Evidence map›Paper›PMID 36757947›Full record

ArticlePloS one2023

The burden of Chronic Pelvic Pain (CPP): Costs and quality of life of women and men with CPP treated in outpatient referral centers.

David Hutton, Aida Mustafa, Soha Patil, Saira Rathod, Gautam Shrikhande, Arnold Advincula, Jessica Drummond, Peter Gregersen, Jason Hall, Christine Metz and 5 more

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Women's Causal Beliefs About Their Pelvic Pain: A Systematic Review and Meta-Ethnography.Pain practice : the official journal of World Institute of Pain · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. FIGO-IPPS consensus statement: Addressing the global unmet needs of women with chronic pelvic pain.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Article
  14. Article
  15. Chronic pelvic pain and botulinum toxin.Toxicon : official journal of the International Society on Toxinology · 2025
    Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. 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

15 authors.

David HuttonDepartment of Public Health, University of Michigan, Ann Arbor, Michigan, United States of America.
Aida MustafaPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, Florida, United States of America.
Soha PatilPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, Florida, United States of America.
Saira RathodDepartment of Public Health, University of Michigan, Ann Arbor, Michigan, United States of America.
Gautam ShrikhandePelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, Florida, United States of America.
Arnold AdvinculaDepartment of Obstetrics and Gynecology, Columbia University, New York, New York, United States of America.
Jessica DrummondPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, Florida, United States of America.
Peter GregersenThe Feinstein Institute for Medical Research, Manhasset, New York, United States of America.ORCID 0000-0003-1613-1518
Jason HallBoston University Medical Center, Boston, Massachusetts, United States of America.
Christine MetzThe Feinstein Institute for Medical Research, Manhasset, New York, United States of America.ORCID 0000-0002-1013-1691
Alexandra MilspawPelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, Florida, United States of America.ORCID 0000-0002-7091-8672
Iris Kerin OrbuchAdvanced Gynecologic Laparoscopy Center, Los Angeles, California, United States of America.
Peter StahlDepartment of Urology, Columbia University, New York, New York, United States of America.
Amy SteinBeyond Basics Physical Therapy, New York, New York, United States of America.
Allyson ShrikhandeDepartment of Public Health, University of Michigan, Ann Arbor, Michigan, United States of America.ORCID 0000-0003-4666-2782

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChronic Pelvic Pain (CPP) is a complex, multifaceted condition that affects both women and men. There is limited literature on the cost utilization the healthcare system and CPP patients incur. The purpose of this analysis is to characterize the overall healthcare utilization, cost burden, and quality-of-life restrictions experienced by CPP patients using data from an outpatient pelvic rehabilitation practice.

methodsHealthcare utilization data was gathered by systematically reviewing and analyzing data from new patient visit progress notes stored in the clinic's electronic health records (EHR). We obtained in-network costs by using the FAIR Health Consumer online database. Overall costs were then calculated as the utilization times the per-unit costs from the FAIR database. Additionally, data on patients' visual analogue scale (VAS), absenteeism, presenteeism emergency room visits, usage of common pain medications, use of diagnostics, and participation in common treatment modalities was gathered.

resultsData from 607 patients was used. The overall cost burden per patient for all surgeries combined was $15,750 for in-network services. The cost burden for diagnostics was $5,264.22 and treatments was $8,937 per patient for in-network treatments.

conclusionChronic Pelvic Pain was found to have a large cost burden of $29,951 for in-network services which includes treatments, diagnostics, and surgeries. This analysis sets the stage for future investigations involving data on costs of medications that patients have tried prior to presenting to us and costs associated with work hours lost.

Indexed as

Chronic PainQuality of LifeFemaleHumansMaleOutpatientsPain MeasurementPatient Acceptance of Health CarePelvic Pain

Identifiers

PMID36757947
PMCPMC9910684

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.