Ovarian endometriosis associated infertility: a modern view to the problem

Оразов, М.Р.; Рахимбердыевич, Оразов Мекан; Хамошина, М.Б.; Борисовна, Хамошина Марина; Abitova, M.Z.; Заурбиевна, Абитова Марианна; Mikhaleva, L.M.; Михайловна, Михалева Людмила; Volkova, S.V.; Владимировна, Волкова Снежана; Aryutin, Aryutin D.G.; Геннадьевич, Арютин Дмитрий; Shustova, V.B.; Борисовна, Шустова Виктория

doi:10.26442/20795696.2020.5.200405

Cited by 7 publications

(1 citation statement)

References 53 publications

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“…Chronic Pain Grade Questionnaire Chronic pain grade questionnaire (CPGQ) was proposed in 1992 by English scientists Von Korff and Ormel J. et al The developed scale can be effectively used to assess chronic pain syndrome of various etiologies [43,44]. The questionnaire includes 7 questions: 1-3evaluate the intensity of pain at the moment, as well as the worst and average pain over the past 6 months; 4th -evaluates the days of disability; 5-7th -assess the degree of disability (daily, social, work activity [45].…”

Section: The Patient Assessment For Low Back Pain -Symptomsmentioning

confidence: 99%

Application of Patient-Reported Outcomes in Back Pain in Adults: Part 2

Trefilova,

Shnayder,

Novitsky

et al. 2023

jour

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The aim of the research is generalization of information about the most common foreign and domestic scales and questionnaires used in acute and chronic back pain (BP). The analysis of Russian-language and foreign literature was carried out with a search depth of 5 years (2016–2021) in the following databases: e-Library, PubMed, Oxford Press, Clinical Keys, Springer, Elsevier, Google Scholar. To diagnose back pain and assess the characteristics of its course in dynamics, both a standardized study is used: collection of complaints, anamnesis, objective examination, assessment of neurological status, as well as valid PRO. For timely diagnosis and monitoring of the development of BP in patients with osteochondrosis of the spine, a wide range of scales and questionnaires were proposed, which we ranged into 4 groups: scales for assessing the quality of life of patients with BP; scales for assessing the characteristics of pain in BP; scales for assessing disease outcomes in BP; scales for assessing disability in BP. The second part of the thematic review presents an analysis of the advantages and disadvantages of scales for assessing pain characteristics, disease outcome and disability in patients with BP. Patient-reported outcomes assessment tools for patients with BP are popular in the world medical practice, however, it is necessary to adapt to the use in domestic clinical practice of such scales as Pain Quality Assessment Scale and Pain Quality Assessment Scale Revised (PQAS and PQAS-R), The Patient Assessment for Low Back Pain - Symptoms (PAL-S), Orebro Musculoskeletal Pain Questionnaire (OMPQ).

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Section: The Patient Assessment For Low Back Pain -Symptomsmentioning

confidence: 99%

Application of Patient-Reported Outcomes in Back Pain in Adults: Part 2

Trefilova,

Shnayder,

Novitsky

et al. 2023

jour

View full text Add to dashboard Cite

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The Prediction of Ovarian Reserve Changes after Cystectomy in Patients with Endometrioma Using the Point Scale System

et al. 2022

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Background. Ovarian endometriosis has the most aggressive effect on the ovarian reserve compared to other types of benign ovarian neoplasms. Laparoscopic cystectomy with pathomorphological verification remains the gold standard for the diagnosis of endometriosis in clinical practice. It is the lack of clear criteria for predicting damage to the ovarian reserve after surgical treatment and the future reproductive potential of a woman, as well as the inability to personalize treatment, that determined the purpose and objectives of this study. Aims to develop a score scale for predicting changes in the ovarian reserve after cystectomy in ovarian endometriosis based on a comprehensive preoperative assessment of basic clinical, ultrasound, and molecular-biochemical parameters. Materials and methods. A single-center observational cohort prospective comparative study was conducted for 5 years. The study included 238 women aged 24.4 3.1 years with pathomorphologically verified ovarian endometriosis, who came to the clinic with complaints of pain of varying intensity. Results. The content of anti-Muller hormone (AMH) less than 1.5 ng / ml was significantly highly correlated with the unfavorable outcome of surgery (r=0.723). The largest diameter of the formation more than 5 cm (r=0.826) and its main localization (r=0.743) correlated most strongly with a decrease in HR and intraovarian blood flow after cystectomy. The ROC analysis (receiver operating characteristic) and the evaluation of the area under the curve the AUC indicator (area under ROC curve) revealed that the determining value of the cut off point for serum LDH was 107.35 U/l, for IL-8 94.55 pg/ml and IL-6 82.4 pg/ml, with an increase in which the probability of reducing AMH increases by more than 50%. Conclusions. The point scale system including preoperative assessment of ultrasound parameters (endometrioma size, localization, and bilaterality) and biochemical markers of toxicity in serum helps to predict changes of ovarian reserve after cystectomy (LDH, IL-6, IL-8).

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