Evidence map›Paper›PMID 41088343›Full record

ArticleBMC medicine2025

The burden of endometriosis on quality of life in Danish women: an analysis of the Danish Blood Donor Study.

Lisette J A Kogelman, Dorte Rytter, Lone Hummelshoj, Karina Ejgaard Hansen, Ulrik Bak Kirk, Juliane Lyng Beauchamp, Jakob Thaning Bay, Mie Topholm Bruun, Nanna Brøns, Christian Erikstrup and 17 more

Abstract read
In one paragraph

Article in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors.

Lisette J A KogelmanGenomic Medicine, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark. lisette.kogelman@regionh.dk.
Dorte RytterDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Lone HummelshojEndometriosis.org, London, UK.
Karina Ejgaard HansenDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Ulrik Bak KirkDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Juliane Lyng BeauchampDepartment of Obstetrics and Gynaecology, Copenhagen University Hospital, Hvidovre, Denmark.
Jakob Thaning BayDepartment of Clinical Immunology, Zealand University Hospital, Køge, Denmark.
Mie Topholm BruunDepartment of Clinical Immunology, Odense University Hospital, Odense, Denmark.
Nanna BrønsDepartment of Clinical Immunology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Christian ErikstrupDepartment of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark.
Bitten AagaardDepartment of Clinical Immunology, Aalborg University Hospital, Aalborg, Denmark.
Bertram Dalskov KjerulffDepartment of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark.
Christina MikkelsenDepartment of Clinical Immunology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Susan MikkelsenDepartment of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark.
Sisse Rye OstrowskiDepartment of Clinical Immunology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Ole Birger PedersenDepartment of Clinical Immunology, Zealand University Hospital, Køge, Denmark.
Erik SørensenDepartment of Clinical Immunology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Henrik UllumStatens Serum Institut, Copenhagen, Denmark.
DBDS Genomic Consortium
Anne Karmisholt GrosenDepartment of Clinical Microbiology, Aarhus University Hospital, Aarhus, Denmark.
Christian Lodberg HvasDepartment of Hepatology and Gastroenterology, Aarhus University Hospital, DK-8200, Aarhus N, Denmark.
Valgerdur SteinthorsdottirdeCODE Genetics-Amgen, Reykjavik, Iceland.
Kari StefanssondeCODE Genetics-Amgen, Reykjavik, Iceland.
Karina BanasikDepartment of Obstetrics and Gynaecology, Copenhagen University Hospital, Hvidovre, Denmark.
Palle Duun RohdeGenomic Medicine, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Henriette Svarre NielsenDepartment of Obstetrics and Gynaecology, Copenhagen University Hospital, Hvidovre, Denmark.
Mette NyegaardGenomic Medicine, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.

Funding

Novo Nordisk Fonden NNF21OC0071050
6 · The paper itself

Abstract

backgroundEndometriosis is a complex condition with a wide range of comorbidities. It is widely underdiagnosed, with a diagnostic delay of 4 to 10 years, potentially leading to worsened disease progression and a higher burden of comorbidities affecting quality of life. Understanding the link between endometriosis and its comorbidities is essential for improving early detection of the disease.

methodsWe analysed data from 953 women with a clinical diagnosis of endometriosis and 23,652 age-matched female controls enrolled in the Danish Blood Donor Study, using a case-control design. Participants completed one to four questionnaires covering a wide range of potential comorbidities; genetic data were available for a subset of participants. First, we compared the potential comorbidities between women with endometriosis and controls. Next, we investigated whether a polygenic score (PGS) for endometriosis was associated with those comorbidities. Lastly, we investigated whether women with a high genetic burden of endometriosis (highest PGS decile) experienced similar comorbidities to those diagnosed with endometriosis.

resultsWomen with endometriosis experienced challenges in conception, gastrointestinal symptoms, and disturbed sleep patterns, compared to age-matched controls. The endometriosis PGS showed to be a predictor for endometriosis (OR per unit PGS = 1.43, 95% CI = 1.32-1.55). Gastrointestinal symptoms were also nominally associated with the endometriosis PGS, suggesting shared genetic pathways. Women without a diagnosis of endometriosis but with a high genetic burden of endometriosis did not suffer from the same wide range of comorbidities as women diagnosed with endometriosis.

conclusionsOur findings highlight the complex genetic and clinical relationships between endometriosis and its comorbidities, emphasizing the need for future research investigating potential endometriosis subtypes.

Indexed as

Blood DonorsCost of IllnessEndometriosisQuality of LifeAdultCase-Control StudiesComorbidityDenmarkFemaleHumansMiddle AgedSurveys and QuestionnairesComorbiditiesEndometriosisGenetic burdenPolygenic score

Identifiers

PMID41088343
PMCPMC12523183

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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.