PMID- 29303059 OWN - NLM STAT- MEDLINE DCOM- 20181115 LR - 20181202 IS - 1933-7205 (Electronic) IS - 1933-7191 (Linking) VI - 25 IP - 3 DP - 2018 Mar TI - Association Between Endometriosis and Preterm Birth in Women With Spontaneous Conception or Using Assisted Reproductive Technology: A Systematic Review and Meta-Analysis of Cohort Studies. PG - 311-319 LID - 10.1177/1933719117749760 [doi] AB - OBJECTIVE: To perform a systematic review and meta-analysis to estimate the effect of endometriosis on preterm birth (PB) risk. METHODS: Searches were conducted in PubMed-MEDLINE, Embase, Scopus, Web of Science, Cochrane Library, Google Scholar, and SciELO for studies published in all languages from inception through April 2017. We included cohort studies evaluating pregnant women with and without endometriosis and conception either by spontaneous conception (SC) or with assisted reproductive technology (ART). Primary outcome was PB (<37 weeks), and secondary outcomes were intrauterine growth restriction (IUGR), low birthweight, small for gestational age (SGA), and birthweight. Pooled odds ratios (ORs) and its 95% confidence interval (CI) were calculated as effects, and random-effects models were used for meta-analyses. Risk of bias was assessed with the Newcastle-Ottawa Scale, and heterogeneity of effects among studies was described with the I(2) statistic. RESULTS: We identified 9 cohort studies including a total of 1 496 715 pregnancies (13 798 with endometriosis diagnosis). In women with endometriosis, the PB risk was significantly increased in both SC (OR: 1.59; 95% CI: 1.32-1.90) and ART (OR: 1.43; 95% CI: 1.14-1.79). The SGA risk was increased in women with endometriosis (OR: 1.16; 95% CI: 1.05-1.28), while the IUGR and low birthweight risks and birthweight were not affected by endometriosis. CONCLUSION: Endometriosis is associated with increased PB risk in both SC and women who obtained pregnancy using ART. Prospective studies evaluating relevant outcomes are needed to confirm these results. FAU - Perez-Lopez, Faustino R AU - Perez-Lopez FR AD - 1 Facultad de Medicina, Universidad de Zaragoza, Red de Investigacion en Ginecologia, Obstetricia y Reproduccion, Instituto Aragones de Ciencias de la Salud (IACS), Zaragoza, Spain. AD - 2 Department of Obstetrics and Gynecology, Lozano Blesa University Hospital, Zaragoza, Spain. FAU - Villagrasa-Boli, Pablo AU - Villagrasa-Boli P AD - 1 Facultad de Medicina, Universidad de Zaragoza, Red de Investigacion en Ginecologia, Obstetricia y Reproduccion, Instituto Aragones de Ciencias de la Salud (IACS), Zaragoza, Spain. FAU - Munoz-Olarte, Maria AU - Munoz-Olarte M AD - 1 Facultad de Medicina, Universidad de Zaragoza, Red de Investigacion en Ginecologia, Obstetricia y Reproduccion, Instituto Aragones de Ciencias de la Salud (IACS), Zaragoza, Spain. FAU - Morera-Grau, Alex AU - Morera-Grau A AD - 1 Facultad de Medicina, Universidad de Zaragoza, Red de Investigacion en Ginecologia, Obstetricia y Reproduccion, Instituto Aragones de Ciencias de la Salud (IACS), Zaragoza, Spain. FAU - Cruz-Andres, Pablo AU - Cruz-Andres P AD - 1 Facultad de Medicina, Universidad de Zaragoza, Red de Investigacion en Ginecologia, Obstetricia y Reproduccion, Instituto Aragones de Ciencias de la Salud (IACS), Zaragoza, Spain. FAU - Hernandez, Adrian V AU - Hernandez AV AD - 3 School of Medicine, Universidad Peruana de Ciencias Aplicadas (UPC), Lima, Peru. AD - 4 Hartford Hospital Evidence-based Practice Center, University of Connecticut, Hartford, CT, USA. CN - Health Outcomes and Systematic Analyses (HOUSSAY) Project LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20180105 PL - United States TA - Reprod Sci JT - Reproductive sciences (Thousand Oaks, Calif.) JID - 101291249 SB - IM MH - Endometriosis/*complications MH - Female MH - Fetal Growth Retardation/*etiology MH - Humans MH - Infant, Newborn MH - Infant, Small for Gestational Age MH - Pregnancy MH - *Pregnancy Outcome MH - Premature Birth/*etiology MH - *Reproductive Techniques, Assisted OTO - NOTNLM OT - assisted reproductive technology OT - birthweight OT - endometriosis OT - infertility OT - meta-analysis OT - preterm birth OT - small for gestational age OT - spontaneous conception EDAT- 2018/01/06 06:00 MHDA- 2018/11/16 06:00 CRDT- 2018/01/06 06:00 PHST- 2018/01/06 06:00 [pubmed] PHST- 2018/11/16 06:00 [medline] PHST- 2018/01/06 06:00 [entrez] AID - 10.1177/1933719117749760 [doi] PST - ppublish SO - Reprod Sci. 2018 Mar;25(3):311-319. doi: 10.1177/1933719117749760. Epub 2018 Jan 5.