Evidence map›Paper›PMID 30138741›Full record

ArticleJournal of minimally invasive gynecology

Patient Quality of Life and Symptoms after Surgical Treatment for Endometriosis.

Aurélie Comptour, Pauline Chauvet, Michel Canis, Anne-Sophie Grémeau, Jean-Luc Pouly, Benoit Rabischong, Bruno Pereira, Nicolas Bourdel

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of minimally invasive gynecology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Sexual Function of Patients with Deep Endometriosis after Surgical Treatment: A Systematic Review.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2023
    Pooled it
  2. Effect of Surgical Treatment for Deep Infiltrating Endometriosis on Pelvic Floor Disorders: A Systematic Review with Meta-analysis.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022
    Pooled it
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  5. Surgical management of endometriosis: surgical techniques, adjuvant therapy, and long-term management Number 10 - 2026.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Aurélie ComptourDepartment of Gynecological Surgery (Drs. Comptour, Chauvet, Canis, Gremeau, Pouly, Rabischong, and Bourdel), Clermont-Ferrand, France.
Pauline ChauvetDepartment of Gynecological Surgery (Drs. Comptour, Chauvet, Canis, Gremeau, Pouly, Rabischong, and Bourdel), Clermont-Ferrand, France.
Michel CanisDepartment of Gynecological Surgery (Drs. Comptour, Chauvet, Canis, Gremeau, Pouly, Rabischong, and Bourdel), Clermont-Ferrand, France.
Anne-Sophie GrémeauDepartment of Gynecological Surgery (Drs. Comptour, Chauvet, Canis, Gremeau, Pouly, Rabischong, and Bourdel), Clermont-Ferrand, France.
Jean-Luc PoulyDepartment of Gynecological Surgery (Drs. Comptour, Chauvet, Canis, Gremeau, Pouly, Rabischong, and Bourdel), Clermont-Ferrand, France.
Benoit RabischongDepartment of Gynecological Surgery (Drs. Comptour, Chauvet, Canis, Gremeau, Pouly, Rabischong, and Bourdel), Clermont-Ferrand, France.
Bruno PereiraBiostatistics Division (Dr. Pereira), CHU Clermont-Ferrand, Clermont-Ferrand, France.
Nicolas BourdelDepartment of Gynecological Surgery (Drs. Comptour, Chauvet, Canis, Gremeau, Pouly, Rabischong, and Bourdel), Clermont-Ferrand, France. Electronic address: nicolas.bourdel@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectiveTo assess the impact of surgical treatment of endometriosis on quality of life and pain over a 3-year period of postoperative follow-up.

designProspective and multicenter cohort study (Canadian Task Force classification II-2).

settingFive districts including a tertiary referral center and private and general public hospitals. PATIENT: Patients (n = 981), aged 15 to 50years, underwent laparoscopic treatment (preferred approach) for endometriosis between January 2004 and December 2012.

interventionLaparoscopic treatment for endometriosis. All revised American Fertility Society stages were included. MEASUREMENTS AND MAIN

resultsThe mean visual analog scale score for dysmenorrhea fell from 5.3 ± 3.7 (time 0) to 2.6 ± 3.3 at 6 months, and 2.3 ± 3.3 at 36 months of follow-up (p <.001). Mean visual analog scale scores for chronic pelvic pain and dyspareunia fell from 2.6 ± 3.5 and 2.7 ± 3.2, respectively, before surgery to 1.4 ± 2.5 and 1.1 ± 2.2 at 6 months and then 1.3 ± 2.5 and 1.2 ± 2.3 at 36 months of follow-up. The Short Form 36-Item survey analysis revealed the greatest increases linked to physical domains (i.e., bodily pain and role limitations) from 54.6 ± .9 and 63.3 ± 1.3, respectively, at time 0 to 74.4 ± .9 and 81.9 ± 1.1 at 6 months of follow-up (p <.001), with scores subsequently remaining stable. Among mental domains the most favorable results involved social functioning and role limitations due to emotional problems, which increased from 66 ± .8 and 65.7 ± 1.3 at time 0 to 75.6 ± .9 and 77.4 ± 1.3 at 6 months of follow-up, respectively (p <.001), with scores remaining stable over time.

conclusionsSurgical treatment of endometriosis improves pelvic and sexual pain postoperatively in many women with endometriosis. Improvement later plateaus and remains stable, allowing patients to experience the beneficial effects over a period of years.

Indexed as

Quality of LifeAdolescentAdultChronic PainDysmenorrheaDyspareuniaEndometriosisFemaleFollow-Up StudiesHumansLaparoscopyMiddle AgedPain MeasurementPatient Outcome AssessmentPelvic PainProspective StudiesEndometriosisPainQuality of life

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.