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The Prognostic Value of Individual Adhesion Scores from the Revised American Fertility Society Classification System for Recurrent Endometriosis

DC FieldValueLanguage
dc.contributor.author윤보현-
dc.contributor.author이병석-
dc.contributor.author전영은-
dc.contributor.author조시현-
dc.contributor.author최영식-
dc.contributor.author박주현-
dc.contributor.author서석교-
dc.date.accessioned2016-02-04T11:37:17Z-
dc.date.available2016-02-04T11:37:17Z-
dc.date.issued2015-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/140829-
dc.description.abstractPURPOSE: This study aimed to evaluate the prognostic value of each component of the revised American Fertility Society (rAFS) classification system for the first recurrence of endometriosis after conservative laparoscopy. MATERIALS AND METHODS: As this was a retrospective cohort study, data were collected by reviewing medical records. A total of 379 women ages 18 to 49 years were included. Women who underwent conservative laparoscopy with histologic confirmation of endometriosis at Gangnam Severance Hospital between March 2003 and May 2010 were included. Individual components of the rAFS classification system as well as preoperative serum CA-125 levels were retrospectively analyzed to assess their prognostic values for recurrence of endometriosis. RESULTS: Of 379 patients, 80 (21.2%) were found to have recurrence of endometriosis. The median duration of follow-up was 19.0 months, and the mean age at the time of surgery was 31.8±6.7 years. In endometriosis of advanced stage, younger age at the time of surgery, bilateral ovarian cysts at the time of diagnosis, a rAFS ovarian adhesion score >24, and complete cul-de-sac obliteration were independent risk factors of poor outcomes, and a rAFS ovarian adhesion score >24 had the highest risk of recurrence [hazard ratio=2.948 (95% CI: 1.116-7.789), p=0.029]. CONCLUSION: Our results suggest that of the rAFS adnexal adhesion scores, the ovarian adhesion score rather than the tubal adhesion score was associated with a significantly increased risk of recurrent endometriosis. The preoperative serum CA-125 level may be also a significant prognostic factor for recurrence, as known. However, it seemed to only have borderline significance in affecting recurrence in the current study.-
dc.description.statementOfResponsibilityopen-
dc.format.extent1079~1086-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdolescent-
dc.subject.MESHAdult-
dc.subject.MESHCohort Studies-
dc.subject.MESHEndometriosis/classification*-
dc.subject.MESHEndometriosis/surgery*-
dc.subject.MESHFemale-
dc.subject.MESHFertility-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHKaplan-Meier Estimate-
dc.subject.MESHLaparoscopy/methods*-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPrognosis-
dc.subject.MESHRecurrence-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHTissue Adhesions*-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHUnited States-
dc.titleThe Prognostic Value of Individual Adhesion Scores from the Revised American Fertility Society Classification System for Recurrent Endometriosis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Obstetrics & Gynecology (산부인과학)-
dc.contributor.googleauthorBo Hyon Yun-
dc.contributor.googleauthorYoung Eun Jeon-
dc.contributor.googleauthorSeung Joo Chon-
dc.contributor.googleauthorJoo Hyun Park-
dc.contributor.googleauthorSeok Kyo Seo-
dc.contributor.googleauthorSiHyun Cho-
dc.contributor.googleauthorYoung Sik Choi-
dc.contributor.googleauthorJi Sung Lee-
dc.contributor.googleauthorByung Seok Lee-
dc.identifier.doi10.3349/ymj.2015.56.4.1079-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02555-
dc.contributor.localIdA02795-
dc.contributor.localIdA03533-
dc.contributor.localIdA03846-
dc.contributor.localIdA04114-
dc.contributor.localIdA01668-
dc.contributor.localIdA01888-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid26069133-
dc.subject.keywordEndometriosis-
dc.subject.keywordovarian adhesion-
dc.subject.keywordprognostic factor-
dc.subject.keywordrAFS classification-
dc.subject.keywordrecurrence-
dc.contributor.alternativeNameYun, Bo Hyon-
dc.contributor.alternativeNameLee, Byung Seok-
dc.contributor.alternativeNameJeon, Young Eun-
dc.contributor.alternativeNameCho, Si Hyun-
dc.contributor.alternativeNameChoi, Young Sik-
dc.contributor.alternativeNamePark, Joo Hyun-
dc.contributor.alternativeNameSeo, Seok Kyo-
dc.contributor.affiliatedAuthorYun, Bo Hyon-
dc.contributor.affiliatedAuthorLee, Byung Seok-
dc.contributor.affiliatedAuthorJeon, Young Eun-
dc.contributor.affiliatedAuthorCho, Si Hyun-
dc.contributor.affiliatedAuthorChoi, Young Sik-
dc.contributor.affiliatedAuthorPark, Joo Hyun-
dc.contributor.affiliatedAuthorSeo, Seok Kyo-
dc.rights.accessRightsfree-
dc.citation.volume56-
dc.citation.number4-
dc.citation.startPage1079-
dc.citation.endPage1086-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.56(4) : 1079-1086, 2015-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers

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