Change in Pain and Quality of Life Among Women Enrolled in a Trial Examining the Use of Narrow Band Imaging During Laparoscopic Surgery for Suspected Endometriosis

Gallicchio L, Lisa Gallicchio, Kathy J. Helzlsouer, Helzlsouer KJ, Kevin M. Audlin, Audlin KM, Miller C, Charles Miller, Charles E. Miller, Ryan MacDonald, MacDonald R, Mary Johnston, Johnston M, Fermin F Barrueto, Barrueto FF, Fermin Barrueto
Journal of Minimally Invasive Gynecology · 2015 · vol. 22(7) , pp. 1208–1214 · doi:10.1016/j.jmig.2015.06.017 · PMID:26140829 · W2164354617
RCT OA: closed CC0 ⤵ 15 in-corpus citations
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This trial examined how narrow band imaging during laparoscopic surgery for suspected endometriosis affected pain and quality of life in women.

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Abstract

STUDY OBJECTIVE: To examine whether the addition of narrow band imaging (NBI) to traditional white light imaging during laparoscopic surgery impacts pain and quality of life (QOL) at 3 and 6 months after surgery among women with suspected endometriosis and/or infertility. DESIGN: A randomized controlled trial (Canadian Task Force classification level I). SETTING: The trial was conducted in 2 medical centers. PATIENTS: From October 2011 to November 2013, 167 patients undergoing laparoscopic examination for suspected endometriosis and/or infertility were recruited. The analytic study sample includes 148 patients with pain and QOL outcome data. INTERVENTIONS: Patients were randomized in a 3:1 ratio to receive white light imaging followed by NBI (WL/NBI) or white light imaging only (WL/WL). MEASUREMENTS AND MAIN RESULTS: Questionnaires were administered at baseline and at 3- and 6-month follow-up time points. Average and most severe pain at each time point were assessed using a 10-cm visual analog scale. QOL was measured using the Endometriosis Health Profile-30. Baseline characteristics were similar for the study groups. The WL/NBI and WL/WL groups had similar reductions in pain at 3 and 6 months. In addition, QOL improved similarly for both the WL/NBI and WL/WL groups at 3 and 6 months. CONCLUSION: Laparoscopic surgery for suspected endometriosis is associated with a reduction in pain and an improvement in QOL. The differences in pain reduction and QOL improvement, which are noted at 3 months and remain stable at 6 months after surgery, are similar for those undergoing surgery with WL/NBI compared with those undergoing surgery under traditional white light conditions.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Infertility, Female Laparoscopy Laparoscopy Narrow Band Imaging Narrow Band Imaging Pain Quality of Life Quality of Life Adult Adult Endometriosis Endometriosis Endometriosis Endometriosis Female Female Humans Humans Infertility, Female

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 (25)

Cited by (15)

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