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Multidisciplinary approach to chronic pelvic pain
A Milburn1, R C Reiter, A T Rhomberg
1Department of Obstetrics and Gynecology, University of Iowa College of Medicine, Iowa City.
Obstetrics and Gynecology Clinics of North America
|December 1, 1993
Summary
A multidisciplinary approach combining medical, cognitive-behavioral, and psychological treatments improves outcomes for chronic pelvic pain (CPP). Continuous care is essential to prevent long-term disability and depression.
Area of Science:
- Pain Medicine
- Psychology
- Rehabilitation
Background:
- Chronic pelvic pain (CPP) presents complex diagnostic and management challenges.
- Recurrent symptom formation is often linked to chronic psychological and social factors.
- Isolated medical interventions yield suboptimal outcomes for CPP.
Purpose of the Study:
- To evaluate the efficacy of a multidisciplinary approach for CPP management.
- To compare outcomes of integrated care versus isolated medical interventions.
- To highlight the importance of continuous care for preventing CPP sequelae.
Main Methods:
- Integration of specific medical interventions.
- Inclusion of cognitive-behavioral pain strategies.
- Concurrent treatment of psychological morbidity.
- Longitudinal assessment of outcomes and sequelae.
Main Results:
- Multidisciplinary approach significantly improves pain severity, global health status, and somatization.
- Outcomes are superior compared to isolated medical interventions.
- Continuous care is associated with prevention of disability, healthcare overuse, and depression.
Conclusions:
- A multidisciplinary approach is crucial for effective CPP diagnosis and management.
- Integrated care offers superior outcomes for CPP patients.
- Longitudinal, continuous care is necessary to prevent chronic CPP-related adverse events.