ArticleFacts, views & vision in ObGyn2021
Endometriosis classification, staging and reporting systems: a review on the road to a universally accepted endometriosis classification.
Article in Facts, views & vision in ObGyn, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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.
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.
Who cites it
14 citing papers in PubMed.
- Proposals for the #Enzian addendum and update: an international expert survey for item generation.Facts, views & vision in ObGyn · 2026Article
- The problem with the 'truth': rethinking ground truth for artificial intelligence in endometriosis diagnosis.Human reproduction (Oxford, England) · 2026Article
- Multi-ancestry genome-wide association and integrated multi-omics analyses of endometriosis and its clinical manifestations.Nature genetics · 2026Article
- Visual-Numeric Endometriosis Scoring System (VNESS) for mapping surgical findings: A validation study.Facts, views & vision in ObGyn · 2024Article
- Association between Ovarian Endometriomas and Stage of Endometriosis.Journal of clinical medicine · 2024Article
- Non-invasive imaging techniques for diagnosis of pelvic deep endometriosis and endometriosis classification systems: an International Consensus Statement†,‡.Facts, views & vision in ObGyn · 2024Article
- Insights from Mendelian randomization and genetic correlation analyses into the relationship between endometriosis and its comorbidities.Human reproduction update · 2023Review
- Endometriosis and the Temporomandibular Joint-Preliminary Observations.Journal of clinical medicine · 2023Article
- Expert opinion on the use of transvaginal sonography for presurgical staging and classification of endometriosis.Archives of gynecology and obstetrics · 2023Review
- Endometriosis classification systems: an international survey to map current knowledge and uptake.Facts, views & vision in ObGyn · 2022Article
- Endometriosis classification systems: an international survey to map current knowledge and uptake.Human reproduction open · 2022Article
- Site-Specific Regulation of Sulfatase and Aromatase Pathways for Estrogen Production in Endometriosis.Frontiers in molecular biosciences · 2022Article
- Endometriosis classification/staging and terminology- Are we getting closer to finding a universally accepted language?Facts, views & vision in ObGyn · 2021Article
- Assessing the Utility of artificial intelligence in endometriosis: Promises and pitfalls.Women's health (London, England)Review
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Authors and funding
13 authors.
Funding
Abstract
backgroundIn the field of endometriosis, several classification, staging and reporting systems have been developed. However, endometriosis classification, staging and reporting systems that have been published and validated for use in clinical practice have not been systematically reviewed up to now.
objectivesThe aim of the current review is to provide a historical overview of these different systems based on an assessment of published studies. MATERIALS AND
methodsA systematic Pubmed literature search was performed. Data were extracted and summarised.
resultsTwenty-two endometriosis classification, staging and reporting systems have been published between 1973 and 2021, each developed for specific and different purposes. There is still no international agreement on how to describe the disease. Studies evaluating different systems are summarised 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.
conclusionsOf 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. 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. WHAT IS NEW?: This overview of existing systems is a first step in working towards a universally accepted endometriosis classification.
Identifiers
What OpenQuestion holds
Registered trials
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.