| Study | Reason for Exclusion |
|---|---|
| Classification of endometriosis, Fertility and sterility, 32, 633, 1979 | Narrative review |
| Acosta, A. A., Buttram, V. C., Jr., Besch, P. K., Malinak, L. R., Franklin, R. R., Vanderheyden, J. D., A proposed classification of pelvic endometriosis, Obstetrics & Gynecology, 42, 19–25, 1973 | A classification system has been proposed but its effectiveness has not been evaluated |
| Anonymous, Classification of endometriosis. The American Fertility Society, Fertility & Sterility, 32, 633–4, 1979 | Letter |
| Bardis, N., Pistofidis, G. A., Chatzirafail, V., Balinakos, P., Filippidis, M., Enzian Scoring System (ESS) for the assessment of pelvic pain in women with deep comparison between the American Fertility Society (AFS) scoring system versus the infiltrating endometriosis, Gynecological Surgery, 6, S160, 2009 | Surgical outcomes not evaluated |
| Bassil Lasmar, R., Simoes Abraao, M., Lasmar, R. B., Leon Dewilde, R., Simplified approach to the treatment of endometriosis - ECO system, Minerva Ginecologica, 64, 331–335, 2012 | It has focused on development of a classification system while the effectiveness of the system has not been evaluated |
| Bauer, E., Widschwendter, P., Stuck, D., Gundelach, T., Wulff, C., Janni, W., Hancke, K., Endometriosis Health Profile scores and their association with surgical diagnosis in premenopausal women, Journal of Endometriosis, 5, S31-S32, 2013 | The effectiveness of using staging systems to guide treatment has not been assessed |
| Beecham, C. T., Classification of endometriosis, Obstetrics & Gynecology, 28, 437, 1966 | Editorial/letter |
| Borase, H., Hillman-Cooper, C., Khan, A., Reddy, K., Endometriosis infertility index (EFI) - A retrospective analysis of the use of this new tool in the management of infertile women with endometriosis, Human Fertility, 14, 23–24, 2011 | The clinical and cost-effectiveness of using staging system has not been evaluated. |
| Boujenah, J., Bonneau, C., Hugues, J. N., Sifer, C., Poncelet, C., External validation of the Endometriosis Fertility Index in a French population, Fertility & Sterility, 104, 119–123.e1, 2015 | The effectiveness of using staging system to guide the treatment has not been addressed |
| Boujenah, J., Hugues, J. N., Sifer, C., Bricou, A., Cedrin-Durnerin, I., Sonigo, C., Monforte, M., Poncelet, C., Endometriosis Fertility Index, or classification of the American Society of Reproductive Medicine for postoperative endometriosis patients with infertility: Which is more relevant?, Gynecologie Obstetrique Fertilite, 43, 806–809, 2015 | Foreign Language Paper. It is unclear from the abstract whether this paper reports on a primary study. |
| Buttram Jr, V. C., Classification of endometriosis, Contributions to Gynecology and Obstetrics, 16, 73–83, 1987 | Narrative review |
| Candiani, G. B., Vercellini, P., Fedele, L., Clinical staging and therapeutic choices in endometriosis, New Trends in Gynaecology and Obstetrics, 2, 379–386, 1986 | Narrative review |
| Chapron, C., Fauconnier, A., Dubuisson, J.B., Barakat, H., Vieira, M., Breart, G., Deep infiltrating endometriosis: relation between severity of dysmenorrhoea and extent of disease, Human Reproduction, 18, 760–766, 2003 | There is no comparison group and the effectiveness of using staging system has not been assessed |
| Choi, B. R., Jeon, Y. E., Kim, H. Y., Seo, S. K., Choi, Y. S., Cho, S., Lee, B. S., Prognostic value of the revised American fertility society classification system and preoperative serum CA-125 level for the first recurrence of advanced endometriosis after conservative laparoscopy, Fertility and sterility, 1), S220, 2012 | Clinical effectiveness of the staging systems to guide treatment decisions was not assessed |
| Chopin, N., Vieira, M., Borghese, B., Foulot, H., Dousset, B., Coste, J., Mignon, A., Fauconnier, A., Chapron, C., Operative management of deeply infiltrating endometriosis: results on pelvic pain symptoms according to a surgical classification, Journal of Minimally Invasive Gynecology, 12, 106–12, 2005 | Clinical effectiveness of the staging systems has not been assessed |
