Consensus on Recording Deep Endometriosis Surgery: the CORDES statement

Vanhie, Arne; Meuleman, Christel; Tomassetti, Carla; Timmerman, Dirk; D’Hoore, André; Wolthuis, Albert; Cleynenbreugel, Ben Van; Dancet, Eline; Broeck, Uschi Van den; Tsaltas, Jim; Renner, Stefan P.; Ebert, Andreas D.; Carmona, Francisco; Abbott, Jason; Stepniewska, Anna; Taylor, H.; Sarıdoğan, Ertan; Mueller, Michael D.; Keckstein, J.; Pluchino, Nicola; Janik, G.; Zupi, Errico; Minelli, Luca; Cooper, Michael; Dunselman, G.A.J.; Koh, Chan Hee; Abrão, Maurício Simões; Chapron, Charles; D’Hooghe, Thomas

doi:10.1093/humrep/dew067

Cited by 50 publications

(50 citation statements)

References 21 publications

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“…The real challenge is to identify women who will benefit from first-intention ART and those who will benefit from first-line surgery. In the absence of clear recommendations on this specific point, no selective criteria have been reported to date to suggest one option over the other (2,14,33). Hence, in daily practice, the treatment strategy undertaken for most women with colorectal endometriosis-associated infertility depends on the physician's preference based on his or her own experience.…”

Section: Patient Selection Per Treatment Optionmentioning

confidence: 99%

“…Colorectal endometriosis is often associated with other anatomical lesions, and thus the impact of colorectal endometriosis alone on fertility remains unclear (2,4,5,10,11). Due to the absence of a high level of evidence, and despite international guidelines, there is currently no consensus about the best infertility treatment for women with DIE, and especially for those with colorectal endometriosis (4,(12)(13)(14)(15)(16). The European Society for Human Reproduction and Embriology (ESHRE) guidelines state that the effectiveness of surgical excision of deep nodular lesions before assisted reproductive technology (ART) in women with endometriosis-associated infertility is not well established in terms of reproductive outcome (2,3).…”

mentioning

confidence: 99%

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Colorectal endometriosis-associated infertility: should surgery precede ART?

Bendifallah

Roman

d’Argent

et al. 2017

Fertility and Sterility

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Section: Patient Selection Per Treatment Optionmentioning

confidence: 99%

mentioning

confidence: 99%

Colorectal endometriosis-associated infertility: should surgery precede ART?

Bendifallah

Roman

d’Argent

et al. 2017

Fertility and Sterility

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“…Endometriosis is being worked on by several initiatives with different scopes, either published as report or study protocol [ 31 , 33 , 34 , 40 ] or not published yet but provided to authors of this manuscript [personal communication with Katy Vincent, Email during June 2018]. Considering this work is required, thus, following COMET recommendation of careful consideration of previous work in the field of interest [ 12 ], it was therefore necessary to break down this consensus process into two different arms, at least referring to COS domains.…”

Section: Methodsmentioning

confidence: 99%

“…For endometriosis, previous results [ 31 – 34 , 40 ] of initiatives specifically dedicated to study and improve treatment of endometriosis will be provided to the IMI PROMPT consensus panel after deciding about main aims of perioperative pain management in patients with endometriosis. This will be used in order to subsequently decide whether these recommended domains serve the purpose of capturing effectiveness in perioperative pain management in endometriosis or if modifications are needed.…”

Section: Methodsmentioning

confidence: 99%

“…Regarding breast surgery and sternotomy, COS considerations for postoperative pain have not been worked on yet, despite some effort to harmonize outcome assessment in general for reconstructive breast surgery [ 29 , 30 ]. Some initiatives have worked on COS for endometriosis [ 31 – 34 ], but again, postoperative pain was not addressed. For all surgical procedures, perioperative pain management is characterized by a short duration of intervention (regularly for some days up to 1 or 2 weeks after surgery), and ideally supporting quick recovery and regain of functioning.…”

Section: Introductionmentioning

confidence: 99%

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Developing consensus on core outcome domains and measurement instruments for assessing effectiveness in perioperative pain management after sternotomy, breast cancer surgery, total knee arthroplasty, and surgery related to endometriosis

