Clinical factors associated with quality of life among women with endometriosis: a cross-sectional study

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Fältnamn	Indikatorer	Metadata
000		05053naa a2200481 4500
001		oai:DiVA.org:uu-518475
003		SwePub
008		231219s2023 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:DiVA.org:liu-199116
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-5184752 URI
024	7	a https://doi.org/10.1186/s12905-023-02694-52 DOI
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1991162 URI
040		a (SwePub)uud (SwePub)liu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Pontoppidan, Karinu Uppsala universitet,Institutionen för kvinnors och barns hälsa,Uppsala Univ, Sweden4 aut
245	1 0	a Clinical factors associated with quality of life among women with endometriosis :b a cross-sectional study
264	1	b BioMed Central (BMC),c 2023
338		a electronic2 rdacarrier
500		a Funding Agencies\|Helena Kilander at Hglandssjukhuset in Eksj, Anna-Sofia Melin at Capio Gynekologi Globen in Stockholm, Johanna Nordengren at Skne University Hospital in Malm, Robin Wilding at Falu lasarett in Falun, Mantre jersj at La
520		a 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.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Reproduktionsmedicin och gynekologi0 (SwePub)302202 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Obstetrics, Gynaecology and Reproductive Medicine0 (SwePub)302202 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
653		a Endometriosis
653		a EHP-30
653		a Endometriosis Health Profile-30
653		a Quality of life
653		a Patient-centeredness
700	1	a Olovsson, Matts,d 1958-u Uppsala universitet,Reproduktionsbiologi,Uppsala Univ, Sweden4 aut0 (Swepub:uu)mattolov
700	1	a Grundström, Hannau 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, Sweden4 aut0 (Swepub:liu)hangr70
710	2	a Uppsala universitetb Institutionen för kvinnors och barns hälsa4 org
773	0	t BMC Women's Healthd : BioMed Central (BMC)g 23:1q 23:1x 1472-6874
856	4	u https://doi.org/10.1186/s12905-023-02694-5y Fulltext
856	4	u https://uu.diva-portal.org/smash/get/diva2:1821222/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-518475
856	4 8	u https://doi.org/10.1186/s12905-023-02694-5
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-199116

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