Ricardo B Lasmar1, Bernardo P Lasmar2, Roger Keller Celeste3, Angelika Larbig4, Rudy L De Wilde5. 1. Department of Gynecology, Federal Fluminense University, Niterói, Brazil. 2. Endoscopic Gynecology Service, Central Hospital Aristarcho Pessoa, Rio de Janeiro, Brazil. 3. Federal University of Rio Grande do Sul, Porto Alegre, Brazil. 4. Clinic of Gynecology, Obstetrics and Gynecological Oncology, Pius-Hospital Oldenburg, and School of Medicine and Health Sciences, Carl von Ossietzky University, Oldenburg, Germany. 5. Clinic of Gynecology, Obstetrics and Gynecological Oncology, Pius-Hospital Oldenburg, and School of Medicine and Health Sciences, Carl von Ossietzky University, Oldenburg, Germany. Electronic address: rudy-leon.dewilde@pius-hospital.de.
Abstract
OBJECTIVE: To validate a tool-the ECO system-developed to guide non-specialized gynecologists in the treatment of patients with suspected endometriosis in outpatient clinics. METHODS: In a retrospective study, data were assessed from patients presenting to a center in Brazil or a center in Germany with suspected endometriosis and pelvic pain between July 2012 and June 2013. Data reviewed included patient complaints, clinical extent of disease, patient goals, recent use of medication, previous pelvic surgeries, visual analog pain scale, treatment provided, and histopathology after surgery. Data were transformed into a score according to the ECO system (0-6) indicating the suggested management, which was compared with the approach used in the study hospitals. RESULTS: Among 166 patients, 78 (47.0%) were medically treated and 88 (53.0%) underwent therapeutic laparoscopy. All 3 patients scoring 2 had undergone hormonal treatment. Among 51 patients scoring 3, 49 (96.1%) were clinically managed and 2 (3.9%) underwent surgery. Among 52 patients scoring 4, 26 (50.0%) had undergone medical treatment and 26 (50.0%) surgical treatment. All 56 patients who scored 5 and the four patients who scored 6 underwent surgery. CONCLUSION: The ECO system seems to effectively represent the management of patients with endometriosis in specialized services.
OBJECTIVE: To validate a tool-the ECO system-developed to guide non-specialized gynecologists in the treatment of patients with suspected endometriosis in outpatient clinics. METHODS: In a retrospective study, data were assessed from patients presenting to a center in Brazil or a center in Germany with suspected endometriosis and pelvic pain between July 2012 and June 2013. Data reviewed included patient complaints, clinical extent of disease, patient goals, recent use of medication, previous pelvic surgeries, visual analog pain scale, treatment provided, and histopathology after surgery. Data were transformed into a score according to the ECO system (0-6) indicating the suggested management, which was compared with the approach used in the study hospitals. RESULTS: Among 166 patients, 78 (47.0%) were medically treated and 88 (53.0%) underwent therapeutic laparoscopy. All 3 patients scoring 2 had undergone hormonal treatment. Among 51 patients scoring 3, 49 (96.1%) were clinically managed and 2 (3.9%) underwent surgery. Among 52 patients scoring 4, 26 (50.0%) had undergone medical treatment and 26 (50.0%) surgical treatment. All 56 patients who scored 5 and the four patients who scored 6 underwent surgery. CONCLUSION: The ECO system seems to effectively represent the management of patients with endometriosis in specialized services.
Authors: Antonio Matos Rocha; Maurício Mendes de Albuquerque; Eduardo Miguel Schmidt; Cristiano Denoni Freitas; João Paulo Farias; Fernanda Bedin Journal: Arq Bras Cir Dig Date: 2018-12-06
Authors: Nathalie Vermeulen; Mauricio S Abrao; Jon I Einarsson; Andrew W Horne; Neil P Johnson; Ted T M Lee; Stacey Missmer; John Petrozza; Carla Tomassetti; Krina T Zondervan; Grigoris Grimbizis; Rudy Leon De Wilde Journal: Hum Reprod Open Date: 2021-10-22
Authors: N Vermeulen; M S Abrao; J I Einarsson; A W Horne; N P Johnson; T T M Lee; S Missmer; J Petrozza; C Tomassetti; K T Zondervan; G Grimbizis; R L De Wilde Journal: Facts Views Vis Obgyn Date: 2021-12