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9 a.m. - 6 p.m.
Phone: (843) 722-7550
West Ashley Library
9 a.m. - 6 p.m.
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Folly Beach Library
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Edgar Allan Poe/Sullivan's Island Library
Closed for renovations
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Wando Mount Pleasant Library
9 a.m. - 6 p.m.
Phone: (843) 805-6888
Village Library
9 a.m. - 6 p.m.
Phone: (843) 884-9741
St. Paul's/Hollywood Library
9 a.m. - 6 p.m.
Phone: (843) 889-3300
Otranto Road Library
9 a.m. - 6 p.m.
Phone: (843) 572-4094
Mt. Pleasant Library
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McClellanville Library
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Keith Summey North Charleston Library
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John's Island Library
9 a.m. - 6 p.m.
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Hurd/St. Andrews Library
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Phone: (843) 805-6930
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Pain Frequency and Health Care Utilization Patterns in Women with Sickle Cell Disease Experiencing Menstruation-Associated Pain Crises.
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- Author(s): Segbefia, Catherine; Campbell, Jillian; Tartaglione, Immacolata; Asare, Eugenia Vicky; Andemariam, Biree; Zempsky, William; Colombatti, Raffaella; Boatemaa, Gifty Dankwah; Boruchov, Donna; Rao, Sudha; Piccone, Connie M.; Smith, Ashya; Haile, Haikel; Kim, Esther; Wilson, Samuel; Farooq, Fatimah; Urbonya, Rebekah; Rivers, Angela; Manwani, Deepa; Gai, Jiaxiang
- Source:
Journal of Women's Health (15409996). Dec2023, Vol. 32 Issue 12, p1284-1291. 8p. - Source:
- Additional Information
- Subject Terms: SICKLE cell anemia treatment; TREATMENT of dysmenorrhea; PAIN measurement; CROSS-sectional method; SELF-evaluation; ACQUISITION of data; MEDICAL care use; SEVERITY of illness index; COMPARATIVE studies; DYSMENORRHEA; RESEARCH funding; QUESTIONNAIRES; MEDICAL records; HOSPITAL care; DESCRIPTIVE statistics; MEDICAL appointments; SICKLE cell anemia; LONGITUDINAL method; DISEASE complications
- Subject Terms:
- Abstract: Background: Pain crises in sickle cell disease (SCD) lead to high rates of health care utilization. Historically, women have reported higher pain burdens than men, with recent studies showing a temporal association between pain crisis and menstruation. However, health care utilization patterns of SCD women with menstruation-associated pain crises have not been reported. We studied the frequency, severity, and health care utilization of menstruation-associated pain crises in SCD women. Materials and Methods: A multinational, cross-sectional cohort study of the SCD phenotype was executed using a validated questionnaire and medical chart review from the Consortium for the Advancement of Sickle Cell Research (CASiRe) cohort. Total number of pain crises, emergency room/day hospital visits, and hospitalizations were collected from a subcohort of 178 SCD women within the past 6 months and previous year. Results: Thirty-nine percent of women reported menstruation-associated pain crises in their lifetime. These women were significantly more likely to be hospitalized compared with those who did not (mean 1.70 vs. 0.67, p = 0.0005). Women reporting menstruation-associated pain crises in the past 6 months also experienced increased hospitalizations compared with those who did not (mean 1.71 vs. 0.75, p = 0.0016). Forty percent of women reported at least four menstruation-associated pain crises in the past 6 months. Conclusions: Nearly 40% of SCD women have menstruation-associated pain crises. Menstruation-associated pain crises are associated with high pain burden and increased rates of hospitalization. Strategies are needed to address health care disparities within gynecologic care in SCD. [ABSTRACT FROM AUTHOR]
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