclusions Youth, parents, and siblings reported that the pandemic impacted coping strategies across the family system. These results outline the challenges youth experienced managing their pain and overall health throughout the pandemic and the resilience built within families during this time. Going forward, it would be relevant to examine how racialized and structurally marginalized youth with chronic pain and their families experienced the pandemic. Future research should examine how unexpected benefits of the pandemic (e.g., increased confidence and self-management) may be sustained into the future.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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“We survived the pandemic together”: The impact of the COVID-19 pandemic on Canadian families living with chronic pain

Killackey

Soltani

Noel

et al. 2023

Canadian Journal of Pain

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“…As healthcare providers treating chronic pelvic pain patients (a vulnerable population), we need to adapt with them and offer all the tools available to complement their treatment [ 18 ]. Many women suffering from pelvic pain have delayed seeking treatment.…”

Section: Discussionmentioning

confidence: 99%

Endometriosis Surgery during the First Wave of the COVID-19 Pandemic: A Brazilian Single Institution Experience

Crispi¹,

Crispi²,

Nogueira

et al. 2021

Case Reports in Obstetrics and Gynecology

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Introduction. Early in the 2020 Coronavirus pandemic stay-at-home guidelines, there were public health orders that elective surgeries be deferred to prioritize hospital beds for critically ill COVID-19 patients. Besides, several reasons led to the postponement of consultations, diagnostic tests, and elective therapeutic procedures. As a result, some women with endometriosis faced chronification of their pain and decreased prospects for pregnancy. The aim of this study was to describe individual responses to minimally invasive complete excision of endometriosis through 40 days of follow-up of women whose endometriosis was considered severe enough to proceed with surgery during the fourth, fifth, and sixth months of constraints imposed by the pandemic. Preventive strategies and safety measures employed to protect patients and staff from acquiring or transmitting Coronavirus infection are presented. Case Presentation. This case series report enrolled 11 consecutive Brazilian women (ages 22 to 47 y) who underwent minimally invasive surgical treatment of endometriosis between June 26 and August 17, 2020. Cases of endometriosis requiring more urgent surgery were promptly identified and considered individually. The strict safety measures were well accepted by patients. No women developed any flu-like or COVID-19-related symptoms (cough, dyspnea, fever, or anosmia) in the 40 days of postoperative follow-up. One of the most praised measures reported by patients was the routine testing of the patient, the person who would accompany her in the hospital, and all medical staff and employees. Discussion. It is feasible to safely perform elective endometriosis surgery in selected cases during a pandemic.

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“…À cet effet, plusieurs expert•e•s évoquent une possible augmentation de la douleur chronique après la pandémie, que cette douleur soit due à l'hospitalisation ou aux conséquences du virus chez les gens infectés ou à l'exacerbation des facteurs de risque chez les individus (Clauw et al, 2020;Elran-Barak & Mozeikov, 2020). Certain•e•s auteur•trice•s ont aussi mis en lumière que la réduction des soins pour les personnes vivant avec de la douleur chronique durant la pandémie en raison du délestage pourrait mener à l'augmentation de la douleur, de l'anxiété et du stress (Clauw et al, 2020;Pope, 2020;Villegas-Echeverri & Carrillo, 2020). D'autre part, une étude de Pagé et al (2021) rapporte que 69% des individus vivant avec de la douleur chronique ont noté une détérioration de leur condition durant la première vague de la pandémie.…”

Section: Douleur Chronique Et Détresse Psychologique En Contexte De C...unclassified

Understanding chronic pain on the gender spectrum: gender role expectations and the pandemic

Côté¹,

Delevay²,

Roy³

et al. 2022

JIRIRI

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Chronic pain is a major health problem, afflicting one in four Canadians, with more women living with chronic pain. The study aims at documenting the impacts of the COVID-19 pandemic among individuals living with chronic pain depending on gender and at exploring gender role expectations of pain in relation to pain interference. Participants (N = 49) filled out questionnaires before, during and after the first wave of the COVID-19 pandemic, documenting their loneliness, distress, pandemic-related restrictions, pain and gender role expectations of pain. It was expected that women would be more affected by the pandemic. Results (p > .05) do not indicate gender differences, nor associations between gender role expectations and pain interference. Further research is needed to broaden our knowledge regarding gender differences in chronic pain and to address health inequalities.

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Navigating the COVID‐19 waters with chronic pelvic pain

Abstract: Despite changes in healthcare approaches due to the COVID‐19 pandemic, patients with chronic pelvic pain should be assured of optimal access to care.

Cited by 3 publications

References 21 publications

“We survived the pandemic together”: The impact of the COVID-19 pandemic on Canadian families living with chronic pain

“We survived the pandemic together”: The impact of the COVID-19 pandemic on Canadian families living with chronic pain

Endometriosis Surgery during the First Wave of the COVID-19 Pandemic: A Brazilian Single Institution Experience

Understanding chronic pain on the gender spectrum: gender role expectations and the pandemic

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