Endometriosis classification, staging and reporting systems: a review on the road to a universally accepted endometriosis classification

被引：33

作者：

Vermeulen, Nathalie ^{[1
]}

Abrao, Mauricio S. ^{[2
,3
]}

Einarsson, Jon, I ^{[4
]}

Horne, Andrew W. ^{[5
]}

Johnson, Neil P. ^{[6
]}

Lee, Ted T. M. ^{[7
]}

Missmer, Stacey ^{[8
,9
,10
]}

Petrozza, John ^{[11
]}

Tomassetti, Carla ^{[12
]}

Zondervan, Krina T. ^{[13
,14
]}

Grimbizis, Grigoris ^{[15
]}

De Wilde, Rudy Leon ^{[16
]}

机构：

[1] ESHRE, Cent Off, Grimbergen, Belgium

[2] Univ Sao Paulo, Fac Med FMUSP, Dept Obstetricia & Ginecol, Disciplina Ginecol, Sao Paulo, SP, Brazil

[3] BP Beneficencia Portuguesa Sao Paulo, Gynecol Div, Sao Paulo, SP, Brazil

[4] Brigham & Womens Hosp, Dept Obstet & Gynecol, Div Minimally Invas Gynecol Surg, Boston, MA USA

[5] Univ Edinburgh, MRC Ctr Reprod Hlth, QMRI, Edinburgh, Midlothian, Scotland

[6] Repromed Auckland, Auckland, New Zealand

[7] Magee Womens Hosp UPMC, Dept Obstet Gynecol & Reprod Sci, Pittsburgh, PA USA

[8] Michigan State Univ, Dept Obstet Gynecol & Reprod Biol, Coll Human Med, E Lansing, MI USA

[9] Harvard Univ TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA

[10] World Endometriosis Res Fdn, WERF, London, England

[11] Massachusetts Gen Hosp, Dept Obstet & Gynecol, Fertil Ctr, Boston, MA USA

[12] Leuven Univ, Univ Hosp Leuven, Dept Obstet & Gynaecol, Fertil Ctr, Leuven, Belgium

[13] Univ Oxford, Nuffield Dept Womens & Reprod Hlth, Oxford Endometriosis CaRe Ctr, Oxford, Oxon, England

[14] Univ Oxford, Wellcome Ctr Human Genet, Oxford, England

[15] Aristotle Univ Thessaloniki, Med Sch, Dept Obstet & Gynecol 1, Thessaloniki, Greece

[16] Carl Von Ossietzky Univ Oldenburg, Univ Hosp Gynecol, Oldenburg, Germany

来源：

HUMAN REPRODUCTION OPEN | 2021年 / 2021卷 / 04期

关键词：

endometriosis; infertility; classification; staging; reporting; surgery; AMERICAN-FERTILITY-SOCIETY; DEEPLY INFILTRATING ENDOMETRIOSIS; CONSERVATIVE SURGICAL-TREATMENT; CHRONIC PELVIC PAIN; EXTERNAL VALIDATION; REPRODUCTIVE-PERFORMANCE; RHEUMATOID-ARTHRITIS; PREDICTIVE-VALUE; INDEX EFI; SURGERY;

D O I：

10.1093/hropen/hoab025

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

STUDY QUESTION: Which endometriosis classification, staging and reporting systems have been published and validated for use in clinical practice? SUMMARY ANSWER: 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. WHAT IS KNOWN ALREADY: In the field of endometriosis, several classification, staging and reporting systems have been developed. PARTICIPANTS/MATERIALS, SETTING, METHODS: A systematic PUBMED literature search was performed. Data were extracted and summarized. MAIN RESULTS AND THE ROLE OF CHANCE: Twenty-two endometriosis classification, staging and reporting systems have been published between 1973 and 2021, each developed for specific, and different, purposes. There still is no international agreement on how to describe the disease. Studies evaluating the different systems are summarized 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. LARGE SCALE DATA: NA. LIMITATIONS, REASONS FOR CAUTION: The literature search was limited to PUBMED. Unpublished classification, staging or reporting systems, or those published in books were not considered. WIDER IMPLICATIONS OF THE FINDINGS: 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 toward a universally accepted endometriosis classification.

引用

页数：28

共 84 条

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