[Interest of multidisciplinary consultation meetings dedicated to endometriosis: from a series of 682 patients].

Intérêt des réunions de concertation pluridisciplinaires dédiées à l’endométriose : à partir d’une série de 682 patientes.
Endométriose chirurgie endometriosis infertility infertilité medically assisted procreation multidisciplinary consultation meeting procréation médicalement assistée réunion de concertation pluridisciplinaire surgery

Journal

Gynecologie, obstetrique, fertilite & senologie
ISSN: 2468-7189
Titre abrégé: Gynecol Obstet Fertil Senol
Pays: France
ID NLM: 101693805

Informations de publication

Date de publication:
16 Jan 2024
Historique:
received: 06 03 2023
revised: 20 12 2023
accepted: 05 01 2024
medline: 19 1 2024
pubmed: 19 1 2024
entrez: 18 1 2024
Statut: aheadofprint

Résumé

We decided to conduct a study based on these multidisciplinary team (MDT) in order to investigate their impact at the University Hospitals of Strasbourg and look for ways to improve this MDT. This is a retrospective study of the 682 patients presented to endometriosis MDT from its inception in March 2017 to December 2020 Results: The MDT decision was different from that initially proposed by the patient's referent for 406 patients (60%). Surgery was chosen for 417 patients (61%) and assisted reproduction for 261 patients (38%). A review of the MRI by a referring radiologist was carried out for 348 cases (51%), with a modification of the results for 255 patients (73%). Initial underestimation of lesions was noted in 198 cases. Our study has shown the importance of MDT in endometriosis, since the therapeutic proposal was modified in 60% of cases. In addition, we supported the importance of radiologists specializing in this field, since they made a modification in two-thirds of the MRIs reread. These results show the importance of collegial discussions, which can modify the decisions of medical teams. This underlines the importance of setting up endometriosis networks.

Identifiants

pubmed: 38237734
pii: S2468-7189(24)00009-6
doi: 10.1016/j.gofs.2024.01.005
pii:
doi:

Types de publication

English Abstract Journal Article

Langues

fre

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024. Published by Elsevier Masson SAS.

Auteurs

Marine Osada (M)

Hôpitaux universitaires de Strasbourg, Hôpital de Hautepierre, 1 avenue Molière, 67200 Strasbourg, France; Hôpitaux universitaires de Strasbourg, Centre Médico-Chirurgical Obstétrique, 19 Rue Louis Pasteur, 67300 Schiltigheim, France. Electronic address: marine.osada@chru-strasbourg.fr.

Emilie Faller (E)

Hôpitaux universitaires de Strasbourg, Hôpital de Hautepierre, 1 avenue Molière, 67200 Strasbourg, France; Hôpitaux universitaires de Strasbourg, Centre Médico-Chirurgical Obstétrique, 19 Rue Louis Pasteur, 67300 Schiltigheim, France.

Lise Lecointre (L)

Hôpitaux universitaires de Strasbourg, Hôpital de Hautepierre, 1 avenue Molière, 67200 Strasbourg, France; Hôpitaux universitaires de Strasbourg, Centre Médico-Chirurgical Obstétrique, 19 Rue Louis Pasteur, 67300 Schiltigheim, France.

Thomas Boisrame (T)

Hôpitaux universitaires de Strasbourg, Hôpital de Hautepierre, 1 avenue Molière, 67200 Strasbourg, France; Hôpitaux universitaires de Strasbourg, Centre Médico-Chirurgical Obstétrique, 19 Rue Louis Pasteur, 67300 Schiltigheim, France.

Camille Martel (C)

Hôpitaux universitaires de Strasbourg, Hôpital de Hautepierre, 1 avenue Molière, 67200 Strasbourg, France; Hôpitaux universitaires de Strasbourg, Centre Médico-Chirurgical Obstétrique, 19 Rue Louis Pasteur, 67300 Schiltigheim, France.

Victor Gabriele (V)

Hôpitaux universitaires de Strasbourg, Hôpital de Hautepierre, 1 avenue Molière, 67200 Strasbourg, France; Hôpitaux universitaires de Strasbourg, Centre Médico-Chirurgical Obstétrique, 19 Rue Louis Pasteur, 67300 Schiltigheim, France.

Cherif Akladios (C)

Hôpitaux universitaires de Strasbourg, Hôpital de Hautepierre, 1 avenue Molière, 67200 Strasbourg, France; Hôpitaux universitaires de Strasbourg, Centre Médico-Chirurgical Obstétrique, 19 Rue Louis Pasteur, 67300 Schiltigheim, France.

Aline Host (A)

Hôpitaux universitaires de Strasbourg, Hôpital de Hautepierre, 1 avenue Molière, 67200 Strasbourg, France; Hôpitaux universitaires de Strasbourg, Centre Médico-Chirurgical Obstétrique, 19 Rue Louis Pasteur, 67300 Schiltigheim, France.

Classifications MeSH