Influence of race/ethnicity on prevalence and presentation of endometriosis: a systematic review and meta-analysis

Bougie O, O. Bougie, Olga Bougie, Yap MI, Ma I Yap, L Sikora, Lindsey Sikora, Teresa E. Flaxman, S Singh, Sukhbir S. Singh, Singh S
BJOG: An International Journal of Obstetrics & Gynaecology · 2019 · vol. 126(9) , pp. 1104–1115 · doi:10.1111/1471-0528.15692 · PMID:30908874 · W2931958159
Systematic review / meta-analysis OA: bronze CC0 ⤵ 132 in-corpus citations
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This systematic review found that Black women are less likely and Asian women are more likely to be diagnosed with endometriosis compared to White women.

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Abstract

BACKGROUND: Understanding the impact of race/ethnicity on the prevalence and presentation of endometriosis may help improve patient care. OBJECTIVE: To review systematically the evidence for the influence of race/ethnicity on the prevalence of endometriosis. SEARCH STRATEGY: CENTRAL, MEDLINE, PubMed, Embase, LILACS, SCIELO, and CINAHL databases, as well as the grey literature, were searched from date of inception until September 2017. SELECTION CRITERIA: Randomised control trials and observational studies reporting on prevalence and/or clinical presentation of endometriosis. DATA COLLECTION AND ANALYSIS: Twenty studies were included in the review and 18 studies were used to calculate odds ratio (OR) with 95% confidence interval (CI) through a random effects model. Methodological quality was assessed using the Newcastle-Ottawa risk of bias scale (NOS). MAIN RESULTS: Compared with White women, Black woman were less likely to be diagnosed with endometriosis (OR 0.49, 95% CI 0.29-0.83), whereas Asian women were more likely to have this diagnosis (OR 1.63, 95% CI 1.03-2.58). Compared with White women, there was a statistically significant difference in likelihood of endometriosis diagnosis in Hispanic women (OR 0.46, 95% CI 0.14-1.50). Significant heterogeneity (I2  > 50%) was present in the analysis for all racial/ethnic groups but was partially reduced in subgroup analysis by clinical presentation, particularly when endometriosis was diagnosed as self-reported, CONCLUSIONS: Prevalence of endometriosis appears to be influenced by race/ethnicity. Most notably, Black women appear less likely to be diagnosed with endometriosis compared with White women. There is scarce literature exploring the influence of race/ethnicity on symptomatology, as well as treatment access, preference, and response. TWEETABLE ABSTRACT: Prevalence of endometriosis may be influenced by race/ethnicity, but there is limited quality literature exploring this topic.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Ethnicity Racial Groups Adult Adult Black People Black People Black People Endometriosis Endometriosis Endometriosis Ethnicity Ethnicity Female Female Hispanic or Latino Hispanic or Latino Hispanic or Latino Humans Humans

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 (47)

Cited by (50)

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