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Visual-Numeric Endometriosis Scoring System (VNESS) for mapping surgical findings: A validation study.

S Khazali, B Mondelli, K Fleischer

    Facts, Views & Vision in Obgyn
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    PubMed
    Summary
    This summary is machine-generated.

    The Visual-Numeric Endometriosis Scoring System (VNESS) shows excellent inter-rater reliability among gynecologists for classifying endometriosis severity. This novel system demonstrates stronger correlation with more severe disease stages.

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    Area of Science:

    • Gynecology
    • Surgical Innovation
    • Medical Classification Systems

    Background:

    • Existing endometriosis classification systems struggle to capture disease complexity, laterality, and severity.
    • The Visual-Numeric Endometriosis Scoring System (VNESS) was developed as a novel, intuitive tool for describing surgical findings.
    • VNESS aims to mirror laparoscopic views for simplified pelvic compartment assessment.

    Purpose of the Study:

    • To evaluate the inter-rater reliability of the Visual-Numeric Endometriosis Scoring System (VNESS).
    • To determine the consistency of VNESS scoring among gynecologists with diverse experience levels.

    Main Methods:

    • A validation study utilizing anonymized laparoscopic video clips of endometriosis procedures.
    • Fifty gynecologists from 12 countries scored 93 video clips using VNESS.
    • Inter-rater reliability was assessed using percentage agreement, ICC, Cohen Kappa, and Quadratic Weighted Kappa.

    Main Results:

    • VNESS demonstrated strong inter-rater reliability across most pelvic compartments.
    • Highest agreement (97%) was observed for VNESS 4 (full thickness disease); lowest (53%) for VNESS 1 (superficial disease).
    • Intraclass correlation coefficients indicated strong reliability, excluding the vaginal compartment.

    Conclusions:

    • The VNESS is a reliable tool for surgical endometriosis classification among observers.
    • The system's reliability is enhanced when assessing more severe stages of endometriosis.