| Coccia, M. E., Rizzello, F., Palagiano, A., Scarselli, G., Long-term follow-up after laparoscopic treatment for endometriosis: multivariate analysis of predictive factors for recurrence of endometriotic lesions and pain, European Journal of Obstetrics, Gynecology, & Reproductive Biology, 157, 78–83, 2011 | The intervention has not used staging system. There is no comparison group and no outcome of interest. |
| Di Paola, V., Manfredi, R., Castelli, F., Negrelli, R., Mehrabi, S., Pozzi Mucelli, R., Detection and localization of deep endometriosis by means of MRI and correlation with the ENZIAN score, European Journal of Radiology, 84, 568–74, 2015 | The clinical and cost-effectiveness of using staging systems has not been evaluated |
| Dmowski, W. P., Visual assessment of peritoneal implants for staging endometriosis: do number and cumulative size of lesions reflect the severity of a systemic disease?, Fertility & Sterility, 47, 382–4, 1987 | Narrative review |
| Elsheikh, A., Milingos, S., Loutradis, D., Kallipolitis, G., Michalas, S., Endometriosis and reproductive disorders, Annals of the New York Academy of Sciences, 997, 247–54, 2003 | It is focused on the relationship between severity of endometriosis and pregnancy rate after surgery. It has not used the staging system to guide treatment. |
| Emilio, P., Control of pelvic pain and quality of life following treatment of symptomatic endometriosis, Journal of Psychosomatic Obstetrics and Gynecology, 31, 21, 2010 | Not looking at staging systems to guide treatment decisions |
| Fasciani, A., Repetti, F., Binda, G. A., Puntoni, M., Meroni, M. G., Bocci, G., Endometriosis Index: A software-derived score to predict the presence and severity of the disease, Journal of Endometriosis, 2, 79–86, 2010 | Data on surgical outcomes not provided. |
| Fedele, L., Parazzini, F., Bianchi, S., Arcaini, L., Candiani, G. B., Stage and localization of pelvic endometriosis and pain, Fertility & Sterility, 53, 155–8, 1990 | Clinical effectiveness of the staging systems has not been assessed |
| Gillett, W. R., Lamont, J. M., Peek, J. C., Herbison, G. P., Effect of severity of endometriosis on prioritisation for infertility treatment in New Zealand, Human Reproduction, 28, i245-i246, 2013 | The study has addressed the severity of endometriosis and pregnancy rate. It has not evaluated the effectiveness of classification systems. |
| Guzick, D. S., Bross, D. S., Rock, J. A., Assessing the efficacy of The American Fertility Society’s classification of endometriosis: application of a dose-response methodology, Fertility & Sterility, 38, 171–6, 1982 | The effectiveness of using staging systems has not been assessed |
| Haas, D., Chvatal, R., Habelsberger, A., Wurm, P., Schimetta, W., Oppelt, P., Comparison of revised American Fertility Society and ENZIAN staging: a critical evaluation of classifications of endometriosis on the basis of our patient population, Fertility & Sterility, 95, 1574–8, 2011 | The effectiveness of the staging systems has not been addressed |
| Haas, D., Chvatal, R., Wurm, P., Habelsberger, A., Oppelt, P., Endometriosis between AFS and ENZIAN: A critical assessment of classification systems for endometriosis staging in an own patient group, Archives of gynecology and obstetrics, 282, S175, 2010 | The effectiveness of using staging systems to guide treatment has not been assessed |
| Haas, D., Oppelt, P., Shebl, O., Shamiyeh, A., Schimetta, W., Mayer, R., Enzian classification: does it correlate with clinical symptoms and the rASRM score?, Acta Obstetricia et Gynecologica Scandinavica, 92, 562–6, 2013 | There is no comparison group. The intervention has not used staging system to guide treatment |
| Haas, D., Oppelt, P., Shebl, O., Shamiyeha, A., Schimetta, W., Mayer, R., Enzian classification: Does it correlate with clinical symptoms and the rASRM score?, Journal of Endometriosis, 5, S39, 2013 | The effectiveness of using staging systems to guide treatment has not been assessed |
| Haas, D., Wurm, P., Shamiyeh, A., Shebl, O., Chvatal, R., Oppelt, P., Efficacy of the revised Enzian classification: a retrospective analysis. Does the revised Enzian classification solve the problem of duplicate classification in rASRM and Enzian?, Archives of Gynecology & Obstetrics, 287, 941–5, 2013 | The effectiveness of using staging system to guide treatment has not been assessed |
