4.2 Article

Managing endometriosis: a cross-sectional survey of women in Australia

Journal

JOURNAL OF PSYCHOSOMATIC OBSTETRICS & GYNECOLOGY
Volume 43, Issue 3, Pages 265-272

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/0167482X.2020.1825374

Keywords

Endometriosis; chronic disease; self-management; women's health

Funding

  1. Australian Government Research Training Program Stipend - Finkel Family Foundation

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A study involving 620 women with endometriosis found an average delay in diagnosis of 6.4 years, with a majority of patients still experiencing pain symptoms despite treatment. Therefore, establishing a chronic disease management plan may help in coordinating multidisciplinary care for these patients.
Purpose Endometriosis is a chronic, inflammatory condition. The aim was to describe the self-reported disease characteristics and factors associated with the use of different treatment modalities among women with surgically diagnosed endometriosis. Method A cross-sectional online survey featuring 58 fixed-response items measuring disease characteristics, self-efficacy, health service usage, and treatment approaches was conducted. Logistic regression was used to explore the factors associated with different treatment modalities. Results Complete data were available from 620 respondents. Average delay to diagnosis was 6.4 years. Despite medical and surgical intervention, 65.8% reported dysmenorrhea and 61.1% reported dyspareunia, and 82.7% reported chronic pelvic pain in the last 3 months. Respondents had consulted an average of three different health practitioner specialties in the previous 12 months for their endometriosis. Discussion A chronic disease management plan (CDMP) may be a useful mechanism to coordinate multidisciplinary care among women who experience ongoing symptoms.

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