Endometriosis classification, staging and reporting systems: a review on the road to a universally accepted endometriosis classification.
Journal
Facts, views & vision in ObGyn
ISSN: 2032-0418
Titre abrégé: Facts Views Vis Obgyn
Pays: Belgium
ID NLM: 101578773
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
pubmed:
22
10
2021
medline:
22
10
2021
entrez:
21
10
2021
Statut:
ppublish
Résumé
In the field of endometriosis, several classification, staging and reporting systems have been developed. However, endometriosis classification, staging and reporting systems that have been published and validated for use in clinical practice have not been systematically reviewed up to now. The aim of the current review is to provide a historical overview of these different systems based on an assessment of published studies. A systematic Pubmed literature search was performed. Data were extracted and summarised. Twenty-two endometriosis classification, staging and reporting systems have been published between 1973 and 2021, each developed for specific and different purposes. There is still no international agreement on how to describe the disease. Studies evaluating different systems are summarised showing a discrepancy between the intended and the evaluated purpose, and a general lack of validation data confirming a correlation with pain symptoms or quality of life for any of the current systems. A few studies confirm the value of the Enzian system for surgical description of deep endometriosis. With regards to infertility, the endometriosis fertility index has been confirmed valid for its intended purpose. Of the 22 endometriosis classification, staging and reporting systems identified in this historical overview, only a few have been evaluated, in 46 studies, for the purpose for which they were developed. It can be concluded that there is no international agreement on how to describe endometriosis or how to classify it, and that most classification/staging systems show no or very little correlation with patient outcomes. This overview of existing systems is a first step in working towards a universally accepted endometriosis classification.
Sections du résumé
BACKGROUND
BACKGROUND
In the field of endometriosis, several classification, staging and reporting systems have been developed. However, endometriosis classification, staging and reporting systems that have been published and validated for use in clinical practice have not been systematically reviewed up to now.
OBJECTIVES
OBJECTIVE
The aim of the current review is to provide a historical overview of these different systems based on an assessment of published studies.
MATERIALS AND METHODS
METHODS
A systematic Pubmed literature search was performed. Data were extracted and summarised.
RESULTS
RESULTS
Twenty-two endometriosis classification, staging and reporting systems have been published between 1973 and 2021, each developed for specific and different purposes. There is still no international agreement on how to describe the disease. Studies evaluating different systems are summarised showing a discrepancy between the intended and the evaluated purpose, and a general lack of validation data confirming a correlation with pain symptoms or quality of life for any of the current systems. A few studies confirm the value of the Enzian system for surgical description of deep endometriosis. With regards to infertility, the endometriosis fertility index has been confirmed valid for its intended purpose.
CONCLUSIONS
CONCLUSIONS
Of the 22 endometriosis classification, staging and reporting systems identified in this historical overview, only a few have been evaluated, in 46 studies, for the purpose for which they were developed. It can be concluded that there is no international agreement on how to describe endometriosis or how to classify it, and that most classification/staging systems show no or very little correlation with patient outcomes.
WHAT IS NEW?
BACKGROUND
This overview of existing systems is a first step in working towards a universally accepted endometriosis classification.
Identifiants
pubmed: 34672508
doi: 10.52054/FVVO.13.3.025
pmc: PMC9148706
doi:
Types de publication
Journal Article
Langues
eng
Pagination
305-330Subventions
Organisme : Chief Scientist Office
ID : TCS/18/43
Pays : United Kingdom
Commentaires et corrections
Type : CommentIn
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