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Clinical factors as...
Clinical factors associated with quality of life among women with endometriosis : a cross-sectional study
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- Pontoppidan, Karin (author)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa,Uppsala Univ, Sweden
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- Olovsson, Matts, 1958- (author)
- Uppsala universitet,Reproduktionsbiologi,Uppsala Univ, Sweden
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- Grundström, Hanna (author)
- Linköpings universitet,Uppsala universitet,Reproduktionsbiologi,Linköping Univ, Dept Obstet & Gynaecol Norrköping, Dept Biomed & Clin Sci, Linköping, Sweden.;Linköping Univ, Dept Hlth Med & Caring Sci, SE-58183 Linköping, Sweden.,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Region Östergötland, Kvinnokliniken ViN,Uppsala Univ, Sweden
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(creator_code:org_t)
- BioMed Central (BMC), 2023
- 2023
- English.
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In: BMC Women's Health. - : BioMed Central (BMC). - 1472-6874. ; 23:1
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Abstract
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- BackgroundEndometriosis often leads to a decrease in Quality of Life (QoL), due to its impact on various aspects of women's lives, such as social life, mental health, sex life, and working capacity. Although previous studies have assessed QoL in women with endometriosis, few studies have explored the impact of different clinical variables on QoL. The aim of this study was to investigate how women with endometriosis perceive their QoL, and to analyze which clinical factors are associated with QoL.MethodsThe Endometriosis Health Profile-30 and the ENDOCARE Questionnaire were distributed to 1000 women diagnosed with endometriosis from 10 different clinics across Sweden. The responses from 476 women were included in univariate and multivariable regression analyses, where the clinical factors were correlated with overall QoL and QoL dimensions.ResultsThe women participating in this study reported a low QoL. The clinical factors that showed a significant correlation with overall QoL were age at first onset of endometriosis symptoms (beta= -0.64, p < 0.001), having more than 10 visits to general practitioners before referral to a gynecologist (beta = 5.58, p = 0.036), current or previous mental health issues (beta = 7.98, p < 0.001) patient-centeredness (beta= -2.59, p < 0.001) and use of opioids (beta = 7.14, p = 0.002).ConclusionsThis study shows that opioid use and mental health issues were associated with a worse QoL, whereas a higher degree of patient-centeredness was associated with a better QoL. The association between opioid use and a worse QoL might not entirely be caused by the opioid use itself but also by symptom severity and mental health issues. An improved patient-centeredness and more focus on taking care of mental health issues would reasonably result in a better QoL for women with endometriosis.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- Endometriosis
- EHP-30
- Endometriosis Health Profile-30
- Quality of life
- Patient-centeredness
Publication and Content Type
- ref (subject category)
- art (subject category)
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