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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 patients 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 patients 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 patientsgrouping
 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 patientsgrouping
 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 patientsgrouping
 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 females 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
  1. The scale of answers includes five degrees to rank the agreement in each scientific issue; the extent of agreement between the participants is shown in percentages