Medical and surgical interventions to improve the quality of life for endometriosis patients: a systematic review

Gynecological Surgery

Antonio Simone Lagan๠ Mirian Agus²  Stefania Saponara³  Maurizio Nicola D’Alterio³  Stefano Angioni³  Marco Noventa⁴  Emanuela Stochino Loi⁵  Anis Feki⁵ 

[1] Department of Obstetrics and Gynecology, “Filippo del Ponte” Hospital, University of Insubria, Varese, Italy;Department of Pedagogy, Psychology and Philosophy, University of Cagliari, Cagliari, Italy;Department of Surgical Sciences, Division of Gynecology and Obstetrics, University of Cagliari, Cittadella Universitaria Blocco I Asse Didattico Medicina P2, Monserrato, 09042, Cagliari, Italy;Department of Women and Children’s Health, Clinic of Gynecology and Obstetrics, University of Padua, 35121, Padua, Italy;Service de Gynécologie obstétrique, HFR Fribourg, Hôpital Cantonal, Fribourg, Switzerland;

关键词: Quality of life;    Qol;    Endometriosis;    Medical;    Surgical;    Interventions;   

DOI  :  10.1186/s10397-021-01096-5

来源: Springer

【 摘 要 】

Endometriosis impairs the quality of life (QoL) of many women, including their social relationships, daily activity, productivity at work, and family planning. The aim of this review was to determine the instruments used to examine QoL in previous clinical studies of endometriosis and to evaluate the effect of medical and surgical interventions for endometriosis on QoL. We conducted a systematic search and review of studies published between January 2010 and December 2020 using MEDLINE. Search terms included “endometriosis” and “quality of life.” We only selected studies that used a standardized questionnaire to evaluate QoL before and after medical or surgical interventions. Only articles in the English language were examined. The initial search identified 720 results. After excluding duplicates and applying inclusion criteria, 37 studies were selected for analysis. We found that the two scales most frequently used to measure QoL were the Short Form-36 health survey questionnaire (SF-36) and the Endometriosis Health Profile-30 (EHP-30). Many medical and surgical treatments demonstrated comparable benefits in pain control and QoL improvement. There is no clear answer as to what is the best treatment for improving QoL because each therapy must be personalized for the patient and depends on the woman’s goals. In conclusion, women must be informed about endometriosis and given easily accessible information to improve treatment adherence and their QoL.

【 授权许可】

CC BY