Vulvodynia-An Evidence-Based Literature Review and Proposed Treatment Algorithm.
Objective We searched the medical literature from the last 15 years (1998 to 2013) relating to the etiology, diagnosis, and treatment of vulvodynia. The evidence was reviewed supporting the therapeutic proposals currently in use and propose the incorporation of novel, minimally invasive, interventio...
| Publicado en: | Pain Practice Vol. 16; no. 2; pp. 204 - 237 |
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| Autores principales: | , , , , , , |
| Formato: | algorithm research systematic review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Feb2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112708959&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 112708959 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15307085 HYN jtl: Pain Practice issn: 15307085 maglogo: Y pubinfo: dt: Feb2016 vid: 16 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 112708959 112708959 112708959 10.1111/papr.12274 112708959 ppf: 204 ppct: 33 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Vulvodynia-An Evidence-Based Literature Review and Proposed Treatment Algorithm. aug: au: De Andres, Jose Sanchis‐Lopez, Nerea Asensio‐Samper, Juan Marcos Fabregat‐Cid, Gustavo Villanueva‐Perez, Vicente L. Monsalve Dolz, Vicente Minguez, Ana affil: Valencia University Medical School, Valencia Spain sug: subj: Lasers Therapeutic Use Decompression, Surgical Pelvic Pain Chronic Pain Pain Therapy Decision Making, Clinical Vulvodynia Systematic Review Literature Review Randomized Controlled Trials Clinical Trials Confidence Intervals Reliability and Validity Construct Validity Nonexperimental Studies Study Design Prospective Studies Data Collection Case Studies Effect Size Scales Experimental Studies Surveys Sensitivity and Specificity Questionnaires Reliability ab: Objective We searched the medical literature from the last 15 years (1998 to 2013) relating to the etiology, diagnosis, and treatment of vulvodynia. The evidence was reviewed supporting the therapeutic proposals currently in use and propose the incorporation of novel, minimally invasive, interventional therapies, within the context of a multidisciplinary approach. Methods This was a systematic review of all relevant studies with no language restrictions. Studies were identified through Medline/ Pub Med (1998 to March 2013), the Cochrane Library (2001 to 2013), and conference records and book chapters. The keywords used included 'chronic pelvic pain,' 'vulvodynia,' 'vestibulodynia,' and search terms 'etiology,' 'diagnosis,' and 'treatment' were added. The levels of evidence were assessed using grading system for ' Therapy/ Prevention/ Etiology/ Harm' developed by the Centre for Evidence- Based Medicine ( CEBM). The grading system assists in clinical decision-making, and we decided to use 'The Grading of Recommendations Assessment, Development, and Evaluation ( GRADE).' Results A total of 391 papers were assessed. Of these, 215 were analyzed and 175 were excluded, as they pertained to areas not directly related to the disease under review. Conclusion The optimal therapy for vulvar pain syndrome remains elusive, with low percentages of therapeutic success, using either local or systemic pharmacological approaches. Surgery involving invasive and often irreversible therapeutic procedures has resulted in success for certain subtypes of vulvodynia. We present a multidisciplinary approach whereby pain treatment units may provide an intermediate level of care between standard medical and surgical treatments. pubtype: Academic Journal doctype: algorithm research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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