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Journal article

Development of a visual, patient-reported tool for assessing the multi-dimensional burden of endometriosis

Abstract:
OBJECTIVE:
Inadequate communication about endometriosis symptom burden between women and healthcare providers is a barrier for optimal treatment. This study describes the development of the EndoWheel, a patient-reported assessment tool that visualizes the multi-dimensional burden of endometriosis to facilitate patient-provider communication.
METHODS:
Assessment questions for the tool were developed using an iterative Delphi consensus process. A consensus phase included additional practitioners and specialists to broaden perspectives and select revised statements. Semi-structured qualitative interviews were conducted with 13 women with endometriosis to assess the scoring and content of the measures.
RESULTS:
Symptoms included in the tool were pelvic pain, vaginal bleeding, bowel/bladder symptoms, energy levels, fertility, impact on activities, emotional and sexual well-being, and self-perceived global health. Additional life impact areas included relationships, social and occupational activity, and self-perception. The 13 interviewees completed the tool in approximately 5-6 minutes (range 4.0-7.5 minutes). Most participants (92%) perceived that the tool would enable better patient-provider communication, including addressing symptoms and areas of impact not normally discussed during office visits.
CONCLUSION:
Similar to visual circular tools used in burden assessment of other chronic diseases, the tool may facilitate improved patient dialogue with providers around endometriosis treatment goals and options.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1080/03007995.2021.1929896

Authors

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Role:
Author
ORCID:
0000-0002-7166-1979
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Institution:
University of Oxford
Division:
MSD
Department:
Women's & Reproductive Health
Role:
Author


Publisher:
Taylor and Francis
Journal:
Current Medical Research and Opinion More from this journal
Volume:
37
Issue:
8
Pages:
1443-1449
Publication date:
2021-06-04
Acceptance date:
2021-04-30
DOI:
EISSN:
1473-4877
ISSN:
0300-7995


Language:
English
Keywords:
Pubs id:
1179504
Local pid:
pubs:1179504
Deposit date:
2021-06-03
ARK identifier:

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