East and South East Asian Ethnicity and Moderate-to-Severe Endometriosis

Christina Williams, Williams C, Alicia J Long, Heather Noga, Catherine Allaire, Allaire C, Mohamed A Bedaiwy, Sarka Lisonkova, Paul J Yong
Journal of minimally invasive gynecology · 2018 · vol. 26(3) , pp. 507–515 · doi:10.1016/j.jmig.2018.06.009 · PMID:29935381 · W2809463081
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East and South East Asian women in this tertiary center had higher odds of diagnosed moderate-to-severe endometriosis, including palpable nodules, endometriomas, and advanced surgical stages.

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Abstract

Study objectiveTo investigate ethnic differences for moderate-to-severe endometriosis.DesignAnalysis of a prospective registry (Canadian Task Force classification II-2).SettingTertiary referral center.PatientsA total of 1594 women with pelvic pain and/or endometriosis.InterventionsNone MEASUREMENTS AND MAIN RESULTS: On logistic regression, adjusting for potential confounders, East/South East Asians were 8.3 times more likely than whites to have a previous diagnosis of stage III/IV endometriosis before referral (adjusted odds ratio [aOR], 8.33; 95% confidence interval [CI], 3.74-18.57), 2.7 times more likely to have a palpable nodule (aOR, 2.66; 95% CI, 1.57-4.52), 4.1 times more likely to have an endometrioma on ultrasound (aOR, 4.10; 95% CI, 2.68-6.26), and 10.9 times more likely to have stage III/IV endometriosis at the time of surgery at our center (aOR, 10.87; 95% CI, 4.34-27.21).ConclusionModerate-to-severe endometriosis was more common in women with East or South East Asian ethnicity in our tertiary referral center.  This could be explained by East/South East Asians with minimal to mild disease being less likely to seek care or genetic/environmental differences that increase the risk of more severe disease among East/South East Asians. (ClinicalTrials.gov, NCT02911090.).

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Adult Asia Asia Asian People British Columbia British Columbia Cohort Studies Endometriosis Endometriosis Endometriosis Endometriosis Ethnicity Female Humans Logistic Models Odds Ratio Pelvic Pain Pelvic Pain Prospective Studies

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