The DOI matches its Crossref record; 53 of the 57 references it cites were found in a registry or an index; none of the 59 sources its claims cite is checked for support yet.
Patients’ report on how endometriosis affects health, work, and daily life
Open accessAbstract
NARRATIVE ABSTRACT The objective of this study was to assess the burden of endometriosis by obtaining Patient Reported Outcome (PRO) data describing the experience of living with this disease. Survey data from one hundred and seven women with self-reported, surgically diagnosed endometriosis showed that living with this disease may be characterized by physical limitations that disrupt health, work and daily life.
Overview
Integrity signals
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Claims the paper makes
32 Own result · 17 Not checked yet · 8 Own method · 5 Own interpretation · 1 No basis given
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Survey data from one hundred and seven women with self-reported, surgically diagnosed endometriosis showed that living with this disease may be characterized by physical limitations that disrupt health, work and daily life.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
hedgedcorrelationaln = 107- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The mean delay in diagnosis in these subjects was 8.9 years (SD±7.9).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Symptoms started during adolescence (11-19 y/o) for the majority of these patients.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Also of note, the majority of responders were well-educated women.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
In the paper
“These absenteeism rates are higher than those reported for other pain conditions such as headaches, arthritis and back pain (39).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
What the sources say
- Not checked yetcites [39] Stewart, 2003, Lost productive time and cost due to common pain conditions in the US workforce, JAMA source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The majority of patients in this study (n=87/103, 85%) perceived that there was a noticeable decrease in the quality of their work”
- Also stated in: § Abstract · plain
“The majority of patients reported a noticeable decrease in the quality of their work due to endometriosis-related and/or coexisting symptoms (n=87/103, 84%)”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plainn = 87- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
- Also stated in: § Abstract · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“almost 20% (n=19/101) reported being unable to work due to pain.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plaindirectn = 19- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“However, only 48% (n=33/68) sought infertility treatments, including super-ovulation (37%), artificial insemination (13%), surgery (3%), or a combination thereof (22%).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plainn = 33- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
In the paper
“Notably, 69% (n=68/101) of the patients reported that they continue working despite feeling pain, a phenomenon that has been termed “presenteeism” (40).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
What the sources say
- Not checked yetcites [40] Hansen, 2008, Going ill to work—what personal circumstances, attitudes and work-related factors are associated with sickness presenteeism?, Soc Sci Med source
plainn = 68- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Of those women who had children, 45% (n=15/33) reported that childcare-related activities were affected.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plainn = 15- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
None of the sources cited for this claim have been checked yet.
In the paper
“This rate of family history is higher than what has been reported in other published studies of patients from Puerto Rico (20%) (31), Brazil (8.9%) (32), Japan (8.8%) (33), and the US (8.1%) (34).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
What the sources say
- Not checked yetcites [31] Flores, 2008, Self-reported prevalence of endometriosis and its symptoms among Puerto Rican women, Int J Gynaecol Obstet source
- Not checked yetcites [32] dos Reis, 1999, Familial risk among patients with endometriosis, J Assist Reprod Genet source
- Not checked yetcites [33] Kashima, 2004, Familial risk among Japanese patients with endometriosis, Int J Gynaecol Obstet source
plainn = 43- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Yearly, patients missed work an average of 19.3 days (SD±19.3) because of treatments, surgeries, and recovery.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Forty % of patients (n=36/91) perceived that as a direct consequence of this disease their career growth has been negatively affected due to high rates of absenteeism and/or low performance (n=15), not being promoted (n=8), not receiving merit/excellence bonuses (n=3), missing professional seminars (n=2), and loss of clients (n=1).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plaindirectn = 36- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Of those reporting problems conceiving, 65% (n=44/68) did conceive.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plainn = 68- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The most common treatments for endometriosis reported were GnRH agonists (n=62, 57.9%) and oral contraceptives (OC) (n=43, 40.2%).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plainn = 62- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Logistic regression analysis showed that symptoms significantly predict negative impact on daily life activities, work performance, and social life of patients (all p<0.05 or 0.01).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Commonly, study subjects reported that full coverage of endometriosis-related treatments (e.g., GnRH agonists) and procedures (e.g., laparoscopy) was denied since they were wrongly considered as being infertility treatments.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
- Rests on an assumption: In Puerto Rico, health insurance companies generally do not cover contraceptive drugs or infertility-related treatments and procedures.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Disease severity was moderate to severe for approximately 70% (n=74).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plainn = 74- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Those patients who admitted missing workdays (n=64, 60%) reported a mean of 2.8 days per month (SD±3.7), equivalent to 33.6 days per year, due to being “unable to perform physical activities”.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plaindirectn = 64- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Those patients suffering from dyspareunia (OR=39.8, 95%CI: 8.4–188.1) were more likely to report negative effects of disease on their social and sexual lives.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“and 1 in 5 reported being temporarily disabled due to symptoms.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Patients in this study commonly reported that endometriosis-related and co-existing symptoms disrupted all aspects of their daily lives.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Interestingly, 40% (n=43) of the respondents had a self-reported family history of endometriosis.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plainn = 43- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Finally, nausea (OR=6.4, 95%CI: 2.2–18.2) and depression (OR=4.3, 95%CI: 1.5–11.9) were significantly associated with changes in appetite.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
None of the sources cited for this claim have been checked yet.
