The revised American Fertility Society classification of endometriosis: reproducibility of scoring. ZOLADEX Endometriosis Study Group.

Abstract

OBJECTIVE:

To assess the reproducibility in staging endometriosis using the revised American Fertility Society (AFS) classification of endometriosis.

DESIGN:

Visual documentation of laparoscopies of 315 women with endometriosis was scored by the investigators and a blinded reviewer.

SETTING:

Patients from private practice institutional setting.

PARTICIPANTS:

Patients who participated in a multicenter trial to study the efficacy and safety of a GnRH agonist (GnRH-a).

INTERVENTIONS:

Laparascopic visual documentation of the extent of endometriosis before and after 6 months of GnRH-a therapy.

MAIN OUTCOME MEASURE:

The reproducibility of the AFS classification system comparing scoring during laparoscopy and by a blinded reviewer.

RESULTS:

Good to fair agreement scoring endometriosis between the investigator and the blinded reviewer was noted.

CONCLUSIONS:

Visual documentation may be used to determine the stage of endometriosis using the revised AFS classification guidelines.

• Authors: J A Rock
• Journal: Fertility and sterility (Fertil Steril) Vol. 63 Issue 5 Pg. 1108-10 (May 1995) ISSN: 0015-0282 [Print] United States
• PMID: 7720925 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Endometriosis (classification)
• Female
• Humans
• Laparoscopy
• Observer Variation
• Reproducibility of Results
• Societies, Medical