Management of anxiety and pain perception in women undergoing office hysteroscopy: a systematic review.
Identifieur interne : 000243 ( Main/Exploration ); précédent : 000242; suivant : 000244Management of anxiety and pain perception in women undergoing office hysteroscopy: a systematic review.
Auteurs : Salvatore Giovanni Vitale [Italie] ; Salvatore Caruso [Italie] ; Michal Ciebiera [Pologne] ; Péter Török [Hongrie] ; Jan Tesarik [Espagne] ; George Angelos Vilos [Canada] ; Aarathi Cholkeri-Singh [États-Unis] ; Ferdinando Antonio Gulino [Italie] ; Mohan Shashikant Kamath [Inde] ; Antonio Cianci [Italie]Source :
- Archives of gynecology and obstetrics [ 1432-0711 ] ; 2020.
Descripteurs français
- KwdFr :
- MESH :
- effets indésirables : Hystéroscopie.
- méthodes : Gestion de la douleur, Hystéroscopie.
- physiologie : Perception de la douleur.
- thérapie : Anxiété.
- traitement médicamenteux : Douleur.
- Femelle, Humains, Études rétrospectives.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Hysteroscopy.
- drug therapy : Pain.
- methods : Hysteroscopy, Pain Management.
- physiology : Pain Perception.
- therapy : Anxiety.
- Female, Humans, Retrospective Studies.
Abstract
PURPOSE
The aim of this review is to provide an overview of the literature about the perception and management of anxiety and pain in women undergoing an office hysteroscopic procedure.
METHODS
We performed a systematic literature search in Embase, PubMed/MEDLINE, Cochrane Library and Web of Science for original studies written in English (registered in PROSPERO 2019-CRD42019132341), using the terms 'hysteroscopy' AND 'pain' AND 'anxiety' published up to January 2019. Only original articles (randomized, observational and retrospective studies) about management of anxiety and pain related to the hysteroscopic procedure were considered eligible.
RESULTS
Our literature search produced 84 records. After exclusions, 11 studies including 2222 patients showed the following results: (a) pain experienced during hysteroscopy is negatively affected by preprocedural anxiety; (b) pharmacological interventions seem to be help in reducing pain during hysteroscopy; (c) waiting time before the procedure is a significant factor affecting patients' anxiety; (d) music during the procedure may be helpful in reducing anxiety.
CONCLUSIONS
The utilization of office hysteroscopy is hampered by varying levels of anxiety and pain perceived by women who are candidates for the procedure. For these reasons, it is essential to identify effective pharmacological and non-pharmacological strategies to alleviate these factors. We recommend further studies especially focusing on non-pharmacological interventions to facilitate the dissemination of good clinical practices among hysteroscopists.
DOI: 10.1007/s00404-020-05460-2
PubMed: 32140807
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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review.</title><author><name sortKey="Vitale, Salvatore Giovanni" sort="Vitale, Salvatore Giovanni" uniqKey="Vitale S" first="Salvatore Giovanni" last="Vitale">Salvatore Giovanni Vitale</name><affiliation wicri:level="1"><nlm:affiliation>Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy. sgvitale@unict.it.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania</wicri:regionArea><wicri:noRegion>Catania</wicri:noRegion></affiliation></author><author><name sortKey="Caruso, Salvatore" sort="Caruso, Salvatore" uniqKey="Caruso S" first="Salvatore" last="Caruso">Salvatore Caruso</name><affiliation wicri:level="1"><nlm:affiliation>Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania</wicri:regionArea><wicri:noRegion>Catania</wicri:noRegion></affiliation></author><author><name sortKey="Ciebiera, Michal" sort="Ciebiera, Michal" uniqKey="Ciebiera M" first="Michal" last="Ciebiera">Michal Ciebiera</name><affiliation wicri:level="1"><nlm:affiliation>Second Department of Obstetrics and Gynecology, The Center of Postgraduate Medical Education, Warsaw, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Second Department of Obstetrics and Gynecology, The Center of Postgraduate Medical Education, Warsaw</wicri:regionArea><wicri:noRegion>Warsaw</wicri:noRegion></affiliation></author><author><name sortKey="Torok, Peter" sort="Torok, Peter" uniqKey="Torok P" first="Péter" last="Török">Péter Török</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Medicine, Institute of Obstetrics and Gynaecology, University of Debrecen, Debrecen, Hungary.</nlm:affiliation><country xml:lang="fr">Hongrie</country><wicri:regionArea>Faculty of Medicine, Institute of Obstetrics and Gynaecology, University of Debrecen, Debrecen</wicri:regionArea><wicri:noRegion>Debrecen</wicri:noRegion></affiliation></author><author><name sortKey="Tesarik, Jan" sort="Tesarik, Jan" uniqKey="Tesarik J" first="Jan" last="Tesarik">Jan Tesarik</name><affiliation wicri:level="1"><nlm:affiliation>MARGen Clinic, Granada, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>MARGen Clinic, Granada</wicri:regionArea><wicri:noRegion>Granada</wicri:noRegion></affiliation></author><author><name sortKey="Vilos, George Angelos" sort="Vilos, George Angelos" uniqKey="Vilos G" first="George Angelos" last="Vilos">George Angelos Vilos</name><affiliation wicri:level="1"><nlm:affiliation>Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Schulich