Observational studyBJOG : an international journal of obstetrics and gynaecology2017
Endometriosis diagnosis and staging by operating surgeon and expert review using multiple diagnostic tools: an inter-rater agreement study.
Observational study in BJOG : an international journal of obstetrics and gynaecology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 38 citations in OpenAlex.
- A randomized trial assessing the efficacy of Silymarin on endometrioma-related manifestations.Scientific reports · 2022Trial
- Endometriosis phenotypes and staging in relation to lipid biomarkers: Findings from the ENDO Cohort Study.Journal of gynecology obstetrics and human reproduction · 2026Article
- The value of the AAGL staging system for predicting recurrence after conservative surgery for ovarian endometriomas.Reproductive biology and endocrinology : RB&E · 2026Article
- Validation of administrative health data for the identification of endometriosis diagnosis.Human reproduction (Oxford, England) · 2025Article
- A Narrative Review Regarding Implication of Ovarian Endometriomas in Infertility.Life (Basel, Switzerland) · 2025Review
- Is endometriosis typology a potentially better classification system for assessing risk of female infertility?F&S reports · 2024Article
- The Hallmarks of Endometriosis.Geburtshilfe und Frauenheilkunde · 2024Article
- The Effect ofMolecules (Basel, Switzerland) · 2024Article
- Examining the co-occurrence of endometriosis and polycystic ovarian syndrome.AJOG global reports · 2023Article
- Endometriosis in Adolescents: Diagnostics, Clinical and Laparoscopic Features.Journal of clinical medicine · 2023Article
- Endometriosis classification, staging and reporting systems: a review on the road to a universally accepted endometriosis classification.Facts, views & vision in ObGyn · 2021Article
- [Endometriosis: gynecological diagnosis and treatment : What should pain management specialists know?]Schmerz (Berlin, Germany) · 2021Review
- Diagnosis and Treatment of Endometriosis. Guideline of the DGGG, SGGG and OEGGG (S2k Level, AWMF Registry Number 015/045, August 2020).Geburtshilfe und Frauenheilkunde · 2021Article
- Endometriosis classification, staging and reporting systems: a review on the road to a universally accepted endometriosis classificationHuman reproduction open · 2021Article
- Differential Diagnosis of Endometriosis by Ultrasound: A Rising Challenge.Diagnostics (Basel, Switzerland) · 2020Review
- Endometriosis: current challenges in modeling a multifactorial disease of unknown etiology.Journal of translational medicine · 2020Review
- A Bayesian semiparametric approach to correlated ROC surfaces with stochastic order constraints.Biometrics · 2019Article
- The Role of Laparoscopic Investigation in Enabling Natural Conception and Avoiding in vitro Fertilization Overuse for Infertile Patients of Unidentified Aetiology and Recurrent Implantation Failure Following in vitro Fertilization.Journal of clinical medicine · 2019Article
- Modifiable life style factors and risk for incident endometriosis.Paediatric and perinatal epidemiology · 2019Article
- Women's Reproductive History Before the Diagnosis of Incident Endometriosis.Journal of women's health (2002) · 2016Article
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Authors and funding
11 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo determine agreement on endometriosis diagnosis between real-time laparoscopy and subsequent expert review of digital images, operative reports, magnetic resonance imaging (MRI), and histopathology, viewed sequentially.
designInter-rater agreement study.
settingFive urban surgical centres. POPULATION: Women, aged 18-44 years, who underwent a laparoscopy regardless of clinical indication. A random sample of 105 women with and 43 women without a postoperative endometriosis diagnosis was obtained from the ENDO study.
methodsLaparoscopies were diagnosed, digitally recorded, and reassessed.
main outcome measuresInter-observer agreement of endometriosis diagnosis and staging according to the revised American Society for Reproductive Medicine criteria. Prevalence and bias-adjusted kappa values (κ) were calculated for diagnosis, and weighted κ values were calculated for staging.
resultsSurgeons and expert reviewers had substantial agreement on diagnosis and staging after viewing digital images (n = 148; mean κ = 0.67, range 0.61-0.69; mean κ = 0.64, range 0.53-0.78, respectively) and after additionally viewing operative reports (n = 148; mean κ = 0.88, range 0.85-0.89; mean κ = 0.85, range 0.84-0.86, respectively). Although additionally viewing MRI findings (n = 36) did not greatly impact agreement, agreement substantially decreased after viewing histological findings (n = 67), with expert reviewers changing their assessment from a positive to a negative diagnosis in up to 20% of cases.
conclusionAlthough these findings suggest that misclassification bias in the diagnosis or staging of endometriosis via visualised disease is minimal, they should alert gynaecologists who review operative images in order to make decisions on endometriosis treatment that operative reports/drawings and histopathology, but not necessarily MRI, will improve their ability to make sound judgments. TWEETABLE ABSTRACT: Endometriosis diagnosis and staging agreement between expert reviewers and operating surgeons was substantial.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.