| Hackethal, A., Luck, C., Konrad, L., Muenstedt, K., Tinneberg, H. R., Oehmke, F., Deep infiltrating endometriosis is frequent in all stages of endometriosis and the depth of infiltration influences surgical parameters proportionally, Journal of Endometriosis, 2, 205–212, 2010 | No information about outcomes after surgery. |
| Hancke, K., Friedl, T., Widschwendter, P., Stuck, D., Gundelach, T., Janni, W., Bauer, E., Endometriosis health profile (EHP-30) scores and their association with surgical diagnosis in premenopausal women, Human Reproduction, 29, i208-i209, 2014 | Not using staging systems to guide treatment decisions |
| Hassa, H., What is the problem with the current classification system and how can we improve it?, Journal of Endometriosis, 4 (3), 131–132, 2012 | Literature review of different staging systems |
| Hoshiai, H., Ishikawa, M., Sawatari, Y., Noda, K., Fukaya, T., Laparoscopic evaluation of the onset and progression of endometriosis, American Journal of Obstetrics and Gynecology, 169, 714–719, 1993 | The effectiveness of the staging systems has not been assessed |
| Jayakrishnan, N., Predicting the reproductive outcome in endometriosis-a comparison between EFI and AFS scores, Human Reproduction, 30, i54, 2015 | Study does not use staging systems to guide treatment decisions |
| Kistner, R. W., Siegler, A. M., Behrman, S. J., Suggested classification for endometriosis: relationship to infertility, Fertility & Sterility, 28, 1008–10, 1977 | Narrative review |
| Li, X., Tang, H., The value of endometriosis fertility index in predicting the pregnancy outcome after laparoscopy for minimal or mild endometriosis associated infertility, International Journal of Gynecology and Obstetrics, 131, E293, 2015 | Correlation of stages within a single classification to an outcome. Not used to guide treatment decisions |
| Malinak, L. R., Infertility and endometriosis operative technique, clinical staging, and prognosis, Clinical Obstetrics & Gynecology, 23, 925–35, 1980 | The effectiveness of using staging systems has not been assessed |
| Momoeda, M., Taketani, Y., Terakawa, N., Hoshiai, H., Tanaka, K., Tsutsumi, O., Osuga, Y., Maruyama, M., Harada, T., Obata, K., Hayashi, K., Is endometriosis really associated with pain?, Gynecologic & Obstetric Investigation, 54 Suppl 1, 18–21; discussion 21–3, 2002 | The effectiveness of using staging systems has not been addressed |
| Muse, K., Clinical manifestations and classification of endometriosis, Clinical Obstetrics & Gynecology, 31, 813–22, 1988 | It is a narrative review article explaining the clinical presentations of endometriosis and classification system |
| Nezhat, C., Nezhat, F., Nezhat, C., Seidman, D. S., Classification of endometriosis. Improving the classification of endometriotic ovarian cysts, Human Reproduction, 9, 2212–3, 1994 | It is a debate about classification of endometriosis not a study evaluating the effectiveness of using staging systems |
| Palmisano, G. P., Adamson, G. D., Lamb, E. J., Can staging systems for endometriosis based on anatomic location and lesion type predict pregnancy rates?, International Journal of Fertility & Menopausal Studies, 38, 241–9, 1993 | The effectiveness of using endometriosis to guide the treatment has not been evaluated |
| Pistofidis, G. A., Bardis, N. S., Koukoura, O. G., Balinakos, P. M., Filippidis, M. S., Comparison of the Enzian Scoring system with the American Fertility Society scoring system for the assessment of pelvic pain in women with deep infiltrating endometriosis, Journal of Minimally Invasive Gynecology, 1), S27, 2010 | Pelvic pain and severity of the disease according to the scoring systems have been evaluated. Effectiveness of the staging systems to guide the treatment has not been assessed. |
| Pop-Trajkovic, S., Popovic, J., Antic, V., Radovic, D., Stefanovic, M., Vukomanovic, P., Stages of endometriosis: does it affect in vitro fertilization outcome.[Erratum appears in Taiwan J Obstet Gynecol. 2015 Dec;54(6):806 Note: Stavanovic, Milan [Corrected to Stefanovic, Milan]], Taiwanese Journal of Obstetrics & Gynecology, 53, 224–6, 2014 | Does not compare staging classification systems. Only looks at treatment outcomes for one system. |
| Porpora, M.G., Koninckx, P.R., Piazze, J., Natili, M., Colagrande, S., Cosmi, E.V., Correlation between endometriosis and pelvic pain, Journal of the American Association of Gynecologic Laparoscopists, 6, 429–434, 1999 | The effectiveness of the staging systems has not been assessed |
