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Willard and Alice S. Marriott Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015138","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Assistant Secretary of Defense for Health Affairs"},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","award":["K99 HD115239"],"award-info":[{"award-number":["K99 HD115239"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Pain is a debilitating symptom of endometriosis, and its mechanisms are often explored using rodent models. However, a lack of harmonization amongst models and behavioural measures, in addition to inconsistent reporting, might limit the overall clinical relevance and hinder translation of findings. An additional challenge is accurately linking rodent behaviour to human experiences of endometriosis. This study aimed to: (i) review current measures of pain-associated behaviours used in endometriosis studies; (ii) recommend best practices for each method and their suitability to study endometriosis-associated pain; and (iii) develop internationally agreed-upon standard operating procedures (\u2018EPHect-EM-Pain SOPs\u2019). The World Endometriosis Research Foundation (WERF) assembled an international working group, from which a \u2018pain behaviour working group\u2019 consisting of experts in the field was established. The group used additional consultation from experimental pain model scientists in the broader field. Stimulus-evoked (reflexive) and stimulus-independent (spontaneous) measures are currently used to assess pain-associated behaviours in rodents with experimental endometriosis. All existing methods offer advantages and limitations regarding ethological relevance, output quality, and equipment\/training requisites. Internationally standardized pain SOPs as well as summary documentation outlining the minimum and standard requirements for several behavioural measures were developed, as well as consensus recommendations on experimental designs and documentation. To more closely reflect the lived experiences of those with endometriosis, the consortium recommends that, following validation, multiple types of pain-related and\/or parallel rodent behaviours (e.g. anxiety) should be quantified as surrogate outcome measures for endometriosis-associated pain. These harmonized methods and documentation for endometriosis research will facilitate essential comparisons among studies, improve translational applicability, and provide a superior holistic view of animal (and thus human) wellbeing.<\/jats:p>","DOI":"10.1093\/molehr\/gaaf023","type":"journal-article","created":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T07:50:37Z","timestamp":1749628237000},"source":"Crossref","is-referenced-by-count":9,"title":["WERF Endometriosis Phenome and Biobanking Harmonisation Project for Experimental Models in Endometriosis Research (EPHect-EM-Pain): methods to assess pain behaviour in rodent models of endometriosis"],"prefix":"10.1093","volume":"31","author":[{"given":"Kelsi N","family":"Dodds","sequence":"first","affiliation":[{"name":"College of Medicine and Public Health and Flinders Health and Medical Research Institute, Flinders University , Bedford Park, SA,","place":["Australia"]},{"name":"School of Biomedicine and Institute for Photonics and Advanced Sensing, University of Adelaide , Adelaide, SA,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Fattori","sequence":"additional","affiliation":[{"name":"Vascular Biology Program, Boston Children\u2019s Hospital\/Department of Surgery, Harvard Medical School , Boston, MA,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nick A","family":"Andrews","sequence":"additional","affiliation":[{"name":"In Vivo Scientific Services, Salk Institute for Biological Studies , La Jolla, CA,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline B","family":"Appleyard","sequence":"additional","affiliation":[{"name":"Department of Basic Sciences, Ponce Health Sciences University-Ponce Research Institute , Ponce, PR,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie A","family":"Christianson","sequence":"additional","affiliation":[{"name":"Department of Cell Biology and Physiology, University of Kansas Medical Center , Kansas City, KS,","place":["USA"]},{"name":"Kansas Center for Metabolism and Obesity Research , Kansas City, KS,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raul","family":"Gomez","sequence":"additional","affiliation":[{"name":"Research Unit on Women\u2019s Health-INCLIVA, Institute of Health Research , Valencia,","place":["Spain"]},{"name":"Department of Pathology, University of Valencia , Valencia,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacy L","family":"McAllister","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Emory University School of Medicine , Atlanta, GA,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey A","family":"Missmer","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Harvard T.H. 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