Faculty Opinions recommendation of ENDORECT: a preoperative score to accurately predict rectosigmoid involvement in patients with endometriosis.

M. Louise Hull
In: Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature · 2019 · doi:10.3410/f.735544476.793559198 · W4232300585
dataset OA: closed CC0
View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

A preoperative score called ENDORECT, based on digital exam, ultrasound, MRI, and symptoms, accurately predicts rectosigmoid endometriosis involvement.

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

Abstract

Could we construct and validate a preoperative score to predict rectosigmoid involvement in endometriosis (RE)?SUMMARY ANSWER: We developed a simple preoperative score (ENDORECT) to predict RE.WHAT IS KNOWN ALREADY: Accurate preoperative classification is important to optimize the surgical approach for patients with endometriosis but there is currently no reliable first-line examination to determine RE.STUDY DESIGN, SIZE, DURATION: This was a single-centre observational study including all women (N = 119) who underwent complete surgery for endometriosis between January 2011 and June 2016 in the Gynaecological Department of the University Hospital of Poissy Saint-Germain en Laye.PARTICIPANTS/MATERIALS, SETTING, METHODS: Of the 119 women, 47 had RE and 72 did not.Two-thirds of the patients were randomly selected to derive the predictive score based on multiple logistic regression with internal validation by bootstrap.We used information from a self-assessment questionnaire, digital and speculum examination, transvaginal ultrasound and MRI.The score was then applied to the remaining sample of patients for validation. MAIN RESULTS AND THE ROLE OF CHANCE:Four variables were independently associated with RE: palpation of a posterior nodule on digital examination (aOR=5.6;95%CI [1.7-21.8]); a UBESS score of 3 on ultrasonography (aOR=4.9;; RE infiltration on MRI (aOR=6.8;);and presence of blood in the stools during menstruation (aOR=5.2;).The ROC-AUC of the model was 0.86 (95%CI [0.77-0.94])and the bootstrap procedure showed that the model was stable.The ENDORECT score was derived from these four criteria and three risk groups were identified: the high-risk group (score>17) had a probability of RE of 100% with an specificity (Sp) of 100%, postive likelihood ratio (Lr+)>10; the intermediate-risk group (score: 7-17) had a probability of RE of 42%; and the low-risk group (score=0), with a sensitivity (Se) of 97%, negative likelihood ratio (Lr-) of 0.07 and a probability of RE of 5%.In the validation cohort, a score >17 predicted RE with an Sp of 96, Lr+ of 9.2, and probability of RE of 83%.Patients in this sample with a score=0, had an Se of 100%, Lr-of 0 and a probability of RE of 0%.

My notes (saved in your browser only)

Condition tags

endometriosis

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 (31)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK