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      Pain and quality of life of adolescents with primary dysmenorrhea in Tbilisi, Georgia, 2008: Cross sectional study Translated title: Dolor y calidad de vida en adolescentes con dismenorrea primaria en Tiblisi, Georgia, 2008: Estudio de Corte transversal

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          Abstract

          Objective: The study aimed to measure the effect of primary dysmenorrhea on the quality of life of female adolescents living in Tbilisi, Georgia, and to compare Quality of Life (QoL) with healthy controls. Materials and methods: Cross-sectional study of 424 women aged 14-20, living in Tbilisi, Georgia, coming from academic and research institutions. The women were divided into those suffering dysmenorrhea (exposure group) and those without pain (control group). Reproductive history, demographic features, menstrual pattern, severity of dysmenorrhea and quality of life using the generic instrument EQ-5D, were measured. The Independent T student test was used for group comparison. Results: The group with dysmenorrhea (276) showed a lower Quality of Life score of 0.69 ± 0.20 vs. 0.94 ± 0.10 in the control group (p = 0.000); the Quality of Life VAS was also lower at 74.38 ± 17.83 vs. 87.02 ± 12.03 (p = 0.000). Of the subjetcs with primary dismenorrhea, 56.6% reported school absenteeism due to pain. Conclusion: Primary dysmenorrhea is a common problem in the adolescent population of Tbilisi, Georgia. The results of this study demonstrate that adolescents with primary dysmenorrhea in Georgia experience significantly lower physical and psychosocial health-related QoL than their healthy peers.

          Translated abstract

          Objetivo: el objetivo del estudio fue determinar el efecto de la dismenorrea primaria sobre la calidad de vida de las mujeres adolescentes de Tbilisi, Georgia y comparar su calidad de vida con la de quienes no presentan dismenorrea. Materiales y métodos: estudio de corte transversal llevado a cabo en 424 mujeres entre 14-20 años residentes en Tbilisi, Georgia, y pertenecientes a una institución académica y de investigación. Las adolescentes se dividieron entre quienes sufrían de dismenorrea (grupo expuesto) y quienes no tenían dolor (grupo control). Se midieron las características demográficas, la historia reproductiva, el patrón menstrual y la gravedad de la dismenorrea. La calidad de vida se midió con el instrumento EQ-5D; se utilizó la prueba t de Student para las variables independientes. Resultados: el grupo de mujeres con dismenorrea (276) mostró una menor calidad de vida de 0,69 ± 0,20 frente a 0,94 ± 0,10 para el grupo de control (p = 0,000), y también una menor calidad de vida con la Escala Visual Análoga del instrumento de Calidad de Vida (Quality of Life VAS) con valores de 74,38 ± 17,83 frente a 87,02 ± 12,03 (p = 0,000). El 56,6% de las mujeres con dismenorrea primaria reportó ausentismo escolar. Conclusión: la dismenorrea primaria es un problema común en la población adolescente de Tbilisi, Georgia. Los resultados de este estudio demostraron que las adolescentes con dismenorrea primaria en la experiencia de Georgia tienen puntajes significativamente más bajos de calidad de vida en lo que se refiere a salud física y psicosocial en comparación con sus pares sanos.

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          EuroQol - a new facility for the measurement of health-related quality of life

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            WHO systematic review of prevalence of chronic pelvic pain: a neglected reproductive health morbidity

            Background Health care planning for chronic pelvic pain (CPP), an important cause of morbidity amongst women is hampered due to lack of clear collated summaries of its basic epidemiological data. We systematically reviewed worldwide literature on the prevalence of different types of CPP to assess the geographical distribution of data, and to explore sources of variation in its estimates. Methods We identified data available from Medline (1966 to 2004), Embase (1980 to 2004), PsycINFO (1887 to 2003), LILACS (1982 to 2004), Science Citation index, CINAHL (January 1980 to 2004) and hand searching of reference lists. Two reviewers extracted data independently, using a piloted form, on participants' characteristics, study quality and rates of CPP. We considered a study to be of high quality (valid) if had at least three of the following features: prospective design, validated measurement tool, adequate sampling method, sample size estimation and response rate >80%. We performed both univariate and multivariate meta-regression analysis to explore heterogeneity of results across studies. Results There were 178 studies (459975 participants) in 148 articles. Of these, 106 studies were (124259 participants) on dysmenorrhoea, 54 (35973 participants) on dyspareunia and 18 (301756 participants) on noncyclical pain. There were only 19/95 (20%) less developed and 1/45 (2.2%) least developed countries with relevant data in contrast to 22/43 (51.2%) developed countries. Meta-regression analysis showed that rates of pain varied according to study quality features. There were 40 (22.5%) high quality studies with representative samples. Amongst them, the rate of dysmenorrhoea was 16.8 to 81%, that of dyspareunia was 8 to 21.8%, and that for noncyclical pain was 2.1 to 24%. Conclusion There were few valid population based estimates of disease burden due to CPP from less developed countries. The variation in rates of CPP worldwide was due to variable study quality. Where valid data were available, a high disease burden of all types of pelvic pain was found.
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              Assesment of quality-of-life outcomes.

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                Author and article information

                Journal
                rcog
                Revista Colombiana de Obstetricia y Ginecología
                Rev Colomb Obstet Ginecol
                Federación Colombiana de Obstetricia y Ginecología; Revista Colombiana de Obstetricia y Ginecología (Bogotá, Cundinamarca, Colombia )
                0034-7434
                2463-0225
                June 2013
                : 64
                : 2
                : 100-106
                Affiliations
                [02] Tblilisi orgnameMedical University 'Aieti' orgdiv1Obstetrics Gynecology Department Georgia
                [03] Tblilisi orgnameObstetrics Gynecology Department Georgia
                [01] Tblilisi orgnameMedical University 'Aieti' orgdiv1Obstetrics Gynecology Department Georgia
                Article
                S0034-74342013000200003 S0034-7434(13)06400203
                8330fd79-de67-40f2-8b72-a7a5bb6c0271

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 24 May 2013
                : 27 November 2012
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 31, Pages: 7
                Product

                SciELO Colombia

                Self URI: Full text available only in PDF format (EN)
                Categories
                Original researches

                quality-of-life test,dismenorrea primaria,calidad de vida del adolescente,EQ-5D,test de calidad de vida,Primary Dysmenorrhea,Adolescent,quality of life

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