Patient preference for treatment of an endometrioma, a qualitative study

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology Pub Date : 2025-04-22 DOI:10.1016/j.ejogrb.2025.113999

V.B. Veth , A. Keukens , A.M.F. Schreurs , M.Y. Bongers , V. Mijatovic , J.W.M. Maas

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引用次数: 0

Abstract

Objective

The aim of this qualitative study was to identify considerations, objections, and preferences of women with symptomatic ovarian endometrioma in the shared decision-making process.

Design

This study was conducted as a qualitative study, including twenty patients facing or faced therapeutic treatment options for an ovarian endometrioma.

Setting

Four focus groups were held between February 2020 and June 2021 in the Netherlands. Two of them were held online due to COVID-19 pandemic.

Population

A qualitative study was performed using semi-structured in-depth focus group methodology. All women, aged 27–44 years, suffered from pain.

Methods

The focus groups were audio recorded and fully transcribed using ATLAS-ti. Grounded theory methodology was applied for data analysis.

Main outcome measures

Outcome measure includes the most important aspects during decision-making process for patients facing or faced therapeutic treatment options for an ovarian endometrioma.

Results

A total of twenty Dutch women with an ovarian endometrioma were included. Participants named “relief of pain”, “fertility”, “adverse effects or surgical complications”, “recurrence of pain and lesions”, and “time untill treatment effect occurs” as most important aspects during their decision-making process. In addition, women often felt “unheard”, so more attention should be paid to symptoms of endometriosis.

Conclusion

Participants named “relief of pain”, “fertility”, “adverse effects or complications”, “recurrence of pain and lesions”, and “time untill treatment effect occurs” as most important aspects during their decision-making process.

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患者对子宫内膜异位瘤治疗的偏好，一项定性研究

目的本定性研究的目的是确定有症状的卵巢子宫内膜异位瘤妇女在共同决策过程中的考虑、反对和偏好。本研究是一项定性研究，包括20例卵巢子宫内膜异位瘤患者。2020年2月至2021年6月在荷兰举行了四个焦点小组。其中两场因新冠肺炎疫情而在线举行。采用半结构化深入焦点小组方法进行定性研究。所有年龄在27-44岁的女性都患有疼痛。方法采用ATLAS-ti对焦点组进行录音和全转录。数据分析采用扎根理论方法。主要结局指标结局指标包括面临或面临卵巢子宫内膜异位瘤治疗方案的患者决策过程中最重要的方面。结果共纳入20例荷兰卵巢子宫内膜异位瘤患者。参与者将“疼痛缓解”、“生育能力”、“不良反应或手术并发症”、“疼痛和病变复发”以及“治疗效果发生的时间”作为决策过程中最重要的方面。此外，女性经常感到“闻所未闻”，因此应更加重视子宫内膜异位症的症状。结论：患者在选择治疗方案时，“疼痛缓解”、“生育能力”、“不良反应或并发症”、“疼痛和病变复发”、“治疗效果发生前的时间”是最重要的考虑因素。

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来源期刊

European journal of obstetrics, gynecology, and reproductive biology 医学-妇产科学

CiteScore

4.60

自引率

3.80%

发文量

898

审稿时长

8.3 weeks

期刊介绍： The European Journal of Obstetrics & Gynecology and Reproductive Biology is the leading general clinical journal covering the continent. It publishes peer reviewed original research articles, as well as a wide range of news, book reviews, biographical, historical and educational articles and a lively correspondence section. Fields covered include obstetrics, prenatal diagnosis, maternal-fetal medicine, perinatology, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine, infertility, reproductive endocrinology, sexual medicine and reproductive ethics. The European Journal of Obstetrics & Gynecology and Reproductive Biology provides a forum for scientific and clinical professional communication in obstetrics and gynecology throughout Europe and the world.