{"doi":"10.17615/651g-tr79","title":"Incidence of opioid-managed pelvic pain after hysteroscopic sterilization versus laparoscopic sterilization, US 2005-2012","abstract":"Objective: Compare incidence of opioid-managed pelvic pain within 12months after hysteroscopic and laparoscopic sterilization. Methods: Using administrative claims, we identified women aged 18-49years without recent history of childbirth who underwent hysteroscopic or laparoscopic sterilization between 2005 and 2012. We defined the outcome as ≥2 diagnoses for pelvic pain and ≥2 prescription fills for opioids. We calculated adjusted hazard ratios (HR) using Cox models and propensity score methods (matching and inverse-probability-of-treatment-weighting [IPTW]). Results: We identified 71875 eligible women (hysteroscopic n=26927 [37.5%], laparoscopic n=44948 [62.5%]). Of those, 236 (0.88%) hysteroscopic patients and 420 (0.93%) laparoscopic patients experienced the outcome (crude HR=0.97, 95%CI: [0.83, 1.14]). Adjusted analyses also yielded near-null results (matched HR=1.08, 95%CI [0.90, 1.31]; IPTW HR=0.97, 95%CI [0.80, 1.18]). While most sensitivity analyses generated results close to the null, hazard ratios estimated using propensity score matching ranged from 0.65 to 1.53. Conclusions: Among women without recent history of childbirth, we did not find compelling evidence of a clinically meaningful increase in the incidence of pelvic pain requiring opioids during the year after hysteroscopic sterilization. However, effects observed in sensitivity analyses may merit further investigation.","journal":"UNC Libraries","year":2024,"id":499204,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8093,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1347171,"name":"Jennifer O. Howell","orcid":null,"position":1,"is_corresponding":false},{"id":1346269,"name":"J.M Wu","orcid":"0000-0003-2167-9166","position":2,"is_corresponding":false},{"id":449236,"name":"Alan C. Kinlaw","orcid":"0000-0002-4279-8685","position":3,"is_corresponding":false},{"id":597247,"name":"Nabarun Dasgupta","orcid":"0000-0002-4098-605X","position":4,"is_corresponding":false},{"id":258093,"name":"Mitchell M. Conover","orcid":"0000-0001-5682-3688","position":5,"is_corresponding":false},{"id":430332,"name":"Michele Jönsson Funk","orcid":"0000-0002-3756-7540","position":0,"is_corresponding":true}],"reference_count":0,"raw_metadata":null,"created_at":"2026-07-19T02:09:45.971055Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}