Evidence map›Paper›PMID 29587728›Full record

ArticleBMC women's health2018

Anatomical landmarks of the intra-pelvic side-wall as sources of pain in women with and without pregnancy-related chronic pelvic pain after childbirth: a descriptive study.

Thomas Torstensson, Stephen Butler, Anne Lindgren, Magnus Peterson, Lena Nilsson-Wikmar, Margaretha Eriksson, Per Kristiansson

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC women's health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 30% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
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

7 authors at 2 institutions in 1 country.

Thomas TorstenssonDepartment of Public Health and Caring Sciences, Uppsala University, Box 564, 751 22, Uppsala, SE, Sweden.
Stephen ButlerDepartment of Public Health and Caring Sciences, Uppsala University, Box 564, 751 22, Uppsala, SE, Sweden.
Anne LindgrenDepartment of Public Health and Caring Sciences, Uppsala University, Box 564, 751 22, Uppsala, SE, Sweden.
Magnus PetersonDepartment of Public Health and Caring Sciences, Uppsala University, Box 564, 751 22, Uppsala, SE, Sweden.
Lena Nilsson-WikmarDepartmemt of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, 141 83, Huddinge, SE, Sweden.
Margaretha ErikssonDepartment of Public Health and Caring Sciences, Uppsala University, Box 564, 751 22, Uppsala, SE, Sweden.
Per KristianssonDepartment of Public Health and Caring Sciences, Uppsala University, Box 564, 751 22, Uppsala, SE, Sweden. per.kristiansson@pubcare.uu.se.ORCID 0000-0001-7346-1674
Uppsala University · SEStockholm County Council · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic pelvic pain (CPP) affects 15-24% of women and can have a devastating impact on quality of life. Laparoscopy is often used in the investigation, although in one third of the examinations there is no visible pathology and the women may be dismissed without further investigation. Also, the contribution of skeletal, muscular, periosteal and ligamentous tissues to CPP remains to be further elucidated. The objective of the present study was to compare pain intensity provoked from anatomical landmarks of the intra-pelvic side-wall in women with pregnancy-related CPP after childbirth and women without such pain.

methodsThis is a descriptive study of 36 non-randomly selected parous women with CPP after childbirth and 29 likewise selected parous women after childbirth without CPP. Pain was determined by questionnaire and clinical examination. The primary outcome measure was reported pain intensity provoked on 13 anatomical landmarks of the intra-pelvic side-wall. All women reported their perceived pain intensity for each anatomical landmark on Likert scales and an individual sum score was calculated.

resultsWomen with chronic pelvic pain were older than women without CPP. At several intra-pelvic landmarks high intensity pain was provoked in women with CPP compared with less intense pain provoked at fewer landmarks in women without low back or pelvic pain (p < 0.0001). The average sum of pain intensity scores was about 4 times higher in women with CPP (1.3) as compared with those without low back or pelvic pain (0.3), p < 0.0001. This association remained when adjusting for the age difference between the pain groups in linear regression analysis. In addition, reported pain intensity at worst past week was independently associated with sum of pain intensity scores. The maximum individual sum of pain intensity scores among women without CPP was exceeded by that of 85% of the women with CPP.

conclusionsParous women with CPP after childbirth had a heightened pain intensity over 13 anatomical landmarks during pelvic examination compared with parous women without CPP. These results need to be confirmed in a larger cohort with different types of CPP.

Indexed as

Anatomic LandmarksPelvisAdultAge FactorsCase-Control StudiesChronic PainFemaleHumansMiddle AgedPain MeasurementParturitionPelvic PainPhysical ExaminationPregnancyPregnancy ComplicationsSurveys and QuestionnairesAnatomical landmarksChronic pelvic painIntra-pelvic side-wallPregnancy-related

Identifiers

PMID29587728
PMCPMC5870072
OpenAlexW2794706564

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.