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Noncyclic Chronic Pelvic Pain Therapies for Women

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Noncyclic Chronic Pelvic Pain Therapies for Women

This slide set is based on a comparative effectiveness review (CER) titled Noncyclic Chronic Pelvic Pain Therapies for Women: Comparative Effectiveness, which was developed by Vanderbilt Evidence-based Practice Center, Vanderbilt University Medical Center, Nashville, TN for the Agency for Healthcare Research and Quality (AHRQ) under Contract No. HHSA290-2007-10065-I and is available online at www.effectivehealthcare.ahrq.gov/pelvicpain.cfm.

CERs are comprehensive systematic reviews of the literature that usually compare two or more types of interventions with usual care for the same disease. For this CER, the existing body of evidence on the relative benefits of various surgical and non-surgical therapies for noncyclic chronic pelvic pain (CPP), and harms of non-surgical therapies, was reviewed. The literature included in this review was identified in searches for English-language studies that included terms related to chronic pelvic pain or pelvic pain, as well as searches for relevant research designs. Studies in adult women (≥18 years of age) with noncyclic or mixed cyclic/noncyclic chronic pelvic pain undergoing surgical or non-surgical treatment were included. Searches were conducted for studies published through May 3, 2011.

This review focused on women in whom a definite etiology for their noncylic CPP had not been or could not be identified. The review did not include studies with a primary focus on coexisting conditions (vulvodynia, irritable bowel syndrome, etc.) or on cancer pain or pregnancy-related pain.