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A structured questionnaire improves preoperative assessment of endometriosis patients: a retrospective analysis and prospective trial

  • General Gynecology
  • Published:
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Abstract

Purpose

To determine whether a structured questionnaire can improve preoperative assessment of patients with endometriosis.

Methods

Hospital records for patients with endometriosis were evaluated retrospectively to determine the completeness of information. A structured electronic questionnaire was developed and used to assess preoperatively patients with suspected or proved endometriosis. Data from both assessments were compared.

Results

Data analysed retrospectively showed that there were valid answers for 89.2% of questions on a standard patient history template, but information was available for only 46.3% of parameters considered specific to endometriosis. Data from 69 patients investigated by structured electronic questionnaire gave improved rates of 90.3% for standard patient history items and 88.5% for endometriosis-specific parameters. Significant improvement in valid answers was achieved in 66.7%.

Conclusions

A structured questionnaire improved the documentation of endometriosis-specific parameters. Further studies are needed to ensure that it enhances the effectiveness of preoperative counselling and decisions about surgery.

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References

  1. Kennedy S, Bergqvist A, Chapron C, D’Hooghe T, Dunselman G, Greb R, Hummelshoj L, Prentice A, Saridogan E (2005) On behalf of the ESHRE Special Interest Group for Endometriosis and Endometrium Guideline Development Group. ESHRE guideline for the diagnosis and treatment of endometriosis. Hum Reprod 20:2698–2704

    Article  PubMed  Google Scholar 

  2. Hassa H, Tanir M, Tekin B, Kirilmaz D, Sahin Mutlu F (2009) Cytokine and immune cell levels in peritoneal fluid and peripheral blood of women with early- and late-staged endometriosis. Arch Gyn Obstet 279:891–895

    Article  CAS  Google Scholar 

  3. Guo SW, Wang Y (2006) The prevalence of endometriosis in women with chronic pelvic pain. Gynecol Obstet Invest 62:121–130

    Article  PubMed  Google Scholar 

  4. D`Hooge T, Debrock S, Hill JA, Meuleman C (2003) Endometriosis and subfertility: is the relationship resolved? Semin Reprod Med 21:243–254

    Article  Google Scholar 

  5. Buyalos RP, Agarwal SK (2000) Endometriosis-associated infertility. Curr Opin Obstet Gynecol 12:377–381

    Article  PubMed  CAS  Google Scholar 

  6. Montgomery GW, Nyholt DR, Zhao ZZ, Treloar SA, Painter JN, Missmer SA, Kennedy SH, Zondervan KT (2008) The search for genes contributing to endometriosis risk. Hum Reprod Updat 14:447–457

    Article  CAS  Google Scholar 

  7. Koninckx PR, Braet P, Kennedy SH, Barlow PR (1994) Dioxin pollution and endometriosis: in Belgian. Hum Reprod 9:1001–1002

    PubMed  CAS  Google Scholar 

  8. Javert CT (1949) Pathogenesis of endometriosis based on endometrial homeoplasia, direct extension, exfoliation and implantation, lymphatic and hematogenous metastasis. Cancer 2:399–410

    Article  PubMed  CAS  Google Scholar 

  9. Oehmke F, Weyand J, Hackethal A, Konrad L, Omwandho C, Tinneberg HR (2009) Impact of endometriosis on quality of life: a pilot study. Gynecol Endocrinol 25:722–725

    Article  PubMed  Google Scholar 

  10. Sinaii N, Cleary SD, Younes N, Ballweg ML, Stratton P (2007) Treatment utilization for endometriosis symptoms: a cross-sectional survey study of lifetime experience. Fertil Steril 87:1277–1286

    Article  PubMed  Google Scholar 

  11. Ulrich U, Keckstein J (2005) Diagnosing endometriosis. Zentralbl Gynäkol 127:273–274

    Article  Google Scholar 

  12. Schindler AE (1995) Endometriose und Fertilitätsstörungen. Frauenarzt 2:211–212

    Google Scholar 

  13. Bedaiwy MA, Falcone T (2004) Laboratory testing for endometriosis. Clin Chim Acta 340:41–56

    Article  PubMed  CAS  Google Scholar 

  14. Fauconnier A, Chapron C (2005) Endometriosis and pelvic pain: epidemiological evidence of the relationship and implications. Hum Reprod Updat 11:595–606

