Incidence of opioid-managed pelvic pain after hysteroscopic sterilization versus laparoscopic sterilization, US 2005-2012.

ABSTRACT:

Objective

Compare incidence of opioid-managed pelvic pain within 12 months after hysteroscopic and laparoscopic sterilization.

Methods

Using administrative claims, we identified women aged 18-49 years without recent history of childbirth who underwent hysteroscopic or laparoscopic sterilization between 2005 and 2012. We defined the outcome as ≥2 diagnoses for pelvic pain and ≥2 prescription fills for opioids. We calculated adjusted hazard ratios (HR) using Cox models and propensity score methods (matching and inverse-probability-of-treatment-weighting [IPTW]).

Results

We identified 71,875 eligible women (hysteroscopic n = 26,927 [37.5%], laparoscopic n = 44,948 [62.5%]). Of those, 236 (0.88%) hysteroscopic patients and 420 (0.93%) laparoscopic patients experienced the

SUBMITTER: Conover MM 

PROVIDER: S-EPMC4527877 | biostudies-literature | 2015 Aug

REPOSITORIES: biostudies-literature