The Efficacy of Self-Management Strategies for Females with Endometriosis: a Systematic Review

被引:11
作者
Mardon, Amelia K. [1 ]
Leake, Hayley B. [1 ,2 ]
Hayles, Cathy [3 ]
Henry, Michael L. [1 ]
Neumann, Patricia B. [3 ]
Moseley, G. Lorimer [1 ]
Chalmers, K. Jane [1 ,4 ]
机构
[1] Univ South Australia, IIMPACT Hlth, Adelaide, SA, Australia
[2] Ctr IMPACT, Neurosci Res Australia, Sydney, NSW, Australia
[3] Univ South Australia, Adelaide, SA, Australia
[4] Western Sydney Univ, Campbelltown, NSW, Australia
基金
英国医学研究理事会; 澳大利亚国家健康与医学研究理事会;
关键词
Endometriosis; Self-management; Systematic review; Diet; Supplements; Exercise; LOW-BACK-PAIN; DOUBLE-BLIND; PELVIC PAIN; VITAMIN-D; PLACEBO; WOMEN; SYMPTOMS; PEOPLE; ASSOCIATION; EXERCISE;
D O I
10.1007/s43032-022-00952-9
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Self-management is critical for the care of endometriosis. Females with endometriosis frequently use self-management strategies to manage associated symptoms; however, the efficacy of such strategies is unknown. The aim of this review was to systematically appraise the evidence concerning efficacy of self-management strategies for endometriosis symptoms. Electronic databases, including Medline, Embase, Emcare, Web of Science Core Collection, Scopus, and the Cochrane Central Register of Controlled Trials, were searched from inception to March 2021. We included peer-reviewed experimental studies published in English evaluating the efficacy of self-management strategies in human females laparoscopically diagnosed with endometriosis. Studies underwent screening, data extraction, and risk of bias appraisal (randomised studies: Risk of Bias 2 tool; non-randomised studies: Risk Of Bias In Non-randomized Studies - of Interventions tool). Of the fifteen studies included, 10 evaluated dietary supplements, three evaluated dietary modifications, one evaluated over-the-counter medication, and one evaluated exercise. Most studies had a high-critical risk of bias. Many self-management strategies were not more effective at reducing endometriosis symptoms compared to placebo or hormonal therapies. Where studies suggest efficacy for self-management strategies, no recommendations can be made due to the poor quality and heterogeneity of evidence. High-quality empirical evidence is required to investigate the efficacy of self-management strategies for females with endometriosis.
引用
收藏
页码:390 / 407
页数:18
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