Assessing research gaps and unmet needs in endometriosis

被引:226
作者
As-Sanie, Sawsan [1 ]
Black, Rebecca [2 ]
Giudice, Linda C. [4 ]
Valbrun, Tanika Gray [5 ]
Gupta, Jhumka [6 ]
Jones, Brittany [7 ]
Laufer, Marc R. [8 ,9 ,10 ]
Milspaw, Alexandra T. [11 ]
Missmer, Stacey A. [12 ,13 ]
Norman, Abby [3 ]
Taylor, Robert N. [14 ]
Wallace, Kedra [15 ]
Williams, Zev [16 ]
Yong, Paul J. [17 ]
Nebel, Rebecca A. [7 ]
机构
[1] Univ Michigan, Dept Obstet & Gynecol, Ann Arbor, MI 48109 USA
[2] Patient Advocates, Fairfax, VA USA
[3] Patient Advocates, Camden, ME USA
[4] Univ Calif San Francisco, Dept Obstet Gynecol & Reprod Sci, San Francisco, CA USA
[5] White Dress Project, Atlanta, GA USA
[6] George Mason Univ, Dept Global & Community Hlth, Fairfax, VA 22030 USA
[7] Soc Womens Hlth Res, Washington, DC 20036 USA
[8] Boston Childrens Hosp, Div Gynecol, Boston, MA USA
[9] Brigham & Womens Hosp, Div Pediat & Adolescent Gynecol, 75 Francis St, Boston, MA 02115 USA
[10] Harvard Med Sch, Dept Obstet Gynecol & Reprod Biol, Boston, MA 02115 USA
[11] 4Direct Counseling LLC, Bethlehem, PA USA
[12] Michigan State Univ, Dept Obstet Gynecol & Reprod Biol, E Lansing, MI 48824 USA
[13] Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA
[14] Univ Utah, Dept Obstet & Gynecol, Salt Lake City, UT USA
[15] Univ Mississippi, Med Ctr, Dept Obstet & Gynecol, Jackson, MS 39216 USA
[16] Columbia Univ, Med Ctr, Dept Obstet & Gynecol, New York, NY USA
[17] Univ British Columbia, Dept Obstet & Gynecol, Vancouver, BC, Canada
关键词
chronic pain; endometriosis; infertility; pelvic pain; stigma; women's health; QUALITY-OF-LIFE; CHRONIC PELVIC PAIN; DEEP INFILTRATING ENDOMETRIOSIS; ADOLESCENT ENDOMETRIOSIS; SURGICAL-TREATMENT; WOMEN; DIAGNOSIS; MANAGEMENT; SYMPTOMS; CARE;
D O I
10.1016/j.ajog.2019.02.033
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Endometriosis, a systemic disease that is often painful and chronic, affects similar to 10% of reproductive-age women. The disease can have a negative impact on a patient's physical and emotional well-being, quality of life, and productivity. Endometriosis also places significant economic and social burden on patients, their families, and society as a whole. Despite its high prevalence and cost, endometriosis remains underfunded and under-researched, greatly limiting our understanding of the disease and slowing much-needed innovation in diagnostic and treatment options. Due in part to the societal normalization of women's pain and stigma around menstrual issues, there is also a lack of disease awareness among patients, health care providers, and the public. The Society for Women's Health Research convened an interdisciplinary group of expert researchers, clinicians, and patients for a roundtable meeting to review the current state of the science on endometriosis and identify areas of need to improve a woman's diagnosis, treatment, and access to quality care. Comprehensive and interdisciplinary approaches to disease management and increased education and disease awareness for patients, health care providers, and the public are needed to remove stigma, increase timely and accurate diagnosis and treatment, and allow for new advancements.
引用
收藏
页码:86 / 94
页数:9
相关论文
共 102 条
[1]   Laparoscopic excision of endometriosis: a randomized, placebo-controlled trial [J].
Abbott, J ;
Hawe, J ;
Hunter, D ;
Holmes, M ;
Finn, P ;
Garry, R .
FERTILITY AND STERILITY, 2004, 82 (04) :878-884
[2]  
Acien Pedro, 2013, ISRN Obstet Gynecol, V2013, P242149, DOI 10.1155/2013/242149
[3]   Creating solutions in endometriosis: global collaboration through the World Endometriosis Research Foundation [J].
Adamson, G. David ;
Kennedy, Stephen ;
Hummelshoj, Lone .
JOURNAL OF ENDOMETRIOSIS AND PELVIC PAIN DISORDERS, 2010, 2 (01) :3-6
[4]   The miRNA Mirage: How Close Are We to Finding a Non-Invasive Diagnostic Biomarker in Endometriosis? A Systematic Review [J].
Agrawal, Swati ;
Tapmeier, Thomas T. ;
Rahmioglu, Nilufer ;
Kirtley, Shona ;
Zondervan, Krina T. ;
Becker, Christian M. .
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES, 2018, 19 (02)
[5]   The Systemic Effects of Endometriosis [J].
Alderman, Myles H., III ;
Yoder, Nicole ;
Taylor, Hugh S. .
SEMINARS IN REPRODUCTIVE MEDICINE, 2017, 35 (03) :263-270
[6]   Chronic pelvic pain in an interdisciplinary setting: 1-year prospective cohort [J].
Allaire, Catherine ;
Williams, Christina ;
Bodmer-Roy, Sonja ;
Zhu, Sean ;
Arion, Kristina ;
Ambacher, Kristin ;
Wu, Jessica ;
Yosef, Ali ;
Wong, Fontayne ;
Noga, Heather ;
Britnell, Susannah ;
Yager, Holly ;
Bedaiwy, Mohamed A. ;
Albert, Arianne Y. ;
Lisonkova, Sarka ;
Yong, Paul J. .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2018, 218 (01) :114.e1-114.e12
[7]  
American College of Obstetricians and Gynecologists, 2017, OBST GYN WORKF US FA
[8]  
American College of Obstetricians and Gynecology, 2010, OBSTET GYNECOLOGY, V116, P225, DOI DOI 10.1097/AOG.0B013E3181E8B073
[9]  
[Anonymous], EST FUND VAR RES CON
[10]   Time elapsed from onset of symptoms to diagnosis of endometriosis in a cohort study of Brazilian women [J].
Arruda, MS ;
Petta, CA ;
Abrao, MS ;
Benetti-Pinto, CL .
HUMAN REPRODUCTION, 2003, 18 (04) :756-759