In the paper
“One important factor in this delay is the fact that, as observed by others and us (Table 1), many patients consulted with five or more physicians before being diagnosed (29,30).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
What the sources say
- Not checked yetcites [29] Ballard, 2006, What's the delay? A qualitative study of women's experiences of reaching a diagnosis of endometriosis, Fertil Steril source
- Not checked yetcites [30] Greene, 2009, Diagnostic experience among 4,334 women reporting surgically diagnosed endometriosis, Fertil Steril source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
None of the sources cited for this claim have been checked yet.
In the paper
“Despite the fact that endometriosis is a common gynecologic disorder that poses a significant economic impact to health care systems around the world, only a few Patient-Reported Outcome (PRO) studies have been conducted to quantify its impact (21-24).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
What the sources say
- Not checked yetcites [21] Gao, 2006, Health-related quality of life burden of women with endometriosis: a literature review, Curr Med Res Opin source
- Not checked yetcites [22] Jones, 2001, Development of an endometriosis quality-of-life instrument: The Endometriosis Health Profile–30, Obstet Gynecol
- Not checked yetcites [23] Jones, 2006, Measuring quality of life in women with endometriosis: tests of data quality, score reliability, response rate and scaling assumptions of the Endometriosis Health Profile Questionnaire, Hum Reprod source
- Not checked yetcites [24] Jones, 2004, Development of the Short Form Endometriosis Health Profile Questionnaire: the EHP-5, Qual Life Res source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
None of the sources cited for this claim have been checked yet.
In the paper
“Qualitative studies have shown that endometriosis symptoms have a substantial impact on the physical, emotional, and social wellbeing of patients, who are affected during the most productive years of their lives (5-12).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
What the sources say
- Not checked yetcites [5] Jones, 2004, The impact of endometriosis quality of life: a qualitative analysis, J Psychosom Obstet Gynecol source
- Not checked yetcites [6] Denny, 2006, Systematic reviews of qualitative evidence: what are the experiences of women with endometriosis?, J Obstet Gynaecol source
- Not checked yetcites [7] Marques, 2004, Quality of life in Brazilian women with endometriosis assessed through a medical outcome questionnaire, J Reprod Med
- Not checked yetcites [8] Cox, 2003, Focus group study of endometriosis: struggle, loss and medical merry-go-round, Int J Nurs Pract source
- Not checked yetcites [9] Lemaire, 2004, More than just menstrual cramps: symptoms and uncertainty among women with endometriosis, J Obstet Gynecol Neonatal Nurs source
- Not checked yetcites [10] Cox, 2003, Learning to take charge: women's experiences of living with endometriosis, Complement Ther Nurs Midwifery source
- Not checked yetcites [11] Huntington, 2005, A life shaped by pain: women and endometriosis, J Clin Nurs source
- Not checked yetcites [12] Denny, 2004, Women's experience of endometriosis, J Adv Nurs source
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
None of the sources cited for this claim have been checked yet.
