Relationship between Patient Age and Disease Features in a Prospective Cohort of 1560 Women Affected by Endometriosis.
Adolescent
Adult
Age Factors
Age of Onset
Cohort Studies
Disease Progression
Endometriosis
/ diagnosis
Female
Humans
Intestinal Diseases
/ diagnosis
Ovarian Diseases
/ diagnosis
Pelvic Pain
/ diagnosis
Peritoneal Diseases
/ diagnosis
Prognosis
Prospective Studies
Retrospective Studies
Severity of Illness Index
Young Adult
Age
Endometriosis
Progression
Stage
Surgery
Journal
Journal of minimally invasive gynecology
ISSN: 1553-4669
Titre abrégé: J Minim Invasive Gynecol
Pays: United States
ID NLM: 101235322
Informations de publication
Date de publication:
Historique:
received:
24
05
2019
revised:
15
08
2019
accepted:
01
09
2019
pubmed:
14
9
2019
medline:
22
12
2020
entrez:
14
9
2019
Statut:
ppublish
Résumé
To assess the relationship between age, location of the disease, and surgical procedures performed in patients undergoing surgical management of endometriosis. Retrospective study using data prospectively recorded in the North-West Inter Regional Female Cohort for Patients with Endometriosis database. University tertiary referral center. Women who underwent surgical management of symptomatic endometriosis between April 2009 and April 2014. Patients were allocated to 6 groups according to their age at the time of surgery: ≤20, 21 to 25, 26 to 30, 31 to 35, 36 to 40 and >40 years. Patient characteristics, prior history, location of endometriotic lesions, stage of disease, intraoperative findings, and surgical procedures were retrieved from a prospectively recorded database. Patient characteristics, symptoms, location of endometriosis, and type of surgery performed were compared between groups. In total, 1560 procedures were performed. Of these, more than one-half were carried out in women between the age of 26 to 35 years and the majority were performed in women aged between 26 and 30 years. Only 2% of procedures were performed in women under the age of 20 years. The mean stage of the disease at the time of surgical diagnosis was stage II for women younger than 20 years, stage III for those in the age group of 21 to 25 years, and stage IV for those older than 26 years. The rate of diagnosis of deep colorectal nodules increased progressively from 20 to 26 years and remained stable thereafter. Our data confirm that endometriosis is a disease that probably progresses from adolescence until the adult period when symptoms (pain or infertility) become debilitating and require surgery. Our data suggest that policies relating to the prevention and early diagnosis of endometriosis should focus on women younger than 25 years.
Identifiants
pubmed: 31518709
pii: S1553-4650(19)30414-5
doi: 10.1016/j.jmig.2019.09.004
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1158-1166Informations de copyright
Copyright © 2019 AAGL. Published by Elsevier Inc. All rights reserved.