Exploring Patient Adherence to Post-Surgical Follow-Up in Pelvic Endometriosis

Tamás Szabó, Tamas Szabo, Melinda-Ildiko Mitranovici, Andrada Crisan, Andrada Crișan, Ioana Marta Melinte, Teodora Cotruș, Teodora Cotrus, Vlad Tudorache, Liviu Moraru, Raluca Moraru, Romeo Micu
Medicina (Kaunas, Lithuania) · 2023 · vol. 59(7) , pp. 1210 · doi:10.3390/medicina59071210 · PMID:37512022 · W4382786695
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study evaluated post-surgical follow-up adherence in endometriosis patients, finding that those completing the full schedule reported significantly better pain improvement and mental health compared to those who did not.

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Abstract

Endometriosis is a significant cause of disability that affects 5-10% of reproductive-aged women. Laparoscopy with histological confirmation is the gold standard in establishing the diagnosis as therapeutic management surgery is addressed to a certain category of patients. The objective of this study was to assess patient adherence to follow-up after surgery for endometriosis as the primary endpoint, pain symptoms, quality of life, mental health, and fertility as the secondary endpoints. We have analyzed patients' adherence to follow-up after surgery for endometriosis after 1, 3, 5, and 7 years. Out of the 2538 total number of surgeries, 453 patients replied just to the first questionnaire (group A), 528 to the first and second (group B), and only 356 carried out the entire follow-up schedule. General health was significantly lower for group A (46.6 vs. 56.4) but with no statistical difference in the post-surgical improvement in both groups. Pain level score improvement was lower for group A (10.5 vs. 18.8), which is statistically significant. In this light, laparoscopy still remains the gold standard in diagnosis only. Furthermore, no malignancy was discovered. The mental component was improved by laparoscopy based on SF-36 in group B. Studies on patient preference for surgery versus alternative treatment are needed.

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Condition tags

mesh:D004715mesh:D017699endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Infertility, Female Infertility, Female Infertility, Female Infertility, Female Infertility, Female Infertility, Female

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (45)

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