Consensus on current management of endometriosis

<p><strong>Study question:</strong> Is there a global consensus on the management of endometriosis that considers the views of women with endometriosis? </p> <p><strong>Summary answer:</strong> It was possible to produce an international consensus statement...

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Main Authors: Johnson, NP, Hummelshoj, L, World Endometriosis Society Montpellier Consortium
Other Authors: Abrao, MS
Format: Journal article
Language:English
Published: Oxford University Press 2013
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author Johnson, NP
Hummelshoj, L
World Endometriosis Society Montpellier Consortium
author2 Abrao, MS
author_facet Abrao, MS
Johnson, NP
Hummelshoj, L
World Endometriosis Society Montpellier Consortium
author_sort Johnson, NP
collection OXFORD
description <p><strong>Study question:</strong> Is there a global consensus on the management of endometriosis that considers the views of women with endometriosis? </p> <p><strong>Summary answer:</strong> It was possible to produce an international consensus statement on the current management of endometriosis through engagement of representatives of national and international, medical and non-medical societies with an interest in endometriosis. </p> <p><strong>What is known already:</strong> Management of endometriosis anywhere in the world has been based partially on evidence-based practices and partially on unsubstantiated therapies and approaches. Several guidelines have been developed by a number of national and international bodies, yet areas of controversy and uncertainty remain, not least due to a paucity of firm evidence. </p> <p><strong>Study design, size, duration:</strong> A consensus meeting, in conjunction with a pre- and post-meeting process, was undertaken. </p> <p><strong>Participants/materials, setting, methods:</strong> A consensus meeting was held on 8 September 2011, in conjunction with the 11th World Congress on Endometriosis in Montpellier, France. A rigorous pre- and post-meeting process, involving 56 representatives of 34 national and international, medical and non-medical organizations from a range of disciplines, led to this consensus statement. </p> <p><strong>Main results and the role of chance:</strong> A total of 69 consensus statements were developed. Seven statements had unanimous consensus; however, none of the statements were made without expression of a caveat about the strength of the statement or the statement itself. Only two statements failed to achieve majority consensus. The statements covered global considerations, the role of endometriosis organizations, support groups, centres or networks of expertise, the impact of endometriosis throughout a woman’s life course, and a full range of treatment options for pain, infertility and other symptoms related to endometriosis. </p> <p><strong>Limitations, reasons for caution:</strong> This consensus process differed from that of formal guideline development. A different group of international experts from those participating in this process would likely have yielded subtly different consensus statements. </p> <p><strong>Wider implications of the findings:</strong> This is the first time that a large, global, consortium, representing 34 major stakeholding organizations from five continents, has convened to systematically evaluate the best available current evidence on the management of endometriosis, and to reach consensus. In addition to 18 international medical organizations, representatives from 16 national endometriosis organizations were involved, including lay support groups, thus generating input from women who suffer from endometriosis. </p> <p><strong>Study funding/competing interest(s):</strong> The World Endometriosis Society commissioned and hosted the consensus meeting. Financial support for participants to attend the meeting was provided by the organizations that they represented. There was no other specific funding for this consensus process. Full disclosures of all participants are presented herein.</p>
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spelling oxford-uuid:889dacfc-737b-4190-b39e-70bccbdbe0692025-01-03T09:34:12ZConsensus on current management of endometriosisJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:889dacfc-737b-4190-b39e-70bccbdbe069EnglishSymplectic Elements at OxfordOxford University Press2013Johnson, NPHummelshoj, LWorld Endometriosis Society Montpellier ConsortiumAbrao, MSAdamson, GDAllaire, CAmelung, VAndersson, EBecker, CBirna Ardal, KBBush, DDe Bie, BChwalisz, KCritchley, HD'Hooghe, TDunselman, GEvers, JLHFarquhar, CFaustmann, TForman, AFourquet, JFraser, IGiudice, LGordts, SGuidone, HGuo, SWHealy, DHedon, BHulkkonen, JHull, LHummelshoj, LJohnson, NPJust, MKiesel, LLam, ALynam, CMettler, LMiller, CNorth, HPai, RPetta, CPrentice, LReilly, SReis, FRolla, ERombauts, LSchweppe, KWSeckin, TSharpe-Timms, KShepperson Mills, DSingh, SSoriano, DStafford-Bell, MStratton, PTaylor, RTsaltas, JVeit, JVercellini, P<p><strong>Study question:</strong> Is there a global consensus on the management of endometriosis that considers the views of women with endometriosis? </p> <p><strong>Summary answer:</strong> It was possible to produce an international consensus statement on the current management of endometriosis through engagement of representatives of national and international, medical and non-medical societies with an interest in endometriosis. </p> <p><strong>What is known already:</strong> Management of endometriosis anywhere in the world has been based partially on evidence-based practices and partially on unsubstantiated therapies and approaches. Several guidelines have been developed by a number of national and international bodies, yet areas of controversy and uncertainty remain, not least due to a paucity of firm evidence. </p> <p><strong>Study design, size, duration:</strong> A consensus meeting, in conjunction with a pre- and post-meeting process, was undertaken. </p> <p><strong>Participants/materials, setting, methods:</strong> A consensus meeting was held on 8 September 2011, in conjunction with the 11th World Congress on Endometriosis in Montpellier, France. A rigorous pre- and post-meeting process, involving 56 representatives of 34 national and international, medical and non-medical organizations from a range of disciplines, led to this consensus statement. </p> <p><strong>Main results and the role of chance:</strong> A total of 69 consensus statements were developed. Seven statements had unanimous consensus; however, none of the statements were made without expression of a caveat about the strength of the statement or the statement itself. Only two statements failed to achieve majority consensus. The statements covered global considerations, the role of endometriosis organizations, support groups, centres or networks of expertise, the impact of endometriosis throughout a woman’s life course, and a full range of treatment options for pain, infertility and other symptoms related to endometriosis. </p> <p><strong>Limitations, reasons for caution:</strong> This consensus process differed from that of formal guideline development. A different group of international experts from those participating in this process would likely have yielded subtly different consensus statements. </p> <p><strong>Wider implications of the findings:</strong> This is the first time that a large, global, consortium, representing 34 major stakeholding organizations from five continents, has convened to systematically evaluate the best available current evidence on the management of endometriosis, and to reach consensus. In addition to 18 international medical organizations, representatives from 16 national endometriosis organizations were involved, including lay support groups, thus generating input from women who suffer from endometriosis. </p> <p><strong>Study funding/competing interest(s):</strong> The World Endometriosis Society commissioned and hosted the consensus meeting. Financial support for participants to attend the meeting was provided by the organizations that they represented. There was no other specific funding for this consensus process. Full disclosures of all participants are presented herein.</p>
spellingShingle Johnson, NP
Hummelshoj, L
World Endometriosis Society Montpellier Consortium
Consensus on current management of endometriosis
title Consensus on current management of endometriosis
title_full Consensus on current management of endometriosis
title_fullStr Consensus on current management of endometriosis
title_full_unstemmed Consensus on current management of endometriosis
title_short Consensus on current management of endometriosis
title_sort consensus on current management of endometriosis
work_keys_str_mv AT johnsonnp consensusoncurrentmanagementofendometriosis
AT hummelshojl consensusoncurrentmanagementofendometriosis
AT worldendometriosissocietymontpellierconsortium consensusoncurrentmanagementofendometriosis