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).

Vannuccini, S., Reis, F.M., Coutinho, L.M., Lazzeri, L., Centini, G., Petraglia, F. (2019). Surgical treatment of endometriosis: prognostic factors for better quality of life. GYNECOLOGICAL ENDOCRINOLOGY, 35(11), 1010-1014 [10.1080/09513590.2019.1616688].

Surgical treatment of endometriosis: prognostic factors for better quality of life

Vannuccini, S.;Lazzeri, L.;Centini, G.;
2019-01-01

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).
2019
Vannuccini, S., Reis, F.M., Coutinho, L.M., Lazzeri, L., Centini, G., Petraglia, F. (2019). Surgical treatment of endometriosis: prognostic factors for better quality of life. GYNECOLOGICAL ENDOCRINOLOGY, 35(11), 1010-1014 [10.1080/09513590.2019.1616688].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11365/1094966