AGES XXIII Annual Scientific Meeting 2013 Abstracts & Program
AGES XXIII Annual Scientific Meeting 2013 Abstracts & Program
AGES XXIII Annual Scientific Meeting 2013 Abstracts & Program
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<strong>AGES</strong> <strong>XXIII</strong> <strong>Annual</strong> <strong>Scientific</strong> <strong>Meeting</strong> <strong>2013</strong><br />
<strong>Program</strong> <strong>Abstracts</strong> - Thursday 7 March<br />
Society employed a consensus process and the consensus<br />
group is in the process of finalising a consensus statement on<br />
all aspects of management of endometriosis.<br />
RESULTS: It is remarkable how little complete consensus<br />
can be attained when ‘experts’ get together! From 69 World<br />
Endometriosis Society consensus statements, none of<br />
the statements made achieved 100% agreement without<br />
expression of a caveat about either the statement or the<br />
strength of the statement; only seven of our 65 consensus<br />
statements were associated with a 0% disagreement rate<br />
from the survey respondents. Many statements from both<br />
consensus processes were based on weak evidence or no<br />
research evidence (however such statements could still<br />
be associated with a strong consensus). Some key issues,<br />
where research evidence to inform practice remains sparse,<br />
are: management of adolescents who have, or might have,<br />
endometriosis as well as intervention strategies in the<br />
younger age group designed to prevent endometriosis;<br />
lifestyle and dietary interventions; standardization of long<br />
term strategies for prevention of recurrent endometriosis;<br />
clarification of management strategies, both surgical and<br />
medical, for women with deep infiltrating endometriosis;<br />
development of standards of experience and expertise<br />
required for surgeons undertaking advanced laparoscopic<br />
endometriosis surgery; standardization of centers/networks<br />
of expertise with regard to definition, accreditation and<br />
longevity; development of models of care in low resource<br />
settings. Nonetheless, a summary will be presented to ‘bring<br />
it all together’.<br />
CONCLUSION: Consensus processes, as well as being<br />
enjoyable and educational for those involved, hopefully allow<br />
sensible statements that can be used in a variety of settings to<br />
guide clinical practice.<br />
REFERENCE:<br />
1. Koch J, Rowan K, Rombauts L, Yazdani A, Chapman M,<br />
Johnson N. Endometriosis and infertility - a consensus<br />
statement from ACCEPT (Australasian CREI Consensus<br />
Expert Panel on Trial evidence). Aust N Z J Obstet<br />
Gynaecol 2012; 52:513-22.<br />
AUTHOR AFFILIATION: Dr Neil Johnson; University of<br />
Auckland and Repromed Auckland, New Zealand.<br />
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