| Renner, S., Rix, S., Lermann, J., Thiel, F., Oppelt, P., Beckmann, M. W., Fasching, P., Pain as risk factor for recurrence in patients with endometriosis, Gynecological Surgery, 8, S38, 2011 | It has addressed pain as a risk factor for recurrence. The effectiveness of the staging systems has not been assessed. |
| Sun, A., Han, M., A proposed clinical classification of pelvic endometriosis, Proceedings of the Chinese Academy of Medical Sciences & the Peking Union Medical College, 5, 163–7, 1990 | The effectiveness of using staging system has not been assessed |
| Szendei, G., Hernadi, Z., Devenyi, N., Csapo, Z., Is there any correlation between stages of endometriosis and severity of chronic pelvic pain? Possibilities of treatment, Gynecological Endocrinology, 21, 93–100, 2005 | The relationship between pain and the severity of endometriosis has been assessed. The effectiveness of using staging system has not been addressed. |
| Tomassetti, C., Geysenbergh, B., Meuleman, C., Fieuws, S., D’Hooghe, T., External validation of the EFI (Endometriosis Fertility Index) staging system for predicting non-ART pregnancy after endometriosis surgery, Human Reproduction, 27, 2012 | The effectiveness of using staging system has not been assessed |
| Vercellini, P., Fedele, L., Aimi, G., De Giorgi, O., Consonni, D., Crosignani, P. G., Reproductive performance, pain recurrence and disease relapse after conservative surgical treatment for endometriosis: the predictive value of the current classification system, Human Reproduction, 21, 2679–85, 2006 | The research question is focused on association of the classification system and clinical outcomes after the surgery not the effectiveness of using staging systems |
| Vercellini, P., Fedele, L., Aimi, G., Pietropaolo, G., Consonni, D., Crosignani, P. G., Association between endometriosis stage, lesion type, patient characteristics and severity of pelvic pain symptoms: a multivariate analysis of over 1000 patients, Human Reproduction, 22, 266–71, 2007 | The effectiveness of using staging system has not been assessed |
| Vercellini, P., Trespidi, L., De Giorgi, O., Cortesi, I., Parazzini, F., Crosignani, P. G., Endometriosis and pelvic pain: relation to disease stage and localization, Fertility & Sterility, 65, 299–304, 1996 | It has focused on relation between stages of endometriosis and Pelvic pain not using staging system to guide the treatment |
| Wang, W., Li, R., Fang, T., Huang, L., Ouyang, N., Wang, L., Zhang, Q., Yang, D., Endometriosis fertility index score maybe more accurate for predicting the outcomes of in vitro fertilisation than r-AFS classification in women with endometriosis, Reproductive Biology & Endocrinology, 11, 112, 2013 | The effectiveness of staging system has not been evaluated. The study has addressed the predictive value of the staging system in IVF outcome after surgery. |
| Yun, B. H., Jeon, Y. E., Chon, S. J., Park, J. H., Seo, S. K., Cho, S., Choi, Y. S., Lee, J. S., Lee, B. S., The prognostic value of individual adhesion scores from the revised American fertility society classification system for recurrent endometriosis, Yonsei medical journal, 56, 1079–1086, 2015 | The study has not evaluated the effectiveness of using staging systems |
| Zeng, C., Xu, J. N., Zhou, Y., Zhou, Y. F., Zhu, S. N., Xue, Q., Reproductive performance after surgery for endometriosis: predictive value of the revised American Fertility Society classification and the endometriosis fertility index, Gynecologic & Obstetric Investigation, 77, 180–5, 2014 | It has addressed the predictive value of staging system for pregnancy rate. The effectiveness of using staging systems has not been evaluated. |
| Zhang, X., Liu, C., Fu, J., Feng, X., Huang, W., Li, X., Predictive value of endometriosis fertility index (EFI) for natural pregnancy rate after laparoscopy treatment in Chinese women with endometriosis associated infertility, International Journal of Gynecology and Obstetrics, 131, E229, 2015 | The effectiveness of using staging systems to guide the treatment has not been assessed |
From: Appendix H, Excluded studies
NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.