In the paper
“Recall and reporting errors may have also occurred, especially when trying to remember the details of medical events (when did they occur, what were the costs), such as treatments, procedures, and days lost from work (41-43).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
What the sources say
- Not checked yetcites [41] Boyer, 1995, Discrepancies between patient recall and the medical record. Potential impact on diagnosis and clinical assessment of chronic disease, Arch Intern Med source
- Not checked yetcites [42] Warnecke, 1997, Cognitive aspects of recalling and reporting health-related events: Papanicolaou smears, clinical breast examinations, and mammograms, Am J Epidemiol source
- Not checked yetcites [43] Hook, 1997, Validity of methods for model selection, weighting for model uncertainty, and small sample adjustment in capture-recapture estimation, Am J Epidemiol source
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Despite these limitations, this study gathered important patient-reported outcomes (PRO) data supporting the notion that endometriosis-related and/or co-existing symptoms could negatively affect the general wellbeing and work performance of affected women.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“In addition, incapacitating pain and dyspareunia predict impairments in social and sexual aspects of life.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Lack of disease awareness is also an important issue.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
- It may state two separate claims as one. 22
- Probably not a substantial claim. 15
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“All patients in this study were symptomatic and 72% reported having ≥8 endometriosis-related or coexisting symptoms, being dysmenorrhea, incapacitating pain, and dyspareunia the most common (Table 1).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Three patients reported being “totally incapacitated” and three were dismissed from or quit their jobs due to symptoms.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plaindirectn = 3- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Patients with menstrual pain (OR=22.8, 95%CI: 2.3–226.7), incapacitating pain (OR=35.2, 95%CI: 4.3–274.6), depression (OR=17.2, 95%CI: 2.2–142.9), and abdominal pain (OR=5.2, 95%CI: 2.3–226.7) were more likely to report that their work (both at home and professionally) was affected by endometriosis.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“In our study, 65% of patients had never suspected having endometriosis and had never heard of the disease before surgery.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The majority (71%; n=76) of patients in this study have tried to get pregnant, and 90% of them (n=68/76) reported having problems conceiving.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plainn = 76- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Many felt physical limitations to conducting day-to-day tasks, such as household chores (n=84, 79%), sexual relationships (n=76, 71%), work (n=71, 66%), appetite (n=58, 54%), exercise (n=60, 56%), sleeping (n=58, 54%), and social activities (n=51, 48%).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plainn = 84- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Those who had heard about the condition did so through the media (n =15, 14%) or a friend/family member (n=9, 8%).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plainn = 15- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Seven out of 10 participants were nulliparous.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plainn = 10- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Almost all (96%) of the participants had private medical insurance, which generally covered surgical procedures (n=117/126, 93%), but not medical treatments (n=108/214; 50%).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
- Rests on an assumption: In Puerto Rico, health insurance companies generally do not cover contraceptive drugs or infertility-related treatments and procedures.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Most patients characterized their pain as non-menstrual (NP) and reported that pain interfered with their daily life activities (IP).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Patients reported a total of 248 surgeries (average of 2.3 procedures per patient).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Hysterectomy was reported by 17% (n=18) of respondents (age range: 31-46 y/o).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plainn = 18- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Therefore, menstrual pain, incapacitating pain, abdominal pain and depression were identified as predictors of poor performance at work and home.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
correlational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
None of the sources cited for this claim have been checked yet.
In the paper
“The diagnosis of endometriosis was supported by questions regarding the surgical procedure, surgeon, and rAFS endometriosis stage (25,26).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
What the sources say
- Not checked yetcites [25] Scarselli, 2005, Diagnosis and treatment of endometriosis, Minerva Ginecol
- Not checked yetcites [26] 1985, Revised American Fertility Society classification of endometriosis: 1985, Fertil Steril source
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
None of the sources cited for this claim have been checked yet.
