The revised American Fertility Society classification of endometriosis: Reproducibility of scoring

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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.

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Rock, J. A., Aiman, E. J., Barad, D. H., Feinman, M. A., Betz, G., Dmowski, W. P., … Shaw, R. W. (1995). The revised American Fertility Society classification of endometriosis: Reproducibility of scoring. Fertility and Sterility, 63(5), 1108–1110. https://doi.org/10.1016/S0015-0282(16)57556-6

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