REVIEW: Accuracy of laparoscopy in the diagnosis of endometriosis: a systematic quantitative review

Wykes, Catherine; Clark, T. Justin; Khan, Khalid S.

doi:10.1111/j.1471-0528.2004.00433.x

Cited by 164 publications

(118 citation statements)

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“…[13][14][15] Diagnostic laparoscopy is an excellent tool for direct visualization of the pelvis and may help identify the etiology of the patients' pain, 16 and surgical ablation of disease can occur in the same procedure. However, the quality of the available literature on the efficacy of diagnostic laparoscopy as it relates to patient outcome is limited, as almost all of the available studies are retrospective studies from single institutions.…”

Section: Diagnosismentioning

confidence: 99%

Defining Future Directions for Endometriosis Research: Workshop Report From the 2011 World Congress of Endometriosis in Montpellier, France

D’Hooghe²,

et al. 2013

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Endometriosis, defined as estrogen-dependent lesions containing endometrial glands and stroma outside the uterus, is a chronic and often painful gynecological condition that affects 6% to 10% of reproductive age women. Endometriosis has estimated annual costs of US $12 419 per woman (approximately €9579), comprising one-third of the direct health care costs with two-thirds attributed to loss of productivity. Decreased quality of life is the most important predictor of direct health care and total costs. It has been estimated that there is a mean delay of 6.7 years between onset of symptoms and a surgical diagnosis of endometriosis, and each affected woman loses on average 10.8 hours of work weekly, mainly owing to reduced effectiveness while working. To encourage and facilitate research into this debilitating disease, a consensus workshop to define future directions for endometriosis research was held as part of the 11th World Congress on Endometriosis in September 2011 in Montpellier, France. The objective of this workshop was to review and update the endometriosis research priorities consensus statement developed following the 10th World Congress on Endometriosis in 2008. 1 A total of 56 recommendations for research have been developed, grouped under 6 subheadings: (1) diagnosis, (2) classification and prognosis, (3) clinical trials, treatment, and outcomes, (4) epidemiology, (5) pathophysiology, and (6) research policy. By producing this consensus international research priorities statement, it is the hope of the workshop participants that researchers will be encouraged to develop new interdisciplinary research proposals that will attract increased funding support for work on endometriosis.

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Section: Diagnosismentioning

confidence: 99%

Defining Future Directions for Endometriosis Research: Workshop Report From the 2011 World Congress of Endometriosis in Montpellier, France

D’Hooghe²,

et al. 2013

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“…By correlating patient and individual lesion characteristics with pathologic findings in a multivariate regression model, we sought to assess which lesions are most likely to be biopsyconfirmed as endometriosis. Knowing this fact might improve on the poor histologic correlation with surgical assessment (4,(6)(7)(8)(9)(10)(11)(12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

“…Unfortunately, visual assessment of lesions has poor intra-physician agreement and high rates of misdiagnosis (5) and correlates poorly with actual histologic findings (4,(6)(7)(8)(9)(10)(11)(12)(13)(14). Presurgical screening tests to increase the probability of a woman having endometriosis at surgery are one way to improve the likelihood of accurate diagnosis.…”

Section: Introductionmentioning

confidence: 99%

A logistic model for the prediction of endometriosis

Stegmann

Funk

Sinaii

et al. 2009

Fertility and Sterility

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Objective-To develop a model using individual and lesion characteristics to help surgeons choose lesions with a high probability of containing histologically-confirmed endometriosis.Design-Secondary analysis of prospectively collected information. Setting: Government research hospital.Patients-Healthy women aged 18-45 with chronic pelvic pain and possible endometriosis, enrolled in a clinical trial.Intervention-All participants underwent laparoscopy, and information was collected on all visible lesions. Lesion data were randomly allocated to a training and test dataset. Main Outcome Measures(s)-Predictive logistic regression with the outcome of interest being histologic diagnosis of endometriosis.Results-After validation, the model was applied to the complete dataset with a sensitivity of 88.4% and specificity of 24.6%. The positive predictive value was 69.2% and the negative predictive value was 53.3%, equating to correct classification of a lesion of 66.5%. Mixed color, larger width and location in the ovarian fossa, colon, or appendix were most strongly associated with the presence of endometriosis.Conclusions-This model identified characteristics which indicated a high and low probability of biopsy-proven endometriosis. It is useful as a guide in choosing appropriate lesions for biopsy, but is not sufficiently robust to use alone.

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“…1 The diagnosis of endometriosis is usually done by laparoscopy as it is the gold standard in diagnosis and confirmed by histological examination of the excised tissues. 2,3 It is difficult to estimate the actual prevalence of endometriosis in infertile patients and it was hypothesized to be as high as 50% affecting the peritoneal and tubal factors of infertility. 5,6 Fallopian tube abnormalities are one of the most common causes of female infertility.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the role of the hystrosalpingography in prediction of endometriosis in infertile females

Said

Shehata

2016

Int J Reprod Contracept Obstet Gynecol

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REVIEW: Accuracy of laparoscopy in the diagnosis of endometriosis: a systematic quantitative review

Cited by 164 publications

References 50 publications

Defining Future Directions for Endometriosis Research: Workshop Report From the 2011 World Congress of Endometriosis in Montpellier, France

Defining Future Directions for Endometriosis Research: Workshop Report From the 2011 World Congress of Endometriosis in Montpellier, France

A logistic model for the prediction of endometriosis

Evaluation of the role of the hystrosalpingography in prediction of endometriosis in infertile females

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