子宫内膜异位症和盆底功能障碍"(EndoPFD)多中心横断面研究的设计和方法。

IF 2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM
Gynecological Endocrinology Pub Date : 2024-12-01 Epub Date: 2024-11-26 DOI:10.1080/09513590.2024.2432479
Eleonora Russo, Maria F Brancalion, Tiziana Fidecicchi, Maria M Montt-Guevara, Giulia Misasi, Clara Baroni, Riccardo Morganti, Cristina Zito, Elena Pisacreta, Sara Gorini, Alessandro Sturiale, Giorgio Pomara, Jessica Ottolina, Andrea Scalera, Angela Maria Di Puoti, Salvatore Tolone, Gaetano Scalzone, Marco Torella, Stefano Salvatore, Tommaso Simoncini
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引用次数: 0

摘要

目的:评估子宫内膜异位症妇女盆底功能障碍(PFD)的患病率和特征:评估子宫内膜异位症妇女盆底功能障碍(PFD)的患病率和特征:本文是一篇方法论论文,介绍了 "子宫内膜异位症与盆底功能障碍"(EndoPFD)多中心研究方案。研究涉及三个地点:比萨大学医院、米兰圣拉斐尔医院和那不勒斯 Vanvitelli 大学医院。研究人员通过网络链接招募妇女,并询问她们是否愿意参加临床评估或只参加网络调查。网络调查收集个人病史、子宫内膜异位症病史和症状,并通过问卷对子宫内膜异位症进行主观评估:尿液压力量表 6、结肠直肠肛门压力量表 8、韦克斯纳大便失禁量表、韦克斯纳便秘评分系统和女性性功能指数。对临床评估感兴趣的人将在问卷调查的基础上增加以下检查:妇科和直肠科检查、盆腔超声波检查、尿动力学检查和肛门直肠测压:网络调查的招募工作已经完成。共有 1,149 名妇女签署了电子同意书,329 人因纳入/排除标准而被排除在外;因此,有 525 人完成了所有问卷(回复率为 64.02%)。临床评估的招募工作正在进行中:讨论:该研究方案提供了通过对体征和症状进行主观和客观评估来确定子宫内膜异位症患者中 PFD 患病率的可能性。这为改变子宫内膜异位症患者的治疗方法铺平了道路。此外,它还证明了所采用的方法(在线调查和招募)的有效性,可以接触到大量患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Design and methodology of the 'endometriosis and pelvic floor dysfunction' (EndoPFD) multicenter cross-sectional study.

Objective: To assess the prevalence and the characteristics of pelvic floor dysfunction (PFD) in women with endometriosis.

Methods: This is a methodological paper that describes the 'Endometriosis and Pelvic Floor Dysfunction' (EndoPFD) multicenter study protocol. It involves three sites: the University Hospital of Pisa, the San Raffaele Hospital of Milan and the Vanvitelli University Hospital of Naples. Women are recruited through web links and are asked whether they want to participate to the clinical evaluation or only to the web survey. The web survey gathers personal history, endometriosis history and symptoms, and performs a subjective evaluation of PFD through questionnaires: Urinary Distress Inventory 6, Colorectal-Anal Distress Inventory 8, Wexner Scale for Fecal Incontinence, Wexner Constipation Scoring System, and Female Sexual Function Index. Those interested in the clinical evaluation will add to the questionnaires the following exams: gynecological and proctological exam, pelvic ultrasound, urodynamic test, and anorectal manometry.

Preliminary results: Recruitment for the web survey was completed. A total of 1,149 women signed the electronic consent, 329 were excluded due to inclusion/exclusion criteria; hence, 525 completed all the questionnaires (response rate of 64.02%). Recruitment for the clinical evaluation is ongoing.

Discussion: This study protocol offers the possibility to define the prevalence of PFD in endometriosis patients with a subjective and an objective assessment of signs and symptoms. This may pave the way for changing the approach to patients with endometriosis. Moreover, it demonstrates the validity of the method used (online survey and recruitment) to reach a high number of patients.

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来源期刊
Gynecological Endocrinology
Gynecological Endocrinology 医学-妇产科学
CiteScore
4.40
自引率
5.00%
发文量
137
审稿时长
3-6 weeks
期刊介绍: Gynecological Endocrinology , the official journal of the International Society of Gynecological Endocrinology, covers all the experimental, clinical and therapeutic aspects of this ever more important discipline. It includes, amongst others, papers relating to the control and function of the different endocrine glands in females, the effects of reproductive events on the endocrine system, and the consequences of endocrine disorders on reproduction
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