    Article  CAS  Google Scholar 

  15. Al-Jefout M, Dezarnaulds G, Cooper M, Tokushige N, Luscombe GM, Markham R, Fraser IS (2009) Diagnosis of endometriosis by detection of nerve fibres in an endometrial biopsy: a double blind study. Hum Reprod 24:3019–3024

    Article  PubMed  CAS  Google Scholar 

  16. Koninckx PR, Meuleman C, Demeyere S et al (1991) Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain. Fertil Steril 55:759–765

    PubMed  CAS  Google Scholar 

  17. Chapron C, Barakat H, Fritel X, Dubuisson J-B, Bréart G, Fauconnier A (2005) Presurgical diagnosis of posterior deep infiltrating endometriosis based on a standardized questionnaire. Hum Reprod 20:507–513

    Article  PubMed  CAS  Google Scholar 

  18. Chapron C, Fauconnier A, Dubuisson JB, Barakat H, Vieira M, Bréart G (2003) Deep infiltrating endometriosis: relation between severity of dysmenorrhoea and extent of disease. Hum Reprod 18:760–766

    Article  PubMed  Google Scholar 

  19. Fedele L, Bianchi S, Carmignani L, Berlanda N, Fontana E, Frontino G (2007) Evaluation of a new questionnaire for the presurgical diagnosis of bladder endometriosis. Hum Reprod 22:2698–2701

    Article  PubMed  Google Scholar 

  20. Chopin N, Vieira M, Borghese B, Foulot H, Dousset B, Coste J, Mignon A, Fauconnier A, Chapron C (2005) Operative management of deeply infiltrating endometriosis: results on pelvic pain symptoms according to a surgical classification. J Minimal Invas Gynec 12:106–112

    Article  Google Scholar 

  21. Chapron C, Chopin N, Borghese B, Malartic C, Decuypere F, Foulot H (2004) Surgical management of deeply infiltrating endometriosis: an update. Ann NY Acad Sci 1034:326–337

    Article  PubMed  Google Scholar 

  22. Donnez J, Squifflet J, Pirard C, Jadoul P, Wyns C, Smets M (2002) The efficacy of medical and surgical treatment of endometriosis-associated infertility and pelvic pain. Gynecol Obstet Invest 54(Suppl 1):2–7

    Article  PubMed  Google Scholar 

  23. Kaiser A, Kopf A, Gericke C, Bartley J, Mechsner S (2009) The influence of peritoneal endometriotic lesions on the generation of endometriosis-related pain and pain reduction after surgical excision. Arch Gyn Obstet 280:369–373

    Article  Google Scholar 

  24. Vercellini P, Barbara G, Abbiati A, Somigliana E, Vigano P, Fedele L (2009) Repetitive surgery for recurrent symptomatic endometriosis: what to do? Eur J Obstet Gynecol Reprod Biol 146:15–21

    Article  PubMed  Google Scholar 

  25. Busacca M, Chiaffarino F, Candiani M, Vignali M, Bertulessi C, Oggioni G, Parazzini F (2006) Determinants of long-term clinically detected recurrence rates of deep, ovarian, and pelvic endometriosis. Am J Obstet Gynecol 195:426–432

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors thank Dr. phil. Marc Immenroth, Hamburg Germany for advice in data management and statistical analysis.

Conflict of interest

We declare that we do not have a conflict of interest.

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, Justus-Liebig-University of Giessen, Klinikstrasse 32, 35385, Giessen, Germany

    Andreas Hackethal, Catharina Luck, Ann-Kathrin von Hobe, Kosai Eskef, Frank Oehmke & Lutz Konrad

Authors
  1. Andreas Hackethal
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  2. Catharina Luck
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  3. Ann-Kathrin von Hobe
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  4. Kosai Eskef
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  5. Frank Oehmke
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  6. Lutz Konrad
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Corresponding author

Correspondence to Andreas Hackethal.

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Hackethal, A., Luck, C., von Hobe, AK. et al. A structured questionnaire improves preoperative assessment of endometriosis patients: a retrospective analysis and prospective trial. Arch Gynecol Obstet 284, 1179–1188 (2011). https://doi.org/10.1007/s00404-010-1819-0

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  • DOI: https://doi.org/10.1007/s00404-010-1819-0

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