In the paper
“The yearly total (direct plus indirect) cost of endometriosis has been estimated at €30 billion in Europe and $22 billion in the US, and direct costs have increased steadily (13,18-20).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
What the sources say
- Not checked yetcites [13] Gao, 2006, Economic burden of endometriosis, Fertil Steril source
- Not checked yetcites [18] Hummelshoj, 2006, Update on endometriosis, Women's Health source
- Not checked yetcites [19] Simoens, 2007, Endometriosis: cost estimates and methodological perspective, Hum Reprod Update source
- Not checked yetcites [20] Zhao, 1998, The cost of inpatient endometriosis treatment: an analysis based on the Healthcare Cost and Utilization Project Nationwide Inpatient Sample, Am J Manag Care
hedgeddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The study protocol and survey was approved by the Ponce School of Medicine (PSM) Institutional Review Board (IRB).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“This study thus confirms a worrisome trend and worldwide public health problem: patients with endometriosis endure symptoms for years without being diagnosed (8-12, 27-29).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
What the sources say
- Not checked yetcites [8] Cox, 2003, Focus group study of endometriosis: struggle, loss and medical merry-go-round, Int J Nurs Pract source
- Not checked yetcites [9] Lemaire, 2004, More than just menstrual cramps: symptoms and uncertainty among women with endometriosis, J Obstet Gynecol Neonatal Nurs source
- Not checked yetcites [10] Cox, 2003, Learning to take charge: women's experiences of living with endometriosis, Complement Ther Nurs Midwifery source
- Not checked yetcites [11] Huntington, 2005, A life shaped by pain: women and endometriosis, J Clin Nurs source
- Not checked yetcites [12] Denny, 2004, Women's experience of endometriosis, J Adv Nurs source
- Not checked yetcites [27] Hadfield, 1996, Delay in the diagnosis of endometriosis: a survey of women from the USA and the UK, Hum Reprod source
- Not checked yetcites [28] Arruda, 2003, Time elapsed from onset of symptoms to diagnosis of endometriosis in a cohort study of Brazilian women, Hum Reprod source
- Not checked yetcites [29] Ballard, 2006, What's the delay? A qualitative study of women's experiences of reaching a diagnosis of endometriosis, Fertil Steril source
boosted- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“A total of 108 patients answered the survey, for a response rate of 24%.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plainn = 108- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Subjects in this patient registry come from all regions of the island; however, they do not necessarily accurately represent the female population of Puerto Rico.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“These studies concluded that endometriosis impairs health related quality of life (HRQoL), specifically in areas related to physical, psychological, and social function.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
What the sources say
- Not checked yetcites [21] Gao, 2006, Health-related quality of life burden of women with endometriosis: a literature review, Curr Med Res Opin source
- Not checked yetcites [22] Jones, 2001, Development of an endometriosis quality-of-life instrument: The Endometriosis Health Profile–30, Obstet Gynecol
- Not checked yetcites [23] Jones, 2006, Measuring quality of life in women with endometriosis: tests of data quality, score reliability, response rate and scaling assumptions of the Endometriosis Health Profile Questionnaire, Hum Reprod source
- Not checked yetcites [24] Jones, 2004, Development of the Short Form Endometriosis Health Profile Questionnaire: the EHP-5, Qual Life Res source
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Only women reporting having been diagnosed by laparoscopy or laparotomy were included in the analyses.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
None of the sources cited for this claim have been checked yet.
In the paper
“It is estimated that up to 80% of women with dysmenorrhea and up to 40% of infertile women have endometriosis (2,3).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
What the sources say
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“One patient was excluded because she did not report a surgical diagnosis.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plaindirectSingle case- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The patients surveyed represent 15% of the total number of patients in the ERP registry.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plainn = 108- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“There were no differences in demographics (e.g., age, marital status, education) between respondents of the electronic versus the mailed questionnaires.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plainn = 108- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“Endometriosis, the growth of endometrial tissue (glands and stroma) outside of the uterine cavity, causes intractable pelvic pain, dysmenorrhea, dyspareunia, and infertility (1).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
What the sources say
- Not checked yetcites [1] Corson, 1992
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Logistic regression analysis was conducted to determine which endometriosis-related and/or coexisting symptoms were more likely to affect daily life activities and work performance of patients. The following dependent variables were studied, controlling for age as confounding factor: household chores, work, social activities, sexual relationships, studies, childcare, sleeping, exercise, and appet”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
plaincorrelationaln = 108- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
None of the sources cited for this claim have been checked yet.