Kaiser

Liedgens

Meißner

et al. 2020

Trials

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Introduction Evidence synthesis of clinical trials requires consistent outcome assessment. For pain management after surgery, inconsistency of effectiveness assessment is still observed. A subproject of IMI-PainCare (Innovative Medicine Initiatives, www.imi-paincare.eu) aims for identifying core outcome domains and measurement instruments for postoperative pain in four surgical fields (sternotomy, breast cancer surgery, total knee arthroplasty, and surgery related to endometriosis) in order to harmonize outcome assessment for perioperative pain management. Methods A multifaceted process will be performed according to existing guidelines (Core Outcome Measures in Effectiveness Trials (COMET), COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN)). In a first step, outcome domains will be identified via systematic literature review and consented on during a 1-day consensus meeting by 10 stakeholder groups, including patient representatives, forming an IMI PROMPT consensus panel. In a second step, outcome measurement instruments regarding the beforehand consented core outcome domains and their psychometric properties will be searched for via systematic literature review and approved by COSMIN checklist for study quality and scale quality separately. In a three-step online survey, the IMI PROMPT consensus panel will vote for most suitable measurement instruments. The process is planned to be conducted between 11/2017 (systematic literature review on common outcome domains) and 3/2022 (final voting on core outcome measurement).

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Multicenter External Validation of the Deep Pelvic Endometriosis Index Magnetic Resonance Imaging Score

et al. 2023

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ImportancePreoperative mapping of deep pelvic endometriosis (DPE) is crucial as surgery can be complex and the quality of preoperative information is key.ObjectiveTo evaluate the Deep Pelvic Endometriosis Index (dPEI) magnetic resonance imaging (MRI) score in a multicenter cohort.Design, Setting, and ParticipantsIn this cohort study, the surgical databases of 7 French referral centers were retrospectively queried for women who underwent surgery and preoperative MRI for DPE between January 1, 2019, and December 31, 2020. Data were analyzed in October 2022.InterventionMagnetic resonance imaging scans were reviewed using a dedicated lexicon and classified according to the dPEI score.Main outcomes and measuresOperating time, hospital stay, Clavien-Dindo–graded postoperative complications, and presence of de novo voiding dysfunction.ResultsThe final cohort consisted of 605 women (mean age, 33.3; 95% CI, 32.7-33.8 years). A mild dPEI score was reported in 61.2% (370) of the women, moderate in 25.8% (156), and severe in 13.1% (79). Central endometriosis was described in 93.2% (564) of the women and lateral endometriosis in 31.2% (189). Lateral endometriosis was more frequent in severe (98.7%) vs moderate (48.7%) disease and in moderate vs mild (6.7%) disease according to the dPEI (P &lt; .001). Median operating time (211 minutes) and hospital stay (6 days) were longer in severe DPE than in moderate DPE (operating time, 150 minutes; hospital stay 4 days; P &lt; .001), and in moderate than in mild DPE (operating time; 110 minutes; hospital stay, 3 days; P &lt; .001). Patients with severe disease were 3.6 times more likely to experience severe complications than patients with mild or moderate disease (odds ratio [OR], 3.6; 95% CI, 1.4-8.9; P = .004). They were also more likely to experience postoperative voiding dysfunction (OR, 3.5; 95% CI, 1.6-7.6; P = .001). Interobserver agreement between senior and junior readers was good (κ = 0.76; 95% CI, 0.65-0.86).Conclusions and RelevanceThe findings of this study suggest the ability of the dPEI to predict operating time, hospital stay, postoperative complications, and de novo postoperative voiding dysfunction in a multicenter cohort. The dPEI may help clinicians to better anticipate the extent of DPE and improve clinical management and patient counseling.

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Consensus on Recording Deep Endometriosis Surgery: the CORDES statement

Abstract: N/A.

Cited by 50 publications

References 21 publications

Colorectal endometriosis-associated infertility: should surgery precede ART?

Colorectal endometriosis-associated infertility: should surgery precede ART?

Developing consensus on core outcome domains and measurement instruments for assessing effectiveness in perioperative pain management after sternotomy, breast cancer surgery, total knee arthroplasty, and surgery related to endometriosis

Multicenter External Validation of the Deep Pelvic Endometriosis Index Magnetic Resonance Imaging Score

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