Clinicians and patients were asked to describe the score changes on the ESD “Worst overall pelvic pain” 0–10 NRS that would be considered meaningful or important in the context of receiving endometriosis treatment. To facilitate this, patients were shown the ESD “Worst overall pelvic pain” 0–10 NRS marked with various changes in score (Additional file 1: Additional Fig. 5), and asked to describe what such a change would mean to them in terms of how they would feel or function. Where possible, this discussion took place in the context of true changes patients had experienced, while clinicians described meaningful change scores both from a clinical management perspective and from the perspective of their patients.
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