Details

Autor(en) / Beteiligte

• Shafrir, A.L.
• Farland, L.V.
• Shah, D.K.
• Harris, H.R.
• Kvaskoff, M.
• Zondervan, K.
• Missmer, S.A.

Titel

Risk for and consequences of endometriosis: A critical epidemiologic review

Ist Teil von

• Best practice & research. Clinical obstetrics & gynaecology, 2018-08, Vol.51, p.1-15

Ort / Verlag

Netherlands: Elsevier Ltd

Erscheinungsjahr

2018

Quelle

MEDLINE

Beschreibungen/Notizen

• Endometriosis affects approximately 10% of women of reproductive age. Characteristics robustly associated with a greater risk for endometriosis include early age at menarche, short menstrual cycle length, and lean body size, whereas greater parity has been associated with a lower risk. Relationships with other potential characteristics including physical activity, dietary factors, and lactation have been less consistent, partially because of the need for rigorous data collection and a longitudinal study design. Critical methodologic complexities include the need for a clear case definition; valid selection of comparison/control groups; and consideration of diagnostic bias and reverse causation when exploring demographic characteristics, medical history, and lifestyle factors. Reviewers and editors must demand a detailed description of rigorous methods to facilitate comparison and replication to advance our understanding of endometriosis. •Endometriosis afflicts approximately 5–10% of women of reproductive age.•Prevalence may be underestimated because of diagnostic difficulty.•Reproductive and anthropometric factors are associated with endometriosis risk.•Factors affecting access to a diagnosis may be erroneously reported as risk factors.•Women with endometriosis may have a greater risk for specific chronic diseases later in life.