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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Impact of endometriosis on quality of life and work productivity: A multicenter study across ten countries
Fertility and Sterility, Volume 96, No. 2, Year 2011
Notification
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Description
Objective: To assess the impact of endometriosis on health-related quality of life (HRQoL) and work productivity. Design: Multicenter cross-sectional study with prospective recruitment. Setting: Sixteen clinical centers in ten countries. Patient(s): A total of 1,418 premenopausal women, aged 18-45 years, without a previous surgical diagnosis of endometriosis, having laparoscopy to investigate symptoms or to be sterilized. Intervention(s): None. Main Outcome Measure(s): Diagnostic delay, HRQoL, and work productivity. Result(s): There was a delay of 6.7 years, principally in primary care, between onset of symptoms and a surgical diagnosis of endometriosis, which was longer in centers where women received predominantly state-funded health care (8.3 vs. 5.5 years). Delay was positively associated with the number of pelvic symptoms (chronic pelvic pain, dysmenorrhoea, dyspareunia, and heavy periods) and a higher body mass index. Physical HRQoL was significantly reduced in affected women compared with those with similar symptoms and no endometriosis. Each affected woman lost on average 10.8 hours (SD 12.2) of work weekly, mainly owing to reduced effectiveness while working. Loss of work productivity translated into significant costs per woman/week, from US$4 in Nigeria to US$456 in Italy. Conclusion(s): Endometriosis impairs HRQoL and work productivity across countries and ethnicities, yet women continue to experience diagnostic delays in primary care. A higher index of suspicion is needed to expedite specialist assessment of symptomatic women. Future research should seek to clarify pain mechanisms in relation to endometriosis severity. Copyright © 2011 American Society for Reproductive Medicine, Published by Elsevier Inc.
Authors & Co-Authors
Nnoaham, Kelechi Ebere
United Kingdom, Oxford
University of Oxford
Hummelshøj, Lone
Unknown Affiliation
D'Hooghe, Thomas Maria
Belgium, Leuven
Ku Leuven
de Cicco-Nardone, Fiorenzo
Italy, Rome
Università Cattolica Del Sacro Cuore, Campus Di Roma
Jenkinson, Crispin M.
United Kingdom, Oxford
University of Oxford
Kennedy, Stephen H.
United Kingdom, Oxford
University of Oxford
Zondervan, Krina T.
United Kingdom, Oxford
University of Oxford
Statistics
Citations: 908
Authors: 7
Affiliations: 3
Identifiers
Doi:
10.1016/j.fertnstert.2011.05.090
ISSN:
00150282
Research Areas
Disability
Health System And Policy
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Study Locations
Nigeria
Participants Gender
Female