The revised American Fertility Society classification of endometriosis: reproducibility of scoring. ZOLADEX Endometriosis Study Group.
OBJECTIVE
To assess the reproducibility in staging endometriosis using the revised American Fertility Society (AFS) classification of endometriosis.


METHODS
Visual documentation of laparoscopies of 315 women with endometriosis was scored by the investigators and a blinded reviewer.


METHODS
Patients from private practice institutional setting.


METHODS
Patients who participated in a multicenter trial to study the efficacy and safety of a GnRH agonist (GnRH-a).


METHODS
Laparascopic visual documentation of the extent of endometriosis before and after 6 months of GnRH-a therapy.


METHODS
The reproducibility of the AFS classification system comparing scoring during laparoscopy and by a blinded reviewer.


RESULTS
Good to fair agreement scoring endometriosis between the investigator and the blinded reviewer was noted.


CONCLUSIONS
Visual documentation may be used to determine the stage of endometriosis using the revised AFS classification guidelines.
Rock
J A
JA
Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia 30322, USA.
D004715:Endometriosis / Q000145:classification*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D015588:Observer Variation; D015203:Reproducibility of Results; D012955:Societies, Medical