[Impact of osteopathic manipulative therapy in patient with deep with colorectal endometriosis: A classification based on symptoms and quality of life]

Camille Daraï, C Daraï, Daraï C, S. Bendifallah, Bendifallah S, Sofiane Bendifallah, H. Foulot, Foulot H, Ballester M, Marcos Ballester, M Ballester, Chabbert-Buffet N, Nathalie Chabbert‐Buffet, N Chabbert-Buffet, Daraï E, Émile Daraï, E. Daraï
Gynecologie, obstetrique, fertilite & senologie · 2017 · vol. 45(9) , pp. 472–477 · doi:10.1016/j.gofs.2017.07.006 · PMID:28869181 · W2751337161
Non-randomised trial OA: closed CC0 ⤵ 7 in-corpus citations
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Osteopathic manipulative therapy improved quality of life and gynecological, digestive, and general symptoms in patients with colorectal endometriosis, with four symptom-based profiles identified based on treatment gain.

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Abstract

OBJECTIVES: A prospective study to evaluate the clinical impact of osteopathic manipulative therapy (OMT) on symptoms and quality of life (QOL) of patients with colorectal endometriosis. METHODS: Forty-six patients with colorectal endometriosis completed the SF-36 QOL and symptoms questionnaire before and after OMT. A comparison and clustering analysis was performed to identify subgroups of patient's profile and symptom classification. RESULTS: The mean age of the patients was 32±6.2 years. Prior surgery for endometriosis was recorded in 73.9 % of cases but none for deep infiltrating endometriosis. About three-quarters of the patients were nulliparous. The time between pre- and post-OMT completion of questionnaires was 28 days (15-63), A significant improvement in SF-36 QOL physical component summary (P<0.001) and mental component summary (P<0.001) was observed after OMT. Similarly, a significant improvement in gynecological, digestive and general symptoms values was observed. A clustering analysis allowed to identify four profiles of patients with colorectal endometriosis based on symptoms and a respective OMT gain of 30 %, 60 %, 64 % et 45 %. CONCLUSIONS: Our results support that OMT improve QOL and endometriosis symptoms of patients with colorectal endometriosis. Moreover, this symptom classification based on OMT gain can serve to design future randomized trial.

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Condition tags

endometriosis

MeSH descriptors

Colorectal Neoplasms Endometriosis Manipulation, Osteopathic Manipulation, Osteopathic Quality of Life Quality of Life Adult Adult Colorectal Neoplasms Colorectal Neoplasms Endometriosis Endometriosis Female Female Humans Humans Prospective Studies Prospective Studies

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (50)

Cited by (7)

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License: CC0 · commercial use OK