School of Medicine and Dentistry, Western University, London, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Cholkeri Singh, Aarathi" sort="Cholkeri Singh, Aarathi" uniqKey="Cholkeri Singh A" first="Aarathi" last="Cholkeri-Singh">Aarathi Cholkeri-Singh</name><affiliation wicri:level="2"><nlm:affiliation>Department of Obstetrics and Gynecology, Advocate Lutheran General Hospital, Park Ridge, IL, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Obstetrics and Gynecology, Advocate Lutheran General Hospital, Park Ridge, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Gulino, Ferdinando Antonio" sort="Gulino, Ferdinando Antonio" uniqKey="Gulino F" first="Ferdinando Antonio" last="Gulino">Ferdinando Antonio Gulino</name><affiliation wicri:level="1"><nlm:affiliation>Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania</wicri:regionArea><wicri:noRegion>Catania</wicri:noRegion></affiliation></author><author><name sortKey="Kamath, Mohan Shashikant" sort="Kamath, Mohan Shashikant" uniqKey="Kamath M" first="Mohan Shashikant" last="Kamath">Mohan Shashikant Kamath</name><affiliation wicri:level="1"><nlm:affiliation>Department of Reproductive Medicine, Christian Medical College, Vellore, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Reproductive Medicine, Christian Medical College, Vellore</wicri:regionArea><wicri:noRegion>Vellore</wicri:noRegion></affiliation></author><author><name sortKey="Cianci, Antonio" sort="Cianci, Antonio" uniqKey="Cianci A" first="Antonio" last="Cianci">Antonio Cianci</name><affiliation wicri:level="1"><nlm:affiliation>Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania</wicri:regionArea><wicri:noRegion>Catania</wicri:noRegion></affiliation></author></analytic><series><title level="j">Archives of gynecology and obstetrics</title><idno type="eISSN">1432-0711</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anxiety (therapy)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Hysteroscopy (adverse effects)</term><term>Hysteroscopy (methods)</term><term>Pain (drug therapy)</term><term>Pain Management (methods)</term><term>Pain Perception (physiology)</term><term>Retrospective Studies (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Anxiété (thérapie)</term><term>Douleur (traitement médicamenteux)</term><term>Femelle (MeSH)</term><term>Gestion de la douleur (méthodes)</term><term>Humains (MeSH)</term><term>Hystéroscopie (effets indésirables)</term><term>Hystéroscopie (méthodes)</term><term>Perception de la douleur (physiologie)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Hysteroscopy</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Pain</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Hystéroscopie</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Hysteroscopy</term><term>Pain Management</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Gestion de la douleur</term><term>Hystéroscopie</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Perception de la douleur</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Pain Perception</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Anxiety</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Anxiété</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Douleur</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Femelle</term><term>Humains</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b></p><p>The aim of this review is to provide an overview of the literature about the perception and management of anxiety and pain in women undergoing an office hysteroscopic procedure.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We performed a systematic literature search in Embase, PubMed/MEDLINE, Cochrane Library and Web of Science for original studies written in English (registered in PROSPERO 2019-CRD42019132341), using the terms 'hysteroscopy' AND 'pain' AND 'anxiety' published up to January 2019. Only original articles (randomized, observational and retrospective studies) about management of anxiety and pain related to the hysteroscopic procedure were considered eligible.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Our literature search produced 84 records. After exclusions, 11 studies including 2222 patients showed the following results: (a) pain experienced during hysteroscopy is negatively affected by preprocedural anxiety; (b) pharmacological interventions seem to be help in reducing pain during hysteroscopy; (c) waiting time before the procedure is a significant factor affecting patients' anxiety; (d) music during the procedure may be helpful in reducing anxiety.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The utilization of office hysteroscopy is hampered by varying levels of anxiety and pain perceived by women who are candidates for the procedure. For these reasons, it is essential to identify effective pharmacological and non-pharmacological strategies to alleviate these factors. We recommend further studies especially focusing on non-pharmacological interventions to facilitate the dissemination of good clinical practices among hysteroscopists.