Evidence map›Paper›PMID 39733252›Full record

ArticleJournal of evaluation in clinical practice2025

Practical Application of Value-Based Medicine in Chronic Pelvic Pain: A Qualitative Study.

M C Wissing, S E I van der Wal, M van de Haterd, P R de Reuver, L Dick, Y Engels, K C P Vissers, K B Kluivers, K J B Notten

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Article in Journal of evaluation in clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

9 authors.

M C WissingDepartment of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0009-0000-6393-5258
S E I van der WalDepartment of Anesthesiology, Pain and Palliative Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
M van de HaterdDepartment of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands.
P R de ReuverDepartment of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
L DickDepartment of Anesthesiology, Pain and Palliative Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
Y EngelsDepartment of Anesthesiology, Pain and Palliative Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
K C P VissersDepartment of Anesthesiology, Pain and Palliative Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
K B KluiversDepartment of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands.
K J B NottenDepartment of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands.

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

rationaleChronic pelvic pain syndrome (CPPS) is prevalent and a complex multifactorial condition. The incidence is rising. CPPS patients may benefit from multidisciplinary care in a structured care pathway. AIM AND

objectivesThe aim of this explorative study is to give an overview of patient and healthcare provider perspectives on the current patient journey to implement these perspectives in a CPPS care pathway.

methodsA Qualitative study was performed using nominal group technique. The participants were nine female patients CPPS and fourteen healthcare providers involved in CPPS care. The perspectives of the stakeholder groups on the individual components of the CPPS patient journey were collected.

resultsFive overarching key topics were identified: structured start of the patient journey, execution of the patient journey, follow-up after the patient journey, administration during the patient journey, and communication and education. The following recommendations were formulated based on the prioritised points: implementation of a multidisciplinary approach from the start of the journey, adding a case manager and expanding the multidisciplinary team, providing a collaborative triage, updating the questionnaires, improving communication, developing a rehabilitation programme, and reducing waiting times.

conclusionStakeholder focus groups using the nominal group technique was a pivotal step in the development of our CPPS care pathway. This step led to fundamental recommendations, of which a personalised treatment plan at an earlier stage in the patient journey might be the most impactful. This is now implemented, and we monitor the effects on outcomes, quality of life and patient's satisfaction.

Indexed as

Chronic PainPelvic PainQualitative ResearchAdultCritical PathwaysFemaleFocus GroupsHumansMiddle AgedPatient Care Teamcare pathwaycritical pathwaypelvic painqualitative research

Identifiers

PMID39733252
PMCPMC11682562

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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.