Risk for and consequences of endometriosis: A critical epidemiologic review

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

Research output: Contribution to journalReview article

15 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1-15
Number of pages15
JournalBest Practice and Research: Clinical Obstetrics and Gynaecology
Volume51
DOIs
StatePublished - Aug 2018
Externally publishedYes

Fingerprint

Endometriosis
Menarche
Body Size
Menstrual Cycle
Parity
Lactation
Causality
Longitudinal Studies
Life Style
Demography
Exercise
Control Groups

Keywords

  • Comorbidities
  • Endometriosis
  • Epidemiology
  • Incidence
  • Risk factors
  • Study design

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Risk for and consequences of endometriosis : A critical epidemiologic review. / Shafrir, A. L.; Farland, L. V.; Shah, D. K.; Harris, H. R.; Kvaskoff, M.; Zondervan, K.; Missmer, S. A.

In: Best Practice and Research: Clinical Obstetrics and Gynaecology, Vol. 51, 08.2018, p. 1-15.

Research output: Contribution to journalReview article

Shafrir, A. L. ; Farland, L. V. ; Shah, D. K. ; Harris, H. R. ; Kvaskoff, M. ; Zondervan, K. ; Missmer, S. A. / Risk for and consequences of endometriosis : A critical epidemiologic review. In: Best Practice and Research: Clinical Obstetrics and Gynaecology. 2018 ; Vol. 51. pp. 1-15.
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