{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T16:01:44Z","timestamp":1789833704276,"version":"4.0.1"},"reference-count":69,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2022,1,10]],"date-time":"2022-01-10T00:00:00Z","timestamp":1641772800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Females with persistent pelvic pain (PPP) report great variability in the treatments recommended to them despite the availability of clinical practice guidelines (CPGs) that aim to standardise care. A clear consensus for the best practice care for PPP is required.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To identify and summarise treatment recommendations across CPGs for the management of PPP, and appraise their quality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search strategy<\/jats:title><jats:p>MEDLINE, CENTRAL, EMBASE, EmCare, SCOPUS, the Cochrane Database of Systematic Reviews, Web of Science Core Collection and relevant guideline databases were searched from their inception to June 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Selection criteria<\/jats:title><jats:p>Included CPGs were those for the management of urogynaecological conditions in adult females published in English, of any publication date, and endorsed by a professional organisation or society.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data collection and analysis<\/jats:title><jats:p>We screened 1379 records and included 20 CPGs. CPG quality was assessed using The Appraisal of Guidelines for Research and Evaluation II (AGREE\u2010II) tool. Descriptive synthesis compiled treatment recommendations across CPGs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main results<\/jats:title><jats:p>The CPGs for seven conditions provided 270 individual recommendations. On quality appraisal, guidelines on average scored \u2018excellent\u2019 for the domains \u2018scope and purpose\u2019 (80.6%, SD\u00a0=\u00a013.3) and \u2018clarity and presentation\u2019 (74.4%, SD\u00a0=\u00a012.0); for other domains, average scores were satisfactory or poor. Four guidelines (for Endometriosis: NICE, RANZCOG and ESHRE; for polycystic ovary syndrome: Teede et al. 2018, <jats:italic>International Evidence Based Guideline for the Assessment and Management of Polycystic Ovary Syndrome<\/jats:italic>, Monash University, Melbourne, Australia) were deemed recommended for use. Recommendations were most frequent for pharmaceutical and surgical interventions. Recommendations were variable for psychological, physiotherapy and other conservative interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The quality of CPGs for PPP is generally poor. Several CPGs endorse the consideration of biopsychosocial elements of PPP. Yet most recommend pharmaceutical, surgical and other biomedical interventions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.17064","type":"journal-article","created":{"date-parts":[[2021,12,17]],"date-time":"2021-12-17T15:45:56Z","timestamp":1639755956000},"page":"1248-1260","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Treatment recommendations for the management of persistent pelvic pain: a systematic review of international clinical practice guidelines"],"prefix":"10.1111","volume":"129","author":[{"given":"Amelia K.","family":"Mardon","sequence":"first","affiliation":[{"name":"IIMPACT in Health University of South Australia  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayley B.","family":"Leake","sequence":"additional","affiliation":[{"name":"IIMPACT in Health University of South Australia  Adelaide South Australia Australia"},{"name":"Centre for IMPACT Neuroscience Research Australia  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberley","family":"Szeto","sequence":"additional","affiliation":[{"name":"IIMPACT in Health University of South Australia  Adelaide South Australia Australia"},{"name":"Alliance for Research in Exercise, Nutrition and Activity University of South Australia  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Astill","sequence":"additional","affiliation":[{"name":"Brain Stimulation and Rehabilitation (BrainSTAR) Lab Western Sydney University  Campbelltown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Hilton","sequence":"additional","affiliation":[{"name":"Entropy Physiotherapy  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham Lorimer","family":"Moseley","sequence":"additional","affiliation":[{"name":"IIMPACT in Health University of South Australia  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine Jane","family":"Chalmers","sequence":"additional","affiliation":[{"name":"IIMPACT in Health University of South Australia  Adelaide South Australia Australia"},{"name":"Western Sydney University  Campbelltown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,1,10]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Classification of chronic pain","author":"International Association of Pain","year":"2011"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.5604\/12321966.1203880"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20100368"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38748.697465.55"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14793"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2005.06.016"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000001972"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.318.7182.527"},{"key":"e_1_2_11_10_1","volume-title":"Clinical Practice Guidelines We Can Trust","author":"Institute of Medicine Committee on Standards for Developing Trustworthy Clinical Practice Guidelines","year":"2011"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-156-7-201204030-00009"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzv115"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2011.tb03184.x"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-8-38"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1348\/135910706X104076"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-021-04848-1"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14838"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.00937.x"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2018.11.030"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02600272"},{"key":"e_1_2_11_22_1","volume-title":"EndNote","author":"The EndNote Team","year":"2013"},{"key":"e_1_2_11_23_1","unstructured":"Covidence systematic review software. 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