In the paper
“The high rates of hospital admissions, surgical procedures, and incidence of comorbid conditions make endometriosis a more costly public health problem than commonly known medical conditions in women such as migraine and Crohn’s disease (13-17).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
What the sources say
- Not checked yetcites [13] Gao, 2006, Economic burden of endometriosis, Fertil Steril source
- Not checked yetcites [14] Winkel, 2001, Medical and surgical therapies for pain associated with endometriosis, J Womens Health Gend Based Med source
- Not checked yetcites [15] Heinrichs, 1998, Human issues and medical economics of endometriosis. Three- vs. six-month GnRH-agonist therapy, J Reprod Med
- Not checked yetcites [16] Mathias, 1996, Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates, Obstet Gynecol source
- Not checked yetcites [17] Mirkin, 2007, Actuarial analysis of private payer administrative claims data for women with endometriosis, J Manag Care Pharm
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“For endometriosis, there is paucity of data in that regard, although qualitative studies document patient-reported negative experiences at work (5).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
What the sources say
- Not checked yetcites [5] Jones, 2004, The impact of endometriosis quality of life: a qualitative analysis, J Psychosom Obstet Gynecol source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“Finally, the low response rate observed may be explained by cultural issues such as the low awareness of the importance of research, which may explain the poor participation rates in biomedical research studies that have been previously reported in Hispanic minorities (44).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
What the sources say
- Not checked yetcites [44] Katz, 2008, Participation in biomedical research studies and cancer screenings: perceptions of risks to minorities compared with whites, Cancer Control source
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“This study supports previous findings showing that patients with endometriosis commonly endure both painful symptoms and infertility, both of which could negatively affect the quality of life and mental health of the affected women at rates that are higher than those reported by healthy women or women with other gynecological disorders (6-12,35,36).”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
What the sources say
- Not checked yetcites [6] Denny, 2006, Systematic reviews of qualitative evidence: what are the experiences of women with endometriosis?, J Obstet Gynaecol source
- Not checked yetcites [7] Marques, 2004, Quality of life in Brazilian women with endometriosis assessed through a medical outcome questionnaire, J Reprod Med
- Not checked yetcites [8] Cox, 2003, Focus group study of endometriosis: struggle, loss and medical merry-go-round, Int J Nurs Pract source
- Not checked yetcites [9] Lemaire, 2004, More than just menstrual cramps: symptoms and uncertainty among women with endometriosis, J Obstet Gynecol Neonatal Nurs source
- Not checked yetcites [10] Cox, 2003, Learning to take charge: women's experiences of living with endometriosis, Complement Ther Nurs Midwifery source
- Not checked yetcites [11] Huntington, 2005, A life shaped by pain: women and endometriosis, J Clin Nurs source
- Not checked yetcites [12] Denny, 2004, Women's experience of endometriosis, J Adv Nurs source
- Not checked yetcites [35] Peveler, 1996, Psychosocial factors and chronic pelvic pain: a comparison of women with endometriosis and with unexplained pain, J Psychosom Res source
- Not checked yetcites [36] Low, 1993, A psychological profile of endometriosis patients in comparison to patients with pelvic pain of other origins, J Psychosom Res source
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Therefore, the findings of this study may not be representative of all patients with endometriosis, but rather apply only to those with more severe disease.”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Rests on an assumption: The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
- Rests on an assumption: Patients' self-reported surgical diagnosis of endometriosis is accurate.
The paper relies on this without support.
The anonymous patient-reported outcome instrument used in the survey validly measures the impact of endometriosis on daily life and work.
“An anonymous PRO instrument was distributed randomly via postal mail (n=200) or electronically to all the e-mail addresses in the ERP (n=361).”
The paper relies on this without support.
Patients' self-reported surgical diagnosis of endometriosis is accurate.
“Only women reporting having been diagnosed by laparoscopy or laparotomy were included in the analyses.”
The paper relies on this without support.
In Puerto Rico, health insurance companies generally do not cover contraceptive drugs or infertility-related treatments and procedures.
“In Puerto Rico, health insurance companies do not usually cover contraceptive drugs (even when prescribed as a treatment for endometriosis) or treatments/procedures related to infertility.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Impact on health, work productivity, and daily life activities has been already described by qualitative studies (16-20) and costs of productivity loss has been estimated (21).”
