Evidence map›Paper›PMID 28915804›Full record

ArticleBMC musculoskeletal disorders2017

Prevalence and predictors of persistent pelvic girdle pain 12 years postpartum.

Cecilia Bergström, Margareta Persson, Kari-Anne Nergård, Ingrid Mogren

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04818411 nacompletednot on this mapstarted 2019, after this paper: background citation

Comparison of Stabilization Exercises Versus Thrust Manipulation Technique on Pelvic Girdle Pain.

TypeinterventionalSponsorRiphah International UniversityRan2019 to 2020Enrolled40ConditionsPelvic Girdle PainArmsRoutine physical therapy treatment with the Stabilization exercises, Routine physical therapy treatment + High-velocity thrust manipulation
NCT05405127 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Effects of Breathing Exercises With and Without Core Stability Exercises on Pain Pressure Threshold and Disability in Postpartum Females With Lumbopelvic Pain

TypeinterventionalSponsorRiphah International UniversityRan2022 to 2022Enrolled44ConditionsBreathing Sound, Low Back Pain, Post-operative Pain, Pelvic PainArmstraditional physical therapy, core stability exercises
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Cecilia BergströmDepartment of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden. cecilia.bergstrom@umu.se.ORCID http://orcid.org/0000-0003-0566-0457
Margareta PerssonDepartment of Nursing, Umeå University, Umeå, Sweden.
Kari-Anne NergårdPrivate Practice in Luleå, Luleå, Sweden.
Ingrid MogrenDepartment of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden.
Umeå University · SELuleå University of Technology · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPelvic girdle pain (PGP) is not always a self-limiting condition. Women with more pronounced persistent PGP (PPGP) report poorer health status compared to women with less pronounced symptoms. The knowledge concerning the long-term consequences of PPGP is limited, thus more knowledge in this area is needed. The overall aim was to study the prevalence and predictors of PPGP 12 years after delivery.

methodsThis is a long-term follow-up study based on a previous cohort study that commenced in 2002. New questionnaire data 12 years postpartum were collected in 2014 and early 2015. The questionnaire was distributed to a total of 624 women from the initial cohort.

resultsIn total, 295 women (47.3%) responded to the questionnaire where 40.3% (n = 119) reported pain to a various degree and 59% (n = 174) reported no pain. Increased duration and/or persistency of pain, self-rated health, sciatica, neck and/or thoracic spinal pain, sick leave the past 12 months, treatment sought, and prescription and/or non-prescription drugs used were all associated with an statistically significant increase in the odds of reporting pain 12 years postpartum. Widespread pain was common and median expectation of improvement score was 5 on an 11-point numeric scale (interquartile range 2-7.50). More than one of five women (21.8%) reporting pain stated that they had been on sick leave the past 12 months and nearly 11% had been granted disability pension due to PPGP. No statistically significant differences were found between respondents and non-respondents regarding most background variables.

conclusionsThis study is unique as it is one of few long-term follow-up studies following women with PPGP of more than 11 years. The results show that spontaneous recovery with no recurrences is an unlikely scenario for a subgroup of women with PPGP. Persistency and/or duration of pain symptoms as well as widespread pain appear to be the strongest predictors of poor long-term outcome. Moreover, widespread pain is commonly associated with PPGP and may thus contribute to long-term sick leave and disability pension. A screening tool needs to be developed for the identification of women at risk of developing PPGP to enable early intervention.

Indexed as

Postpartum PeriodSurveys and QuestionnairesAdultCohort StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedPain MeasurementPelvic Girdle PainPredictive Value of TestsPrevalenceTime FactorsCohort studiesDisability pensionLong-term follow-upPersistent pelvic girdle painPostpartumPredictorsPrevalenceSick leaveWidespread pain

Identifiers

PMID28915804
PMCPMC5602957
OpenAlexW2755470426

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.