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Is endometriosis staging related to the type and intensity of patients’ complaints? A systematic review and meta-analysis

2025-12-01Artigo científico Acesso embargado
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dc.contributor.authorAlves, João Sequeira
dc.contributor.authorMeneses, Tânia
dc.contributor.authorMariano, Mafalda
dc.contributor.authorSerra, Sofia Silvério
dc.contributor.authorCosta, Teresa
dc.contributor.authorMartins, João Paulo
dc.contributor.authorRabishong, Benoit
dc.contributor.authorLima, Jorge
dc.contributor.authorOliveira Martins, João Paulo
dc.date.accessioned2026-01-28T11:54:42Z
dc.date.available2026-01-28T11:54:42Z
dc.date.issued2025-12-01
dc.description.abstractTo evaluate the association between the endometriosis staging and the type and intensity of pain reported by patients, describing the pain intensity across different pain types. On January 27, 2025, a systematic search was conducted in PubMed, Scopus, Web of Science, EMBASE, and the Cochrane Library. The search terms included endometriosis, pain, dysmenorrhea, dyspareunia, pelvic pain, dyschezia, dysuria, and classification. Eligible studies examined women with endometriosis, assessing how endometriosis staging (rASRM or ENZIAN classification) correlated with pain symptoms (dysmenorrhea, dyspareunia, dyschezia, dysuria, and chronic pelvic pain) measured with validated tools. Two reviewers extracted data independently, with a third verifying results. Pain scores were log-transformed to stabilize variance, and proportions of women with advanced endometriosis were analyzed on the logit scale. Given high heterogeneity, random-effects models with restricted maximum likelihood were used. Of 2527 records, 112 studies were reviewed and eight met inclusion criteria (seven using rASRM, one using ENZIAN). Dysmenorrhea showed the highest mean intensity (6.61, 95% CI: 4.43–10.10), while dysuria was lowest (1.08, 95% CI: 0.62–1.89). Pain intensity did not differ significantly between rASRM stages I/II and III/IV (p > 0.05), though chronic pelvic pain was more frequent in advanced disease (p < 0.05). Dysmenorrhea is linked to higher pain intensity in women with endometriosis, while dysuria is linked to lower intensity. Pain intensity is not associated with the rASRM stage; however, chronic pelvic pain seems more prevalent in advanced stages of the disease.eng
dc.identifier.citationAlves, J. S., Meneses, T., Mariano, M., Serra, S. S., Costa, T., Martins, J. P., Rabishong, B., & Lima, J. (2025). Is endometriosis staging related to the type and intensity of patients’ complaints? A systematic review and meta-analysis. Journal of Minimally Invasive Gynecology. https://doi.org/10.1016/j.jmig.2025.11.014
dc.identifier.doi10.1016/j.jmig.2025.11.014
dc.identifier.eissn1553-4669
dc.identifier.issn1553-4650
dc.identifier.urihttp://hdl.handle.net/10400.22/31747
dc.language.isoeng
dc.peerreviewedyes
dc.publisherElsevier
dc.relation.hasversionhttps://www.sciencedirect.com/science/article/pii/S1553465025009562?via%3Dihub
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectDysmenorrhea chronic
dc.subjectPelvic pain
dc.subjectASRM
dc.subjectENZIAN
dc.titleIs endometriosis staging related to the type and intensity of patients’ complaints? A systematic review and meta-analysiseng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleJournal of Minimally Invasive Gynecology
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameOliveira Martins
person.givenNameJoão Paulo
person.identifier955929
person.identifier.ciencia-id6913-C065-48FF
person.identifier.orcid0000-0002-0474-1397
person.identifier.scopus-author-id55838096100
relation.isAuthorOfPublication9d1f7388-bb3e-4f1d-bf41-08a589b1d6a8
relation.isAuthorOfPublication.latestForDiscovery9d1f7388-bb3e-4f1d-bf41-08a589b1d6a8

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