Objective: Endometriosis is a chronic, painful disease that can be disabling. There is a scarcity of research on the clinical management and outcomes of endometriosis in American Indian (AI) women. The aim of this study was to determine whether there are discrepancies between AI and White women in symptoms at presentation, initial diagnosis methods, clinical management, and long-term outcomes of endometriosis, in a rural state. Materials and methods: This retrospective study described and compared the clinical management and long-term outcomes of AI and White women diagnosed with endometriosis. All statistical tests were two-tailed with p-value .05 considered to be significant. Results: 110 women diagnosed with endometriosis were included in the study, with 50% (n = 55) AI and 50% (n = 55) White. White women were more likely to have private insurance (80% vs. 42%; p 0.001). AI women were more likely than White women to report abdominal pain at diagnosis (20.3% vs. 9%; p = 0.010), and be diagnosed with mild endometriosis symptoms at the initial visit, (44.4% vs. 10%; p = 0.051). White women were more likely to report a reduction or cessation of pain compared to AI women (63.3% vs. 34%; p = 0.004). Conclusion: We found the majority of women continue to report pain long after endometriosis diagnosis. AI women were less likely to report a reduction or cessation of pain. Future research should investigate why pain is more persistent in AI women.
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机译：目的：子宫内膜异位症是一种慢性，痛苦的疾病，可以禁用。对美国印度（AI）妇女的子宫内膜异位症的临床管理和结果略有研究。本研究的目的是判断AI和白人女性在展示，初步诊断方法，临床管理和子宫内膜异位症的长期结果中是否存在差异。材料与方法：该回顾性研究描述并比较了诊断患有子宫内膜异位症的AI和白人女性的临床管理和长期结果。所有统计测试都有双尾，P值<.05被认为是显着的。结果：110名患有子宫内膜异位症的女性均包括在研究中，50％（n = 55）AI和50％（n = 55）白色。白人女性更有可能有私人保险（80％vs.2.2％; P <0.001）。 AI妇女比白人女性更有可能报告诊断腹痛（20.3％vs.9％; P = 0.010），并在初次访问时被诊断出患有轻度子宫内膜异位症症状，（44.4％与10％; P = 0.051 ）。与AI女性相比，白人女性更有可能报告疼痛的减少或停止（63.3％与34％; p = 0.004）。结论：我们发现大多数女性在子宫内膜异位症诊断后继续报告疼痛。 AI女性不太可能报告减少或停止疼痛。未来的研究应该调查为什么AI女性疼痛更持久。
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