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32140807</PMID><DateCompleted><Year>2020</Year><Month>08</Month><Day>31</Day></DateCompleted><DateRevised><Year>2021</Year><Month>02</Month><Day>03</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-0711</ISSN><JournalIssue CitedMedium="Internet"><Volume>301</Volume><Issue>4</Issue><PubDate><Year>2020</Year><Month>04</Month></PubDate></JournalIssue><Title>Archives of gynecology and obstetrics</Title><ISOAbbreviation>Arch Gynecol Obstet</ISOAbbreviation></Journal><ArticleTitle>Management of anxiety and pain perception in women undergoing office hysteroscopy: a systematic review.</ArticleTitle><Pagination><MedlinePgn>885-894</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00404-020-05460-2</ELocationID><Abstract><AbstractText Label="PURPOSE">The aim of this review is to provide an overview of the literature about the perception and management of anxiety and pain in women undergoing an office hysteroscopic procedure.</AbstractText><AbstractText Label="METHODS">We performed a systematic literature search in Embase, PubMed/MEDLINE, Cochrane Library and Web of Science for original studies written in English (registered in PROSPERO 2019-CRD42019132341), using the terms 'hysteroscopy' AND 'pain' AND 'anxiety' published up to January 2019. Only original articles (randomized, observational and retrospective studies) about management of anxiety and pain related to the hysteroscopic procedure were considered eligible.</AbstractText><AbstractText Label="RESULTS">Our literature search produced 84 records. After exclusions, 11 studies including 2222 patients showed the following results: (a) pain experienced during hysteroscopy is negatively affected by preprocedural anxiety; (b) pharmacological interventions seem to be help in reducing pain during hysteroscopy; (c) waiting time before the procedure is a significant factor affecting patients' anxiety; (d) music during the procedure may be helpful in reducing anxiety.</AbstractText><AbstractText Label="CONCLUSIONS">The utilization of office hysteroscopy is hampered by varying levels of anxiety and pain perceived by women who are candidates for the procedure. For these reasons, it is essential to identify effective pharmacological and non-pharmacological strategies to alleviate these factors. We recommend further studies especially focusing on non-pharmacological interventions to facilitate the dissemination of good clinical practices among hysteroscopists.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vitale</LastName><ForeName>Salvatore Giovanni</ForeName><Initials>SG</Initials><AffiliationInfo><Affiliation>Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy. sgvitale@unict.it.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Caruso</LastName><ForeName>Salvatore</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ciebiera</LastName><ForeName>Michal</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Second Department of Obstetrics and Gynecology, The Center of Postgraduate Medical Education, Warsaw, Poland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Török</LastName><ForeName>Péter</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Faculty of Medicine, Institute of Obstetrics and Gynaecology, University of Debrecen, Debrecen, Hungary.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tesarik</LastName><ForeName>Jan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>MARGen Clinic, Granada, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vilos</LastName><ForeName>George Angelos</ForeName><Initials>GA</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cholkeri-Singh</LastName><ForeName>Aarathi</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Advocate Lutheran General Hospital, Park Ridge, IL, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gulino</LastName><ForeName>Ferdinando Antonio</ForeName><Initials>FA</Initials><AffiliationInfo><Affiliation>Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kamath</LastName><ForeName>Mohan Shashikant</ForeName><Initials>MS</Initials><AffiliationInfo><Affiliation>Department of Reproductive Medicine, Christian Medical College, Vellore, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cianci</LastName><ForeName>Antonio</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>03</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Arch Gynecol Obstet</MedlineTA><NlmUniqueID>8710213</NlmUniqueID><ISSNLinking>0932-0067</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015907" MajorTopicYN="N">Hysteroscopy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010146" MajorTopicYN="N">Pain</DescriptorName><QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D059408" MajorTopicYN="N">Pain Management</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058748" MajorTopicYN="N">Pain Perception</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Anesthesia</Keyword><Keyword MajorTopicYN="Y">Intracervical</Keyword><Keyword MajorTopicYN="Y">Intrauterine</Keyword><Keyword MajorTopicYN="Y">Local</Keyword><Keyword MajorTopicYN="Y">Office hysteroscopy</Keyword><Keyword MajorTopicYN="Y">Pain management</Keyword><Keyword MajorTopicYN="Y">Visual analog pain scale</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>07</Month><Day>31</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>12</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>3</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a SanteMusiqueV1
| This area was generated with Dilib version V0.6.38. |  |