Surgical treatment of endometriosis: prognostic factors for better quality of life

Silvia Vannuccini, Reis FM, Fernando M. Reis, Larissa Milani Coutinho, Larissa M Coutinho, Coutinho LM, Lucia Lazzeri, Gabriele Centini, Petraglia F, Felice Petraglia
Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology · 2019 · vol. 35(11) , pp. 1010–1014 · doi:10.1080/09513590.2019.1616688 · PMID:31155975 · W2948039752
Observational OA: closed CC0 ⤵ 18 in-corpus citations
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This study found that having a first endometriosis surgery at an older age and undergoing a single intervention predicted better quality of life in premenopausal women.

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Abstract

The present study investigated the effect of surgical treatment of endometriosis on physical and mental health. We undertook a prospective survey including 153 premenopausal women with histological diagnosis of endometriosis. The Short Form 12 (SF-12) questionnaire comprising physical and mental component scales was used. Two groups of patients were distinguished: Group A (n = 42) with SF-12 scores above the median in both physical and mental scales; Group B (n = 111) with SF-12 scores below the median in either physical or mental scale. Group A was diagnosed and operated for endometriosis for the first time at an older age (30 vs. 26 years), had undergone more frequently a single surgical intervention (64% vs. 46%), was less affected by symptom or lesion recurrence and had reported less intense current pain symptoms than Group B. Having the first endometriosis surgery at a later age was an independent predictor of better health status (adjusted odds ratio 1.146 per year, 95% confidence interval 1.058-1.242) after accounting for the potential confounding effects of reoperation, pelvic pain and time elapsed since the first surgery. In conclusion, patients with endometriosis who had a single surgery at an older age have good symptom control and better quality of life (QoL).

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Adult Adult Endometriosis Endometriosis Female Female Humans Humans Prospective Studies Prospective Studies Quality of Life Quality of Life Surveys and Questionnaires Surveys and Questionnaires

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 (54)

Cited by (20)

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