Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/81469
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dc.contributor.authorFernando, S.en
dc.contributor.authorSoh, P.en
dc.contributor.authorCooper, M.en
dc.contributor.authorEvans, S.en
dc.contributor.authorReid, G.en
dc.contributor.authorTsaltas, J.en
dc.contributor.authorRombauts, L.en
dc.date.issued2013en
dc.identifier.citationJournal of Minimally Invasive Gynecology, 2013; 20(6):783-789en
dc.identifier.issn1553-4650en
dc.identifier.issn1553-4669en
dc.identifier.urihttp://hdl.handle.net/2440/81469-
dc.description.abstract<h4>Objective</h4>To determine whether accuracy of visual diagnosis of endometriosis at laparoscopy is determined by stage of disease.<h4>Design</h4>Prospective longitudinal cohort study (Canadian Task Force classification II-2).<h4>Setting</h4>Tertiary referral centers in three Australian states.<h4>Patients</h4>Of 1439 biopsy specimens, endometriosis was proved in at least one specimen in 431 patients.<h4>Interventions</h4>Laparoscopy with visual diagnosis and staging of endometriosis followed by histopathologic analysis and confirmation. Operations were performed by five experienced laparoscopic gynecologists.<h4>Measurements and main results</h4>Histopathologic confirmation of visual diagnosis of endometriosis adjusted for significant covariates. Endometriosis was accurately diagnosed in 49.7% of American Society for Reproductive Medicine (ASRM) stage I, which was significantly less accurate than for other stages of endometriosis. Deep endometriosis was more likely to be diagnosed accurately than superficial endometriosis (adjusted odds ratio, 2.51; 95% confidence interval, 1.50-4.18; p < .01). Lesion volume was also predictive, with larger lesions diagnosed more accurately than smaller lesions. In general, lesion site did not greatly influence accuracy except for superficial ovarian lesions, which were more likely to be incorrectly diagnosed visually as endometriosis (adjusted odds ratio, 0.16; 95% confidence interval, 0.06-0.41; p < .01). There was no statistically significant difference in accuracy between the gynecologic surgeons.<h4>Conclusion</h4>The accuracy of visual diagnosis of endometriosis was substantially influenced by American Society of Reproductive Medicine stage, the depth and volume of the lesion, and to a lesser extent the location of the lesion.en
dc.description.statementofresponsibilityShavi Fernando, Pei Qian Soh, Michael Cooper, Susan Evans, Geoffrey Reid, Jim Tsaltas, Luk Rombautsen
dc.language.isoenen
dc.publisherElsevier Incen
dc.rightsCrown copyright © 2013 Published by Elsevier Inc. All rights reserved.en
dc.subjectEndometriosis; Histological diagnosis; Laparoscopy; Severity; Visual diagnosisen
dc.titleReliability of visual diagnosis of endometriosisen
dc.typeJournal articleen
dc.identifier.rmid0020132554en
dc.identifier.doi10.1016/j.jmig.2013.04.017en
dc.identifier.pubid17558-
pubs.library.collectionObstetrics and Gynaecology publicationsen
pubs.verification-statusVerifieden
pubs.publication-statusPublisheden
dc.identifier.orcidEvans, S. [0000-0003-0347-604X]en
Appears in Collections:Obstetrics and Gynaecology publications

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