Nuffield Department of Women's & Reproductive Health (Zondervan), University of Oxford, Oxford Endometriosis CaRe Centre, Oxford, Oxfordshire, UK; Wellcome Centre for Human Genetics (Zondervan), University of Oxford, Oxford, Oxfordshire, UK.
Department of Obstetrics, Gynecology and Reproductive Biology (Missmer), Michigan State University College of Human Medicine, East Lansing, MI, USA; Department of Epidemiology (Missmer), Harvard University T H Chan School of Public Health, Boston, MA, USA; World Endometriosis Research Foundation (Missmer), WERF, London, UK.
J Minim Invasive Gynecol. 2022 Jun;29(6):716-725.e1. doi: 10.1016/j.jmig.2022.01.014. Epub 2022 Mar 1.
In the field of endometriosis, several classification, staging and reporting systems have been developed, but do clinicians routinely use these classification systems, which system do they use and what are the clinicians' motivations?
A cross-sectional study was performed to gather data on the current use of endometriosis classification systems, problems encountered and interest in a new simple surgical descriptive system for endometriosis. Of particular focus were three systems most commonly used: the Revised American Society for Reproductive Medicine (rASRM) classification, the Endometriosis Fertility Index (EFI), and the ENZIAN classification. Data were analysed by SPSS. A survey was designed using the online SurveyMonkey tool consisting of 11 questions concerning three domains-participants background, existing classification systems and intentions with regards to a new classification system for endometriosis. Replies were collected between 15 May and 1 July 2020.
na TABULATION, INTEGRATION AND RESULTS: The final dataset included the replies of 1178 clinicians, including surgeons, gynecologists, reproductive endocrinologists, fertility specialists and sonographers, all managing women with endometriosis in their clinical practice. Overall, 75.5% of the professionals indicate that they currently use a classification system for endometriosis. The rASRM classification system was the best known and used system, the EFI system and ENZIAN system were known by a majority of the professionals but used by only a minority. The lack of clinical relevance was most often selected as a problem with using any system. The findings of the survey suggest that clinicians worldwide are open to using a new classification system for endometriosis that can achieve standardized reporting, and is clinically relevant and simple. The findings therefore support future initiatives for the development of a new descriptive system for endometriosis and provide information on user expectations and conditions for universal uptake of such a system.
Even with a high uptake of the existing endometriosis classification systems (rASRM, ENZIAN and EFI), most clinicians managing endometriosis would like a new simple surgical descriptive system for endometriosis.
在子宫内膜异位症领域，已经开发出几种分类、分期和报告系统，但临床医生是否经常使用这些分类系统，他们使用哪个系统，以及他们的动机是什么？
进行了一项横断面研究，以收集有关子宫内膜异位症分类系统当前使用情况、遇到的问题以及对新的简单手术描述性子宫内膜异位症分类系统的兴趣的数据。特别关注的是三个最常用的系统：修订后的美国生殖医学学会（rASRM）分类、子宫内膜异位症生育指数（EFI）和 ENZIAN 分类。数据由 SPSS 分析。使用在线 SurveyMonkey 工具设计了一项调查，该调查包含 11 个问题，涉及三个领域-参与者背景、现有分类系统以及对新的子宫内膜异位症分类系统的意图。回复于 2020 年 5 月 15 日至 7 月 1 日之间收集。
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列表、综合和结果：最终数据集包括 1178 名临床医生的回复，包括外科医生、妇科医生、生殖内分泌学家、生育专家和超声医师，他们在临床实践中都管理患有子宫内膜异位症的女性。总体而言，75.5%的专业人员表示他们目前正在使用子宫内膜异位症分类系统。rASRM 分类系统是最知名和使用最广泛的系统，EFI 系统和 ENZIAN 系统被大多数专业人员所知，但只有少数人使用。缺乏临床相关性是使用任何系统最常被选为问题。调查结果表明，全球临床医生愿意使用一种新的子宫内膜异位症分类系统，该系统可以实现标准化报告，并且具有临床相关性和简单性。因此，这一发现支持未来为子宫内膜异位症开发新的描述性系统的举措，并提供有关用户期望和普遍采用此类系统的条件的信息。
即使采用现有的子宫内膜异位症分类系统（rASRM、ENZIAN 和 EFI）的高采用率，大多数管理子宫内膜异位症的临床医生也希望有一个新的简单手术描述性子宫内膜异位症系统。
