Evidence map›Paper›PMID 41326947›Full record

ArticleJournal of racial and ethnic health disparities2025

Racial and Ethnic Inequities in Rates of Diagnostic Laparoscopy for Evaluation of Endometriosis in Adolescents with Pelvic Pain: a Retrospective Cohort Study.

Lauren Capra, Kathleen E O'Brien, Susan J Woolford, Niko A Kaciroti, Harlan McCaffery, Cheyney C Dobson, Erin Isaacson, Monica W Rosen

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Article in Journal of racial and ethnic health disparities, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Lauren CapraUniversity of Michigan Medical School, 1301 Catherine St, Ann Arbor, MI, 48109, USA.
Kathleen E O'BrienDepartment of Obstetrics and Gynecology, University of Michigan, 1500 E. Medical Center Dr, Ann Arbor, MI, 48109, USA.
Susan J WoolfordDepartment of Pediatrics, University of Michigan, 1500 E. Medical Center Dr, Ann Arbor, MI, 48109, USA.
Niko A KacirotiUniversity of Michigan Child Health Evaluation and Research Center, 2800 Plymouth Rd, Ann Arbor, MI, 48109, USA.
Harlan McCafferyDepartment of Pediatrics, University of Michigan, 1500 E. Medical Center Dr, Ann Arbor, MI, 48109, USA.
Cheyney C DobsonUniversity of Michigan Child Health Evaluation and Research Center, 2800 Plymouth Rd, Ann Arbor, MI, 48109, USA.
Erin IsaacsonDepartment of Obstetrics and Gynecology, University of Michigan, 1500 E. Medical Center Dr, Ann Arbor, MI, 48109, USA.
Monica W RosenDepartment of Obstetrics and Gynecology, University of Michigan, 1500 E. Medical Center Dr, Ann Arbor, MI, 48109, USA. mwoll@med.umich.edu.ORCID http://orcid.org/0000-0002-0567-2821

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEndometriosis often presents in adolescence as chronic pelvic pain (CPP) or dysmenorrhea. Research in adults demonstrates non-White race is associated with delayed surgical diagnosis of endometriosis; however, inequity in adolescents has never been studied. We investigated inequities in laparoscopy rates among adolescents according to race, ethnicity, and socioeconomic status (SES).

methodsWe performed a retrospective cohort study of outpatient and operating room visits at a single academic medical center in the midwestern United States. Subjects were aged 10-21 who were seen by a gynecologic subspecialist between 2013 and 2023 for dysmenorrhea or CPP. Subjects with a previous diagnosis of endometriosis by prior laparoscopy or found to have an adnexal mass or cyst at the time of laparoscopy were excluded. Subjects were classified as non-surgical, undergoing scheduled laparoscopy, or undergoing emergent laparoscopy. Analyses used race, ethnicity, and SES data abstracted from the electronic health record.

resultsOf 4,480 eligible subjects, 4,426 were expectantly managed, 47 underwent scheduled laparoscopy, and seven underwent emergent laparoscopy. Compared to White subjects, Black subjects were significantly less likely to receive any laparoscopy (OR 0.20, 95% CI 0.03-0.69, p = .010) or non-emergent surgery (OR 0.01, 95% CI 0.00-0.20, p < .001), and Asian subjects were less likely to undergo any laparoscopy (OR < 0.01, 95% CI 0.00-0.39, p = .009). Hispanic subjects were marginally less likely to undergo scheduled laparoscopy (OR 0.19, 95% CI 0.01-1.16, p = .082) than non-Hispanic subjects.

conclusionThis study identified inequities in rates of laparoscopy among adolescents, with surgery performed at lower rates for Black, Asian, and Hispanic subjects.

Indexed as

AdolescentsChronic pelvic painDiagnostic laparoscopyEndometriosisRacial and ethnic inequitiesSocioeconomic status

Identifiers

PMID41326947

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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.