Noncyclic Chronic Pelvic Pain Therapies for Women
Comparative Effectiveness of Surgical Interventions for Noncyclic CPP: Functional Outcomes
There was insufficient evidence to determine if hysterectomy was more effective than non-surgical therapy in improving functional status. A poor-quality cohort study, the Maine Women’s Health Study, reported on 12-month outcomes for 50 patients with CPP who were enrolled in a non-surgical group and were compared with 68 patients with CPP who were undergoing hysterectomy. Functional status, assessed with a validated Activity Index questionnaire, improved in both groups when compared with baseline after 12 months of treatment (both p < 0.001), but a comparison between the two study arms was not performed.
- Andrews J, Yunker A, Reynolds WS, et al. Noncyclic Chronic Pelvic Pain Therapies for Women: Comparative Effectiveness. Comparative Effectiveness Review No. 41 (Prepared by the Vanderbilt Evidence-based Practice Center under Contract No. 290-2007-10065-I). Rockville, MD: Agency for Healthcare Research and Quality; January 2012. AHRQ Publication No. 11(12)-EHC088-EF. Available at www.effectivehealthcare.ahrq.gov/pelvicpain.cfm.
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