Table 3 Structured questionnaire for the second round of the DELPHI procedure; the participants have been asked to adapt their responses taking into account the answers of the first round and the new proposal
From: The ESHRE–ESGE consensus on the classification of female genital tract congenital anomalies
I. This new classification system fulfill my needs and expectations | ||||
Strongly agree | Agree | Indifferent | Disagree | Strongly disagree |
22/71 (31.0 %) | 40/71 (56.3 %) | 7/71 (9.9 %) | 1/71 (1.4 %) | 1/71 (1.4 %) |
Agreement: 87.3 % | 9.9 % | Disagreement: 2.8 % | ||
Rate of agreement: 84.5 % | ||||
II. Please points out how far the following characteristics are addressed by the new classification. | ||||
1. It is clear and accurate (in definitions) | ||||
Strongly agree | Agree | Indifferent | Disagree | Strongly disagree |
37/71 (52.1 %) | 31 /71 (43.7 %) | 2/71 (2.8 %) | 1/71 (1.4 %) | 0 % |
Agreement: 95.8 % | 2.8 % | Disagreement: 1.4 % | ||
Rate of agreement: 94.4 % | ||||
2. It is comprehensive | ||||
Strongly agree | Agree | Indifferent | Disagree | Strongly disagree |
29/71 (40.8 %) | 38/71 (53.6 %) | 2/71 (2.8 %) | 2/71 (2.8 %) | 0 % |
Agreement: 94.4 % | 2.8 % | Disagreement: 2.8 % | ||
Rate of agreement: 91.6 % | ||||
3. It is correlated with patient’s clinical presentation | ||||
Strongly agree | Agree | Indifferent | Disagree | Strongly disagree |
26/71 (36.6 %) | 39/71 (55 %) | 4/71 (5.6 %) | 2/71 (2.8 %) | 0 % |
Agreement: 91.6 % | 5.6 % | Disagreement: 2.8 % | ||
Rate of agreement: 88.8 % | ||||
4. It is correlated with patient’s management | ||||
Strongly agree | Agree | Indifferent | Disagree | Strongly disagree |
25/71 (35.2 %) | 38/71 (53.5 %) | 7/71 (9.9 %) | 1/71 (1.4 %) | 0 % |
Agreement: 88.7 % | 9.9 % | Disagreement: 1.4 % | ||
Rate of agreement: 87.3 % | ||||
5. It is simple and users friendly | ||||
Strongly agree | Agree | Indifferent | Disagree | Strongly disagree |
32/71 (45.1 %) | 27/71 (38.0 %) | 10/71 (14.1 %) | 2/71 (2.8 %) | 0 % |
Agreement: 83.1 % | 14.1 % | Disagreement: 2.8 % | ||
Rate of agreement: 80.3 % | ||||
6. There is a smooth movement from the old proposals to the this new one | ||||
Strongly agree | Agree | Indifferent | Disagree | Strongly disagree |
16/71 (22.5 %) | 38/71 (53.5 %) | 13/71 (18.4 %) | 4/71 (5.6 %) | 0 % |
Agreement: 76,0 % | 18.4 % | Disagreement: 5.6 % | ||
Rate of agreement: 70.4 % | ||||
III. Which of the following statements are accomplished by the new system | ||||
1. Anatomy is used correctly as the basic characteristic for patients’ grouping | ||||
Strongly agree | Agree | Indifferent | Disagree | Strongly disagree |
35/71 (49.3 %) | 36/71 (50.7 %) | 0 % | 0 % | 0 % |
Agreement: 100.0 %, | 0 % | Disagreement: 0 % | ||
Rate of agreement: 100 % | ||||
2. Uterus as the “key” organ of the female genital tract is used correctly in priority for the development of a new system | ||||
Strongly agree | Agree | Indifferent | Disagree | Strongly disagree |
39/71 (55.0 %) | 29/71 (40.8 %) | 1/71 (1.4 %) | 1/71 (1.4 %) | 1/71 (1.4 %) |
Agreement: 95.8 % | 1.4 % | Disagreement: 2.8 % | ||
Rate of agreement: 93 % | ||||
3. Embryological origin is not used, correctly, as the basic characteristic for patients’ grouping | ||||
Strongly agree | Agree | Indifferent | Disagree | Strongly disagree |
18/71 (25.4 %) | 33/71 (46.5 %) | 17/71 (23.9 %) | 3/71 (4.2 %) | 0 % |
Agreement: 71.9 % | 23.9 % | Disagreement: 4.2 % | ||
Rate of agreement: 67.7 % | ||||
4. Embryological origin is used successfully as a secondary characteristic for patients’ grouping | ||||
Strongly agree | Agree | Indifferent | Disagree | Strongly disagree |
12/71 (16.9 %) | 42/71 (59.2 %) | 14/71 (19.7 %) | 2/71 (2.8 %) | 1/71 (1.4 %) |
Agreement: 76.1 % | 19.7 % | Disagreement: 4.2 % | ||
Rate of agreement: 71.9 % | ||||
5. Uterine anomalies are classified successfully in the proposed V classes | ||||
Strongly agree | Agree | Indifferent | Disagree | Strongly disagree |
23/71 (32.3 %) | 39/71 (55.0 %) | 7/71 (9.9 %) | 1/71 (1.4 %) | 1/71 (1.4 %) |
Agreement: 87.3 % | 9.9 % | Disagreement: 2.8 % | ||
Rate of agreement: 84.5 % | ||||
6. The classification of fusion defects in one class (Dysfused uterus/Class III) instead of two in the AFS classification (Didelphys and Bicornuate uterus) system is more functional and helps in creating a more accurate and clear in definition category | ||||
Strongly agree | Agree | Indifferent | Disagree | Strongly disagree |
21/71 (29.5 %) | 33/71 (46.5 %) | 9/71 (12.7 %) | 8/71 (11.3 %) | 0 % |
Agreement: 76.0 % | 12.7 % | Disagreement: 11.3 % | ||
Rate of agreement: 64.7 % | ||||
7. The addition of normal uterus as Class 0 gives the opportunity to effectively classify cervical and/or vaginal only anomalies and, thus, obstructive anomalies | ||||
Strongly agree | Agree | Indifferent | Disagree | Strongly disagree |
36/71 (50.7 %) | 26/71 (36.6 %) | 6/71 (8.5 %) | 3/71 (4.2 %) | 0 % |
Agreement: 87.3 % | 8.5 % | Disagreement: 4.2 % | ||
Rate of agreement: 83.1 % | ||||
8. The independent classification of cervical and vaginal anomalies gives the opportunity to clearly classify the female’s genital tract anomalies | ||||
Strongly agree | Agree | Indifferent | Disagree | Strongly disagree |
32/71 (45.1 %) | 36/71 (50.7 %) | 2/71 (2.8 %) | 1/71 (1.4 %) | 0 % |
Agreement: 95.8 % | 2.8 % | Disagreement: 1.4 % | ||
Rate of agreement: 94.4 % | ||||
9. Cervical and vaginal anomalies are classified successfully in the proposed 4 classes | ||||
Strongly agree | Agree | Indifferent | Disagree | Strongly disagree |
20/71 (28.1 %) | 41/71 (57.8 %) | 8/71 (11.3 %) | 2/71 (2.8 %) | 0 % |
Agreement: 85.9 % | 11.3 % | Disagreement: 2.8 % | ||
Rate of agreement: 83.1 % | ||||
IVa. Could you please report a case that, according to you, could not be effectively classified by this new system? | ||||
IVb. Comments (feel free to make additional comments); please notice that it is important | ||||