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Cotton-tipped applicator test: validity and reliability in chronic pelvic pain.

Abstract：

OBJECTIVE:We sought to assess the concurrent validity and interrater reliability of the cotton-tipped applicator (CTA) test as a screening tool for diagnosis of cutaneous allodynia in patients with viscerally related chronic pelvic pain (CPP). STUDY DESIGN:We performed a prospective cohort comparative observational study of referred patients to a gynecology clinic with CPP. A total of 22 females with CPP were compared to 23 pain-free controls and 12 cyclic pain patients. Participants were evaluated by 2 clinicians. The CTA test was performed to detect the appearance of pain in dermatomes of T10-L1. RESULTS:Interrater reliability resulted in 98% agreement for the 3 study groups. CTA test showed 73% sensitivity and 100% specificity for differentiating patients with CPP from pain-free patients. CONCLUSION:The CTA test had excellent interrater reliability and concurrent validity for diagnosis of cutaneous allodynia in CPP patients with visceral diseases versus controls.

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Nasr-Esfahani M,Jarrell J

doi

10.1016/j.ajog.2012.11.005

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

52.e1-5

issue

1

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(12)02060-1

journal_volume

208

pub_type

杂志文章

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