From Quantification of the impact of endometriosis symptoms on health-related quality of life and work productivity (2011) · cites this paper as [18]
In the citing paper
“This provides further evidence in support to the previous observation that endometriosis patients make an effort to be present at work despite feeling physically impaired by symptoms (18).”
From Quantification of the impact of endometriosis symptoms on health-related quality of life and work productivity (2011) · cites this paper as [18]
In the citing paper
“In summary, this quantitative study provides tangible evidence for the negative impact of endometriosis on important aspects related to work and daily life, as shown before qualitatively (18).”
From Quantification of the impact of endometriosis symptoms on health-related quality of life and work productivity (2011) · cites this paper as [18]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
“Notably, 69% (n=68/101) of the patients reported that they continue working despite feeling pain”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
Reported 69 · recomputed 67.326733
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
“The majority of patients in this study (n=87/103, 85%) perceived that there was a noticeable decrease in the quality of their work”
§ Patients’ report on how endometriosis affects health, work, and daily life > Abstract
“The majority of patients reported a noticeable decrease in the quality of their work due to endometriosis-related and/or coexisting symptoms (n=87/103, 84%)”
Citations
Cites
Revised American Fertility Society Classification of Endometriosis: 1985
(1985) · Fertility and Sterility · doi:10.1016/s0015-0282(16)48430-x · Cited by 1,803
Lost productive time and cost due to common pain conditions in the US workforce
Stewart, W. F. (2003) · JAMA · doi:10.1001/jama.290.18.2443 · Cited by 1,570 · cited 2×
“It is to be expected that a painful, chronic disease such as endometriosis would also have a substantial negative impact on work performance, as has been shown for other health problems (37-39).”
Chronic Pelvic Pain: Prevalence, Health-Related Quality of Life, and Economic Correlates
Mathias, S. (1996) · Obstetrics & Gynecology · doi:10.1016/0029-7844(95)00458-0 · Cited by 1,074 · cited 1×
“The high rates of hospital admissions, surgical procedures, and incidence of comorbid conditions make endometriosis a more costly public health problem than commonly known medical conditions in women such as migraine and Crohn’s disease (13-17).”
Ballard, K., Lowton, K., & Wright, J. (2006) · Fertility and Sterility · doi:10.1016/j.fertnstert.2006.04.054 · Cited by 628 · cited 3×
“This specific bias has been noted by other studies (29,30).”
Sinaii, N. (2002) · Human Reproduction · doi:10.1093/humrep/17.10.2715 · Cited by 620
The Epidemiology of Endometriosis
CRAMER, D. W., & MISSMER, S. A. (2002) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2002.tb02761.x · Cited by 539 · cited 1×
“It is estimated that up to 80% of women with dysmenorrhea and up to 40% of infertile women have endometriosis (2,3).”
Delay in the diagnosis of endometriosis: a survey of women from the USA and the UK
Hadfield, R., Mardon, H., Barlow, D., & Kennedy, S. (1996) · Human Reproduction · doi:10.1093/oxfordjournals.humrep.a019270 · Cited by 517 · cited 1×
“This study thus confirms a worrisome trend and worldwide public health problem: patients with endometriosis endure symptoms for years without being diagnosed (8-12,27-29).”
Hansen, C. D., & Andersen, J. H. (2008) · Social Science & Medicine · doi:10.1016/j.socscimed.2008.05.022 · Cited by 505
Arruda, M. S. (2003) · Human Reproduction · doi:10.1093/humrep/deg136 · Cited by 373 · cited 1×
“This study thus confirms a worrisome trend and worldwide public health problem: patients with endometriosis endure symptoms for years without being diagnosed (8-12,27-29).”
Endometriosis: cost estimates and methodological perspective
Simoens, S., Hummelshoj, L., & D'Hooghe, T. (2007) · Human Reproduction Update · doi:10.1093/humupd/dmm010 · Cited by 357 · cited 1×
“The yearly total (direct plus indirect) cost of endometriosis has been estimated at €30 billion in Europe and $22 billion in the US, and direct costs have increased steadily (13,18-20).”
