Tags

Type your tag names separated by a space and hit enter

Risk factors for the development of tubo-ovarian abscesses in women with ovarian endometriosis: a retrospective matched case-control study.
BMC Womens Health. 2021 Jan 30; 21(1):43.BW

Abstract

BACKGROUND

The purpose of this study was to assess the risk factors associated with the development of tubo-ovarian abscesses in women with ovarian endometriosis cysts.

METHODS

This retrospective single-center study included 176 women: 44 with tubo-ovarian abscesses associated with ovarian endometriosis and 132 age-matched (1:3) patients with ovarian endometriosis but without tubo-ovarian abscesses. Diagnoses were made via surgical exploration and pathological examination. The potential risk factors of tubo-ovarian abscesses associated with ovarian endometriosis were evaluated using univariate analysis. The results (p ≤ 0.05) of these parameters were analyzed using a multivariate model.

RESULTS

Five factors were included in the multivariate conditional logistic regression model, including in vitro fertilization, presence of an intrauterine device, lower genital tract infection, spontaneous rupture of ovarian endometriosis cysts, and diabetes mellitus. The presence of a lower genital tract infection (odds ratio 5.462, 95% CI 1.772-16.839) and spontaneous rupture of ovarian endometriosis cysts (odds ratio 2.572, 95% CI 1.071-6.174) were found to be statistically significant risk factors for tubo-ovarian abscesses associated with ovarian endometriosis.

CONCLUSIONS

Among the factors investigated, genital tract infections and spontaneous rupture of ovarian endometriosis cysts were found to be involved in the occurrence of tubo-ovarian abscesses associated with ovarian endometriosis. Our findings indicate that tubo-ovarian abscesses associated with ovarian endometriosis may not be linked to in vitro fertilization as previously thought.

Authors+Show Affiliations

Department of Gynecological Oncology, Tianjin Central Hospital of Gynecology Obstetrics, No. 156 Nankai San Ma Road, Nankai District, 300100, Tianjin, China. Clinical College of Central Gynecology and Obstetrics, Tianjin Medical University, Tianjin, China.Department of Gynecological Oncology, Tianjin Central Hospital of Gynecology Obstetrics, No. 156 Nankai San Ma Road, Nankai District, 300100, Tianjin, China. qu.pengpeng@hotmail.com. Clinical College of Central Gynecology and Obstetrics, Tianjin Medical University, Tianjin, China. qu.pengpeng@hotmail.com.Department of Intensive Care, People's Hospital of Tianjin Affiliated to Nankai University, Tianjin, China.Department of Gynecological Oncology, Tianjin Central Hospital of Gynecology Obstetrics, No. 156 Nankai San Ma Road, Nankai District, 300100, Tianjin, China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33516203

Citation

Gao, Yang, et al. "Risk Factors for the Development of Tubo-ovarian Abscesses in Women With Ovarian Endometriosis: a Retrospective Matched Case-control Study." BMC Women's Health, vol. 21, no. 1, 2021, p. 43.
Gao Y, Qu P, Zhou Y, et al. Risk factors for the development of tubo-ovarian abscesses in women with ovarian endometriosis: a retrospective matched case-control study. BMC Womens Health. 2021;21(1):43.
Gao, Y., Qu, P., Zhou, Y., & Ding, W. (2021). Risk factors for the development of tubo-ovarian abscesses in women with ovarian endometriosis: a retrospective matched case-control study. BMC Women's Health, 21(1), 43. https://doi.org/10.1186/s12905-021-01188-6
Gao Y, et al. Risk Factors for the Development of Tubo-ovarian Abscesses in Women With Ovarian Endometriosis: a Retrospective Matched Case-control Study. BMC Womens Health. 2021 Jan 30;21(1):43. PubMed PMID: 33516203.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk factors for the development of tubo-ovarian abscesses in women with ovarian endometriosis: a retrospective matched case-control study. AU - Gao,Yang, AU - Qu,Pengpeng, AU - Zhou,Yang, AU - Ding,Wei, Y1 - 2021/01/30/ PY - 2020/10/14/received PY - 2021/01/20/accepted PY - 2021/1/31/entrez PY - 2021/2/1/pubmed PY - 2021/2/1/medline KW - In vitro fertilization KW - Infection KW - Ovarian endometriotic cyst KW - Risk factors KW - Tubo-ovarian abscess SP - 43 EP - 43 JF - BMC women's health JO - BMC Womens Health VL - 21 IS - 1 N2 - BACKGROUND: The purpose of this study was to assess the risk factors associated with the development of tubo-ovarian abscesses in women with ovarian endometriosis cysts. METHODS: This retrospective single-center study included 176 women: 44 with tubo-ovarian abscesses associated with ovarian endometriosis and 132 age-matched (1:3) patients with ovarian endometriosis but without tubo-ovarian abscesses. Diagnoses were made via surgical exploration and pathological examination. The potential risk factors of tubo-ovarian abscesses associated with ovarian endometriosis were evaluated using univariate analysis. The results (p ≤ 0.05) of these parameters were analyzed using a multivariate model. RESULTS: Five factors were included in the multivariate conditional logistic regression model, including in vitro fertilization, presence of an intrauterine device, lower genital tract infection, spontaneous rupture of ovarian endometriosis cysts, and diabetes mellitus. The presence of a lower genital tract infection (odds ratio 5.462, 95% CI 1.772-16.839) and spontaneous rupture of ovarian endometriosis cysts (odds ratio 2.572, 95% CI 1.071-6.174) were found to be statistically significant risk factors for tubo-ovarian abscesses associated with ovarian endometriosis. CONCLUSIONS: Among the factors investigated, genital tract infections and spontaneous rupture of ovarian endometriosis cysts were found to be involved in the occurrence of tubo-ovarian abscesses associated with ovarian endometriosis. Our findings indicate that tubo-ovarian abscesses associated with ovarian endometriosis may not be linked to in vitro fertilization as previously thought. SN - 1472-6874 UR - https://www.unboundmedicine.com/medline/citation/33516203/Risk_factors_for_the_development_of_tubo-ovarian_abscesses_in_women_with_ovarian_endometriosis:_a_retrospective_matched_case-control_study. L2 - https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-021-01188-6 DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.