男性慢性盆腔疼痛的分类系统:系统性审查
Marie-Pierre Cyr1, Irmina Nahon2, Rachel Worman1
1School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
这次审查发现了许多男性慢性骨盆疼痛 (CPP) 分类系统,但它们的质量低至中等. 需要进一步的研究来确定这些系统是否能改善患者的治疗结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 疼痛医学 医学 疼痛医学
- 医疗信息学 医疗信息学
背景情况:
- 男性慢性盆腔疼痛 (CPP) 缺乏标准化的分类.
- 现有的系统在目的和方法上有所不同.
研究的目的:
- 系统地审查和分析男性慢性骨盆疼痛 (CPP) 的现有分类系统.
主要方法:
- 在 MEDLINE,EMBASE 和 Web of Science 的综合文献搜索.
- 包括所有建议或详细介绍CPP分类系统的出版物.
- 使用适应的分类系统批判性评估工具对系统进行评估.
主要成果:
- 确定了33个相关出版物;提出了22个原始分类系统.
- 旨在诊断,亚型或识别CPP的机制/治疗目标的系统.
- 常见的疾病包括慢性前列腺炎/慢性盆腔疼痛综合征和间歇性囊炎/膀疼痛综合征.
- 分类依赖于临床症状,病理解剖学和推定的疼痛机制.
- 整体系统质量被评为低至中等.
结论:
- 对于男性CPP存在多种分类系统,需要仔细考虑它们的预期用途.
- 需要进一步调查,以确定当临床决策以这些分类系统为指导时,患者的结果是否会有所改善.
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