The revised American Fertility Society classification of endometriosis: reproducibility of scoring. ZOLADEX Endometriosis Study Group
J A Rock, J A Rock
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.
Source: PubMed