Cited by
Sorted by citations
Nnoaham, K. E., Hummelshoj, L., Webster, P., d’Hooghe, T., de Cicco Nardone, F., de Cicco Nardone, C., Jenkinson, C., Kennedy, S. H., & Zondervan, K. T. (2011) · Fertility and Sterility · doi:10.1016/j.fertnstert.2011.05.090 · Cited by 1,584
“Few studies have quantified reported absence from work (15, 16); however, these are geographically limited and focused on women who knew their disease status, with potential for recall bias.”
BackgroundThe social and psychological impact of endometriosis on women's lives: a critical narrative review
Culley, L. A., Law, C., Hudson, N., Denny, E., Mitchell, H., Baumgarten, M. N., & Raine‐Fenning, N. (2013) · Human Reproduction Update · doi:10.1093/humupd/dmt027 · Cited by 732
“Fourquet et al. (2010) also reported that 84 –85% of women described a decrease in their quality of work, and elsewhere these authors report an average rate of work impairment and reduced effectiveness of 65% (presenteeism) and an average loss of efficiency levels of 64% (work productivity loss)…”
BackgroundResultInfluentialDe Graaff, A. A., D'Hooghe, T. M., Dunselman, G. A. J., Dirksen, C. D., Hummelshoj, L., WERF EndoCost Consortium, Simoens, S., Bokor, A., Brandes, I., Brodszky, V., et al. (2013) · Human Reproduction · doi:10.1093/humrep/det284 · Cited by 473
Assessing research gaps and unmet needs in endometriosis
As‐Sanie, S., Black, R., Giudice, L. C., Valbrun, T. G., Gupta, J., Jones, B., Laufer, M. R., Milspaw, A. T., Missmer, S. A., Norman, A., et al. (2019) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2019.02.033 · Cited by 347
Fourquet, J., Báez, L., Figueroa, M., Iriarte, R. I., & Flores, I. (2011) · Fertility and Sterility · doi:10.1016/j.fertnstert.2011.04.095 · Cited by 262
“Impact on health, work productivity, and daily life activities has been already described by qualitative studies (16-20) and costs of productivity loss has been estimated (21).”
BackgroundResultSelf-citation
Metadata
- Authors
- Fourquet, J., Gao, X., Zavala, D., Orengo, J. C., Abac, S., Ruiz, A., Laboy, J., & Flores, I.
- Affiliations
- Ponce Health Sciences University (PR)
- Pharmerit (United States) (US)
- Corresponding author
- Flores, Idhaliz
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 2010-05
- Volume
- 93
- Issue
- 7
- Pages
- 2424-2428
- ISSN
- 0015-0282 (ISSN-L)
- PMC
- PMC2860000
- OpenAlex
- W2166839144
- Semantic Scholar
- f2526427b44d06fe71d225ff8a20012c18498838
- Cited by
- 252
- References
- 57
- Citations by year
- 2026: 14 · 2025: 18 · 2024: 18 · 2023: 18 · 2022: 25 · 2021: 23 · 2020: 25 · 2019: 17 · 2018: 18 · 2017: 14 · 2016: 9 · 2015: 17 · 2014: 6 · 2013: 12 · 2012: 8
- FWCI
- 6.67
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Fertility and Sterility (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5g12rr003050-25, 5s06gm008239-23)
- National Institute of General Medical Sciences (S06 GM-08239, S06-GM 008239)
- National Center for Research Resources (G12 RR-003050)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD050559)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Ectopic Pregnancy Diagnosis and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Keywords
- endometriosis, patient-reported outcomes, disease burden, quality of life, work disability, physical limitations, everyday life, women's health
- MeSH terms
- Activities of Daily Living, Adult, Endometriosis, Female, Health, Humans, Infertility, Female, Middle Aged, Quality of Life, Surveys and Questionnaires, Self Concept, Task Performance and Analysis, Uterine Diseases, Work, Case-Control Studies, Women's Health, Cost of Illness, Pelvic Pain, Health Records, Personal
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
A language model drew the claims from the paper on 2026-09-30, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).
A second model labelled each claim on 2026-09-30 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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