Endometriosis and the Enigmatic Question of Progression

Ricardo Francalacci Savaris, C. Nichols, Bruce A. Lessey
In: Journal of Endometriosis and Pelvic Pain Disorders · 2014 · vol. 6(3) , pp. 121–126 · doi:10.5301/je.5000191 · W2063760103
OA: closed CC0 ⤵ 12 in-corpus citations
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This study found a small correlation between endometriosis stage and age, with 31% of adult cases showing progression over time, suggesting endometriosis is not significantly age-dependent.

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Abstract

Aims The aim of this study was to identify whether endometriosis is a progressive disease with age, and to review the literature on this topic. Material and methods The incidence of endometriosis in a cohort of 500 women who underwent laparoscopy between 2003 and 2013 in the Greenville Health System, in South Carolina, United States, was reviewed. The search of the world literature on progression of endometriosis was limited to 1980 and beyond. Results The correlation between stage of endometriosis and age was found to be small (r = −0.04; 95% CI, −0.13 to 0.04; p = 0.3; n = 471). The literature search identified 16 studies on adults. Progression of endometriosis findings at laparoscopy occurred in 31% of the cases with follow-up (n = 162). Conclusions Endometriosis of minimal or mild American Society for Reproductive Medicine (rASRM) classification stage is equally likely to be present in women of all ages; similarly, endometriosis in its severe form is not age-dependent.

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Outcome instruments

rASRM

Condition tags

endometriosis

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (100)

Cited by (12)

Source provenance

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