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      World Endometriosis Research Foundation Endometriosis Phenome and biobanking harmonization project: II. Clinical and covariate phenotype data collection in endometriosis research

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          Abstract

          Objective

          To harmonize the collection of nonsurgical clinical and epidemiologic data relevant to endometriosis research, allowing large-scale collaboration.

          Design

          An international collaboration involving 34 clinical/academic centers and three industry collaborators from 16 countries on five continents.

          Setting

          In 2013, two workshops followed by global consultation, bringing together 54 leaders in endometriosis research.

          Patients

          None.

          Intervention(s)

          Development of a self-administered endometriosis patient questionnaire (EPQ), based on [1] systematic comparison of questionnaires from eight centers that collect data from endometriosis cases (and controls/comparison women) on a medium to large scale (publication on >100 cases); [2] literature evidence; and [3] several global consultation rounds.

          Main Outcome Measure(s)

          Standard recommended and minimum required questionnaires to capture detailed clinical and covariate data.

          Result(s)

          The standard recommended (EPHect EPQ-S) and minimum required (EPHect EPQ-M) questionnaires contain questions on pelvic pain, subfertility and menstrual/reproductive history, hormone/medication use, medical history, and personal information.

          Conclusion(s)

          The EPQ captures the basic set of patient characteristics and exposures considered by the WERF EPHect Working Group to be most critical for the advancement of endometriosis research, but is also relevant to other female conditions with similar risk factors and/or symptomatology. The instruments will be reviewed based on feedback from investigators, and–after a first review after 1 year–triannually through systematic follow-up surveys. Updated versions will be made available through http://endometriosisfoundation.org/ephect.

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          Most cited references60

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          Theoretical perspectives on the relation between catastrophizing and pain.

          The tendency to "catastrophize" during painful stimulation contributes to more intense pain experience and increased emotional distress. Catastrophizing has been broadly conceived as an exaggerated negative "mental set" brought to bear during painful experiences. Although findings have been consistent in showing a relation between catastrophizing and pain, research in this area has proceeded in the relative absence of a guiding theoretical framework. This article reviews the literature on the relation between catastrophizing and pain and examines the relative strengths and limitations of different theoretical models that could be advanced to account for the pattern of available findings. The article evaluates the explanatory power of a schema activation model, an appraisal model, an attention model, and a communal coping model of pain perception. It is suggested that catastrophizing might best be viewed from the perspective of hierarchical levels of analysis, where social factors and social goals may play a role in the development and maintenance of catastrophizing, whereas appraisal-related processes may point to the mechanisms that link catastrophizing to pain experience. Directions for future research are suggested.
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            Is Open Access

            Impact of endometriosis on quality of life and work productivity: a multicenter study across ten countries.

            To assess the impact of endometriosis on health-related quality of life (HRQoL) and work productivity. Multicenter cross-sectional study with prospective recruitment. Sixteen clinical centers in ten countries. 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. None. Diagnostic delay, HRQoL, and work productivity. 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. 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. All rights reserved.
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              Pain catastrophizing: a critical review.

              Pain catastrophizing is conceptualized as a negative cognitive-affective response to anticipated or actual pain and has been associated with a number of important pain-related outcomes. In the present review, we first focus our efforts on the conceptualization of pain catastrophizing, highlighting its conceptual history and potential problem areas. We then focus our discussion on a number of theoretical mechanisms of action: appraisal theory, attention bias/information processing, communal coping, CNS pain processing mechanisms, psychophysiological pathways and neural pathways. We then offer evidence to suggest that pain catastrophizing represents an important process factor in pain treatment. We conclude by offering what we believe represents an integrated heuristic model for use by researchers over the next 5 years; a model we believe will advance the field most expediently.
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                Author and article information

                Journal
                0372772
                3705
                Fertil Steril
                Fertil. Steril.
                Fertility and sterility
                0015-0282
                1556-5653
                7 November 2014
                22 September 2014
                November 2014
                01 November 2015
                : 102
                : 5
                : 1223-1232
                Affiliations
                [a ]Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts
                [b ]Boston Center for Endometriosis, Boston Children’s Hospital and Brigham and Women’s Hospital, Boston, Massachusetts
                [c ]Nuffield Department of Obstetrics and Gynaecology, University of Oxford, Oxford, United Kingdom
                [d ]Wellcome Trust Centre for Human Genetics, University of Oxford, Oxford, United Kingdom
                [e ]Organ Systems, Department of Development and Regeneration, Katholieke Universiteit Leuven, Leuven, Belgium
                [f ]Department of Obstetrics and Gynecology, Leuven University Fertility Center, University Hospital Leuven, Leuven, Belgium
                [g ]Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland
                [h ]World Endometriosis Research Foundation (WERF), London, United Kingdom
                [i ]University of California-San Francisco, San Francisco, California
                [j ]Program in Reproductive and Adult Endocrinology, Intramural Program, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland
                [k ]Palo Alto Medical Foundation Fertility Physicians of Northern California, Palo Alto, California
                [l ]Endometriosis CaRe Centre Oxford, University of Oxford, Oxford, United Kingdom
                [m ]Channing Division of Network Medicine, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts
                [n ]Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts
                Author notes
                Reprint requests: Stacey A. Missmer, Sc.D., ObGyn Epidemiology Center, Brigham and Women’s Hospital, 221 Longwood Avenue, Boston, Massachusetts 02115 ( stacey.missmer@ 123456channing.harvard.edu )
                Article
                NIHMS631575
                10.1016/j.fertnstert.2014.07.1244
                4252538
                25256930
                dba032df-39cb-4a8f-8a8f-3271d7d42871
                Copyright ©2014 The Authors. Published by Elsevier Inc. on behalf of the American Society for Reproductive Medicine.

                This is an open access article under the CC BY-NC-ND license ( http://creativecommons.org/licenses/by-nc-nd/3.0/).

                History
                Categories
                Article

                Obstetrics & Gynecology
                endometriosis,ephect epq,pelvic pain,questionnaire,standardization,symptoms
                Obstetrics & Gynecology
                endometriosis, ephect epq, pelvic pain, questionnaire, standardization, symptoms

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