Identification of Predictive Factors in Endometriosis for Improvement in Patient Quality of Life

Aurélie Comptour, Comptour A, Pereira B, Bruno Pereira, Lambert C, Céline Lambert, Chauvet P, Pauline Chauvet, Anne-Sophie Grémeau, Anne‐Sophie Grémeau, Grémeau AS, Jean‐Luc Pouly, Jean-Luc Pouly, Pouly JL, Michel Canis, Nicolas Bourdel, Bourdel N
Journal of Minimally Invasive Gynecology · 2019 · vol. 27(3) , pp. 712–720 · doi:10.1016/j.jmig.2019.05.013 · PMID:31146030 · W2946982436
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This study identified factors predictive of improved quality of life in patients with endometriosis.

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Abstract

STUDY OBJECTIVE: To investigate predictive factors for change in quality of life (QOL) between pre- and postoperative periods in patients with endometriosis. DESIGN: A prospective and multicenter cohort study. SETTING: Five districts including a tertiary referral center and private and general public hospitals. PATIENTS: Nine hundred eighty-one patients aged 15 to 50 years underwent laparoscopic treatment (preferred approach) for endometriosis between January 2004 and December 2012. INTERVENTIONS: Laparoscopic treatment for endometriosis. All revised American Fertility Society stages were included. MEASUREMENTS AND MAIN RESULTS: QOL was evaluated using the 36-Item Short Form Survey questionnaire. Factors influencing changes for each 36-Item Shorty Form Survey domain score between t0 (before surgery) and 1 year after surgery were predicted on the basis of univariate and multivariable analyses. The effect size (ES) method was used to measure changes in QOL. Univariate analysis revealed that 47% of stage IV endometriosis patients presented an improvement in the postoperative Physical Component Summary (PCS) score (ES ≥ 0.8) versus 26%, 31.3%, and 27.5% of patients with stage I, II, and III, respectively (p 0.8) versus 23% and 24% of patients without CPP, respectively (p 0.8 vs ES < 0) revealed that women with CPP were more likely to experience greater improvement in postoperative PCS and Mental Component Summary scores than women without CPP (relative risk [RR] = 2.7; 95% confidence interval [CI], 1.7-4.4; p <.001 and RR = 1.8; 95% CI, 1.2-2.8; p <.01, respectively). Accordingly, fertile patients were more likely to show higher rates of improvement in the postoperative PCS score than infertile patients (RR = 1.8; 95% CI, 1.1-3.1; p <.05). CONCLUSION: Patients presenting with severe endometriosis and who experience higher levels of pain are more likely to show improvement in QOL after surgery. CPP is the most significant independent predictive factor for changes in QOL scores.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Endometriosis Peritoneal Diseases Peritoneal Diseases Quality of Life Quality of Life Adolescent Adolescent Adult Adult Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Cohort Studies Cohort Studies Endometriosis Endometriosis 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 ]

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