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Surgical treatment of endometriosis: prognostic factors for better quality of life.
Vannuccini, Silvia; Reis, Fernando M; Coutinho, Larissa M; Lazzeri, Lucia; Centini, Gabriele; Petraglia, Felice.
Affiliation
  • Vannuccini S; Department of Neuroscience, Psychology, Pharmacology and Child Health (NEUROFARBA), University of Florence, Careggi University Hospital , Florence , Italy.
  • Reis FM; Department of Molecular and Developmental Medicine, Obstetrics and Gynecology, University Hospital of Siena , Siena , Italy.
  • Coutinho LM; Department of Obstetrics and Gynecology, Universidade Federal de Minas Gerais , Belo Horizonte , Brazil.
  • Lazzeri L; Department of Obstetrics and Gynecology, Universidade Federal de Minas Gerais , Belo Horizonte , Brazil.
  • Centini G; Department of Maternal and Child Health, Universidade Federal de Juiz de Fora , Juiz de Fora , Brazil.
  • Petraglia F; Department of Molecular and Developmental Medicine, Obstetrics and Gynecology, University Hospital of Siena , Siena , Italy.
Gynecol Endocrinol ; 35(11): 1010-1014, 2019 Nov.
Article in En | MEDLINE | ID: mdl-31155975
ABSTRACT
The present study investigated the effect of surgical treatment of endometriosis on physical and mental health. We undertook a prospective survey including 153 premenopausal women with histological diagnosis of endometriosis. The Short Form 12 (SF-12) questionnaire comprising physical and mental component scales was used. Two groups of patients were distinguished Group A (n = 42) with SF-12 scores above the median in both physical and mental scales; Group B (n = 111) with SF-12 scores below the median in either physical or mental scale. Group A was diagnosed and operated for endometriosis for the first time at an older age (30 vs. 26 years), had undergone more frequently a single surgical intervention (64% vs. 46%), was less affected by symptom or lesion recurrence and had reported less intense current pain symptoms than Group B. Having the first endometriosis surgery at a later age was an independent predictor of better health status (adjusted odds ratio 1.146 per year, 95% confidence interval 1.058-1.242) after accounting for the potential confounding effects of reoperation, pelvic pain and time elapsed since the first surgery. In conclusion, patients with endometriosis who had a single surgery at an older age have good symptom control and better quality of life (QoL).
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Endometriosis Type of study: Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspects: Patient_preference Limits: Adult / Female / Humans Language: En Journal: Gynecol Endocrinol Journal subject: ENDOCRINOLOGIA / GINECOLOGIA Year: 2019 Document type: Article Affiliation country: Italy

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Endometriosis Type of study: Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspects: Patient_preference Limits: Adult / Female / Humans Language: En Journal: Gynecol Endocrinol Journal subject: ENDOCRINOLOGIA / GINECOLOGIA Year: 2019 Document type: Article Affiliation country: Italy