ArticleYonsei medical journal2015
The Prognostic Value of Individual Adhesion Scores from the Revised American Fertility Society Classification System for Recurrent Endometriosis.
Article in Yonsei medical journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Risk factors for ovarian endometrioma recurrence following surgical excision: a systematic review and meta‑analysis.Archives of gynecology and obstetrics · 2021Pooled it
- Age at surgery and recurrence of ovarian endometrioma after conservative surgery: a meta-analysis including 3125 patients.Archives of gynecology and obstetrics · 2020Pooled it
- Article
- Single-cell and spatial transcriptomic profiling revealed niche interactions sustaining growth of endometriotic lesions.Cell genomics · 2025Article
- Article
- Fertility after expanded polytetrafluoroethylene use after endometrioma cystectomy: a pilot study.Frontiers in reproductive health · 2023Article
- A novel technique for moderate to severe intrauterine adhesions: A historical cohort study.Medicine · 2022Article
- Platelet-to-Lymphocyte Ratio and CA125 Level as a Combined Biomarker for Diagnosing Endometriosis and Predicting Pelvic Adhesion Severity.Frontiers in oncology · 2022Article
- Endometriosis classification, staging and reporting systems: a review on the road to a universally accepted endometriosis classification.Facts, views & vision in ObGyn · 2021Article
- Endometriosis classification, staging and reporting systems: a review on the road to a universally accepted endometriosis classificationHuman reproduction open · 2021Article
- Effects of endometrial stem cell transplantation combined with estrogen in the repair of endometrial injury.Oncology letters · 2018Article
- Effects of Previous Laparoscopic Surgical Diagnosis of Endometriosis on Pregnancy Outcomes.Chinese medical journal · 2017Article
- Preoperative risk factors in recurrent endometrioma after primary conservative surgery.Obstetrics & gynecology science · 2016Article
- An ultrasound-based machine learning model for predicting pelvic adhesions: A SHAP-enhanced XGBoost approach.Digital healthArticle
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to evaluate the prognostic value of each component of the revised American Fertility Society (rAFS) classification system for the first recurrence of endometriosis after conservative laparoscopy. MATERIALS AND
methodsAs this was a retrospective cohort study, data were collected by reviewing medical records. A total of 379 women ages 18 to 49 years were included. Women who underwent conservative laparoscopy with histologic confirmation of endometriosis at Gangnam Severance Hospital between March 2003 and May 2010 were included. Individual components of the rAFS classification system as well as preoperative serum CA-125 levels were retrospectively analyzed to assess their prognostic values for recurrence of endometriosis.
resultsOf 379 patients, 80 (21.2%) were found to have recurrence of endometriosis. The median duration of follow-up was 19.0 months, and the mean age at the time of surgery was 31.8±6.7 years. In endometriosis of advanced stage, younger age at the time of surgery, bilateral ovarian cysts at the time of diagnosis, a rAFS ovarian adhesion score >24, and complete cul-de-sac obliteration were independent risk factors of poor outcomes, and a rAFS ovarian adhesion score >24 had the highest risk of recurrence [hazard ratio=2.948 (95% CI: 1.116-7.789), p=0.029].
conclusionOur results suggest that of the rAFS adnexal adhesion scores, the ovarian adhesion score rather than the tubal adhesion score was associated with a significantly increased risk of recurrent endometriosis. The preoperative serum CA-125 level may be also a significant prognostic factor for recurrence, as known. However, it seemed to only have borderline significance in affecting recurrence in the current study.
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