Preoperative pain and recurrence risk in patients with peritoneal endometriosis

Stefan Peter Renner, Stefan P. Renner, Susanne Rix, Rix S, Boosz A, Alexander Boosz, Lermann JH, Johannes Lermann, Johannes Hugo Lermann, Strissel PL, Pamela L. Strissel, Thiel FC, Falk Clemens Thiel, Falk C. Thiel, Oppelt P, Peter Oppelt, Beckmann MW, Matthias W. Beckmann, Peter A. Fasching, Fasching PA, Peter Andreas Fasching
Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology · 2009 · vol. 26(3) , pp. 1–6 · doi:10.1080/09513590903159623 · PMID:19718567 · W2041705606
article OA: closed CC0 ⤵ 9 in-corpus citations
Full text JSON View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

High preoperative pain levels correlated with a 2.30-fold increased risk of endometriosis recurrence after four years, while other patient factors did not.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

The paper investigated how patients’ preoperative pain levels relate to the risk of symptom recurrence in individuals with peritoneal endometriosis, using a high-level clinical/observational approach that connected baseline pain measures to later recurrence outcomes. It found that preoperative pain is associated with recurrence risk after surgery, indicating that pain experienced before the procedure carries prognostic information. A key limitation is that the reported associations may depend on how pain and recurrence were defined and measured within the study design. This paper is centrally about endometriosis — it specifically examines peritoneal endometriosis and links preoperative pain to recurrence risk.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

OBJECTIVE: Pain symptoms in endometriosis patients do not necessarily correlate with the extent of the disease, and there is little evidence regarding the recurrence risk. Aim of this study was to assess the risk factors for the recurrence of endometriosis, with regard to preoperative and postoperative pain. DESIGN: Retrospective observational study. SETTING: Single institution study. POPULATION: A total of 150 patients were followed up for recurrence after surgical treatment for endometriosis. METHODS: The patients were interviewed retrospectively to obtain information about pain levels during the course of the disease. MAIN OUTCOME MEASURES: Disease free survival. RESULTS: High preoperative pain levels were associated with a higher risk of recurrence after 4 years of follow-up. The hazards ratio was 2.30 (95% CI, 1.22-4.31; p = 0.009). None of the other parameters assessed for medical history, reproductive history, or lifestyle was associated with the recurrence risk. CONCLUSIONS: The risk for recurrence after surgery for endometriosis may be substantially influenced by the patients' perception of pain. Risk classifications for the recurrence risk in endometriosis are nonexistent. Developing these is imperatively needed soon to improve further treatment and/or prophylaxis for patients after surgery. A classification might be improved by adding sensory testing before surgery.
Full text 1,226 characters · extracted from oa-doi-fallback · click to expand
Fostering human progress through knowledge. Trending stories Harnessing the potential of AI for academic research Artificial Intelligence Research integrity: A toolkit for early career researchers Research Integrity How transformative agreements are influencing global policies Research Impact Our sustainable publishing progress Sustainable Impact Report Our content and research platforms Taylor & Francis offers a range of content platforms to connect readers to knowledge. They are built around customer needs with the aim of facilitating discovery and allowing users to access relevant research and information quickly and easily, wherever they are. Taylor & Francis Online Provides access to more than 2,700 high-quality, cross-disciplinary journals spanning Humanities and Social Sciences, Science and Technology, Engineering, Medicine and Healthcare. Taylor & Francis eBooks One of the world’s largest collections of eBooks in science, technology, engineering, medicine, humanities and social science. F1000 An open research publisher providing rapid, transparent publishing solutions for a diverse range of partner organisations, as well as directly to researchers via our publishing platforms, such as F1000Research.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Pelvic Pain Peritoneal Diseases Adult Cohort Studies Disease-Free Survival Endometriosis Endometriosis Female Humans Kaplan-Meier Estimate Pelvic Pain Pelvic Pain Peritoneal Diseases Peritoneal Diseases Proportional Hazards Models Recurrence Retrospective Studies Risk Factors

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 (34)

Cited by (9)

Source provenance

europepmc
last seen: 2026-08-01T06:07:04.264727+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:13:59.677786+00:00
unpaywall
last seen: 2026-06-13T06:42:57.164913+00:00
License: CC0 · commercial use OK