Ahangari Alebtekin
Umea International School of Public Health, Epidemiology and Global Health, Department of Public Health and Clinical Medicine Umea University, Umea, Sweden.
Pain Physician. 2014 Mar-Apr;17(2):E141-7.
Chronic pelvic pain (CPP), defined as a noncyclical pain lasting for more than 6 months can lead to lower physical performance and quality of life in women. CPP is a worldwide problem affecting women of all ages. However, health care professionals and researchers, due to its complex nature and the lack of knowledge surrounding the condition, frequently neglect CPP. Subsequently, basic data and knowledge regarding CPP remain incomplete.
To update the review of the worldwide estimation of the CPP prevalence considering the World Health Organization systematic review by Latthe et al in 2006 as point of departure.
A systematic review of CPP prevalence studies.
Electronic search was performed to find related articles through PubMed between 2005 and 2012 based on the PRISMA statement (2009).
From 140 studies, only 7 studies were about CPP prevalence. Their study design consisted of 3 cross sectional studies, one population based mailing questionnaire study, one survey study (computer assisted telephone interview), one data analysis by questionnaire, and one prospective community based study.
Paucity of population based studies in addition to probability of existence of studies at the local level with limited access to worldwide databases, lack of consensus about definition of CPP among researchers and therapists, and non-inclusion of CPP related key words in databases such as PubMed.
Based on these articles, prevalence in general ranged between 5.7% and 26.6%. There were many countries and regions without basic data in the field of CPP. This review shows the paucity of studies, especially multidisciplinary researches with multifactorial views on CPP. Multidisciplinary studies would provide more reliable data for estimating the prevalence of CPP and its psycho-socioeconomic burden, as well as finding its etiologies and characteristics. This would be the first step towards better treatment and care for women with CPP.
慢性盆腔疼痛（CPP）被定义为持续超过6个月的非周期性疼痛，可导致女性身体机能下降和生活质量降低。CPP是一个影响各年龄段女性的全球性问题。然而，由于其性质复杂且对该病症缺乏了解，医护人员和研究人员常常忽视CPP。因此，关于CPP的基础数据和知识仍不完整。
以2006年拉特等人进行的世界卫生组织系统评价为出发点，更新对全球CPP患病率估计的综述。
对CPP患病率研究进行系统评价。
根据PRISMA声明（2009年），通过电子检索在2005年至2012年间的PubMed上查找相关文章。
在140项研究中，只有7项是关于CPP患病率的。其研究设计包括3项横断面研究、1项基于人群的邮寄问卷调查研究、1项调查研究（计算机辅助电话访谈）、1项问卷调查数据分析以及1项基于社区的前瞻性研究。
除了可能存在一些难以获取全球数据库的地方层面研究外，基于人群的研究较少；研究人员和治疗师对CPP的定义缺乏共识；数据库如PubMed中未纳入与CPP相关的关键词。
基于这些文章，总体患病率一般在5.7%至26.6%之间。在CPP领域，有许多国家和地区没有基础数据。本综述表明研究匮乏，尤其是对CPP采用多因素观点的多学科研究。多学科研究将为估计CPP的患病率及其心理社会经济负担、寻找其病因和特征提供更可靠的数据。这将是朝着更好地治疗和护理患有CPP的女性迈出的第一步。
