Table 3 Predictive models for endometriosis postoperative recurrence published in the literature

From: Rethinking endometriosis recurrence: from clinical challenge to biological opportunity

Recurrence predictive model

Sample size (R/NR)

Recurrence assessmenta

Follow-upb (months)

Parameters included in the model

Sens. (%)

Spec. (%)

AUC

Accur. (%)

Based on patient characteristics

Holdsworth-Carson et al.58

503 (221/282)

Laparoscopy (with self-reported previous laparoscopy)

NA

Age

ER attendance

Adhesions

Eczema

Pararectal space lesion

NA

NA

0.668

NA

Holdsworth-Carson et al.58

382 (94/288)

Laparoscopy

NA

Adenomyosis

Diastolic blood pressure

Uterine fibroids

Adhesions

Age of menarche

NA

NA

0.617

NA

Huang et al.67

289 (49/240)

Symptomatic

Pelvic exam

CA125 > 35 U/mL

TVUS

12

rASRM score

57.1

94.2

0.79

87.9

Su and Xie50

212 (36/176)

Symptomatic, supported by pelvic exam or ultrasonography or CA125 increase

24

Age

Bilateral cysts

rASRM staging

TNFα serum levels

Postop. medication

89.4

83.7

0.895

NA

Li et al.68

164 (46/118)

TVUS

Pelvic exam

12

History of abortion

Abnormal uterine bleeding

rASRM staging

Posterior fornix tenderness

71

76

0.802

73

Incorporating proteomic biomarkers

Shen et al.106

109 (53/56)

TVUS or Laparoscopy

32

PRB levels (IHC)

NFκB-p65 levels (IHC)

80

82

NA

NA

Shen et al.107

88 (43/45)

TVUS or Laparoscopy

32

SLIT levels (IHC)

Presence of adhesions

PRB levels (IHC)

NFκB-p65 levels (IHC)

86

87

NA

NA

Yuan et al.105

109 (53/56)

Ultrasonography or Laparoscopy

32

COX2 levels (IHC)

Previous medication

Presence of adhesion

72.5

72.4

NA

NA

  1. R recurrent; NR non-recurrent; Sens. sensitivity; Spec. specificity; AUC area under the curve; Accur. accuracy; TVUS transvaginal ultrasonography; IHC immunohistochemistry; ER emergency room; rASRM revised American Society for Reproductive Medicine, NA not reported.
  2. aSymptomatic refers to the return of pelvic pain to the same or higher intensity levels as before surgery, after an initial postoperative relief.
  3. bFollow-up refers to the minimum time of observation required before patients were classified in recurrent and non-recurrent.