{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T12:56:25Z","timestamp":1790686585085,"version":"4.1.0"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2018,3,7]],"date-time":"2018-03-07T00:00:00Z","timestamp":1520380800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The evaluation of chronic pelvic and perineal pain (CPP) is often complex. The patient\u2019s description of the pain often appears to be disproportionate to the limited findings on physical examination and\/or complementary investigations. The concept of central sensitization may allow better understanding and management of patients with CPP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this study was to elaborate a clinical evaluation tool designed to simply identify sensitization in pelvic pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A list of 63 items was submitted to 22 international CPP experts according to the Delphi method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ten clinical criteria were adopted for the creation of a clinical evaluation tool: 1) pain influenced by bladder filling and\/or urination, 2) pain influenced by rectal distension and\/or defecation, 3) pain during sexual activity, 4) perineal and\/or vulvar pain in response to normally nonpainful stimulation, 5) pelvic trigger points (e.g., in the piriformis, obturator internus, and\/or levator ani muscles), 6) pain after urination, 7) pain after defecation, 8) pain after sexual activity, 9) variable (fluctuating) pain intensity and\/or variable pain distribution, 10) migraine or tension headaches and\/or fibromyalgia and\/or chronic fatigue syndrome and\/or post-traumatic stress disorder and\/or restless legs syndrome and\/or temporomandibular joint dysfunction and\/or multiple chemical sensitivity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\u2002This process resulted in the elaboration of a clinical evaluation tool designed to identify and appropriately manage patients with CPP comprising a sensitization component.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/pm\/pny030","type":"journal-article","created":{"date-parts":[[2018,2,11]],"date-time":"2018-02-11T15:06:44Z","timestamp":1518361604000},"page":"2009-2015","source":"Crossref","is-referenced-by-count":80,"title":["Clinical Criteria of Central Sensitization in Chronic Pelvic and Perineal Pain (Convergences PP Criteria): Elaboration of a Clinical Evaluation Tool Based on Formal Expert Consensus"],"prefix":"10.1093","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5080-3931","authenticated-orcid":false,"given":"Am\u00e9lie","family":"Levesque","sequence":"first","affiliation":[{"name":"Federative Pelvic Pain Center, Department of Urology, Nantes University Hospital, Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thibault","family":"Riant","sequence":"additional","affiliation":[{"name":"Federative Pelvic Pain Center, Department of Urology, Nantes University Hospital, Nantes, France"},{"name":"Department of Pain Management, Maurice Bensignor Multidisciplinary Pain Center, Centre Catherine de Sienne, Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"St\u00e9phane","family":"Ploteau","sequence":"additional","affiliation":[{"name":"Federative Pelvic Pain Center, Department of Urology, Nantes University Hospital, Nantes, France"},{"name":"Department of Gynecology-Obstetrics and Reproductive Medicine, Nantes University Hospital, Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e9r\u00f4me","family":"Rigaud","sequence":"additional","affiliation":[{"name":"Federative Pelvic Pain Center, Department of Urology, Nantes University Hospital, Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Jacques","family":"Labat","sequence":"additional","affiliation":[{"name":"Federative Pelvic Pain Center, Department of Urology, Nantes University Hospital, Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Convergences PP Network","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00e9rard","family":"Amarenco","sequence":"additional","affiliation":[{"name":"Group of Clinical Research in Neuro-Urology and AP-HP, H\u00f4pital Tenon, Service de Neuro-Urologie, Paris"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine","family":"Attal","sequence":"additional","affiliation":[{"name":"INSERM U-987, H\u00f4pital Ambroise Par\u00e9, Boulogne-Billancourt and Universit\u00e9 Versailles-Saint-Quentin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Bautrant","sequence":"additional","affiliation":[{"name":"Pelvi-Perineal Surgery and Rehabilitation Department, Private Medical Centre \u201cL\u2019Avanc\u00e9e - Clinique Axium\u201d Aix-en-Provence"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beer Gabel","family":"Marc","sequence":"additional","affiliation":[{"name":"Neurogastroenterology and Pelvic Floor Unit Sheba Medical Center, Tel Hashomer, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro","family":"Cervigni","sequence":"additional","affiliation":[{"name":"Interstitial Cystitis Referral Center & Female Pelvic Medicine & Reconstructive Surgery Center Foundation University Hospital A. Gemelli, Catholic University, Rome"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Chelimsky","sequence":"additional","affiliation":[{"name":"Neurology Department, Medical College of Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Farmer","sequence":"additional","affiliation":[{"name":"Feinberg School of Medicine, Department of Physiology, Northwestern University, Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giamberardino Maria","family":"Adela","sequence":"additional","affiliation":[{"name":"Geriatrics Clinic, Fibromyalgia and Headache Center, Department of Medicine and Science of Aging, \u201cG. D\u2019Annunzio\u201d University of Chieti, Chieti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gareth","family":"Greenslade","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Frenchay Hospital, Bristol"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Hughes","sequence":"additional","affiliation":[{"name":"Pain Management Unit, The James Cook University Hospital, Middlesbrough"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie Jos\u00e9e","family":"Lord","sequence":"additional","affiliation":[{"name":"Physio Sant\u00e9 Pelvienne and Pelvic Floor Instructor at Physio Uro-Sant\u00e9, Montr\u00e9al"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serge","family":"Marchand","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, Facult\u00e9 de M\u00e9decine et des Sciences de la Sant\u00e9, Universit\u00e9 de Sherbrooke"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bert","family":"Messelink","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Groningen Groningen, Netherland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barracco Micheline","family":"Moyal","sequence":"additional","affiliation":[{"name":"H\u00f4pital Tarnier-Cochin, Service de Dermatologie, Paris"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franck F","family":"Tu","sequence":"additional","affiliation":[{"name":"Dept of OB\/GYN, NorthShore University HealthSystem, Clin Assoc Prof, University of Chicago, Pritzker School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elio R\u00e0mon","family":"Usandizaga","sequence":"additional","affiliation":[{"name":"Pelvic Floor Unit, Hospital Universitario La Paz, 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