[Contribution of meb to endometriosis patients' diagnosis and treatment]

Pierre‐Adrien Bolze, P A Bolze, Bolze PA, P. Descargues, Descargues P, M Poilblanc, Poilblanc M, Mathieu Poilblanc, Eddy Cotte, E Cotte, Cotte E, Sesques A, A. Sesques, Paparel P, P. Paparel, M Charlot, Charlot M, Mathilde Charlot, T Hajri, Hajri T, Touria Hajri, P Rousset, Pascal Rousset, Rousset P, F. Golfier, François Golfier, Golfier F
Gynecologie, obstetrique, fertilite & senologie · 2018 · vol. 47(1) , pp. 3–10 · doi:10.1016/j.gofs.2018.11.014 · PMID:30563784 · W2905331313
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This multidisciplinary meeting aimed to improve the relevance of endometriosis diagnosis and treatment.

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Abstract

OBJECTIVES: Diagnosis and treatment of endometriosis may be complex and therefore justify the discussion of therapeutic decisions in a multidisciplinary endometriosis board (MEB). The development of endometriosis regional expert centers requires an assessment of the quality and relevance of MEB. METHODS: Qualitiative retrospective study on patients whose management was discussed in Centre Hospitalier Lyon-Sud between June 2013 and December 2017. RESULTS: Among 376 patients presented in MEB, 309 (80.2%) were painful and 184 (59.5%) had complex endometriosis. A complete clinical evaluation was performed in 120 (38.8%) patients. MRI was performed for 370 (98.4%) patients including 303 (81.9%) with a second reading by an expert radiologist. These second readings allowed a diagnosis correction in 88 (60.7 %) patients with complex endometriosis. MR enterography (27.8 %) and rectal endoscopic sonography (14.4%) were the most frequently used third-line exams to complete the initial imaging of digestive lesion in patients with rectal endometriosis. Surgery was proposed for 199 (52,9%) patients including 108 (58,7%) with complex endometriosis. CONCLUSION: One of the major interests of MEB in endometriosis is the second reading of MRI, which, by identifying complex endometriosis initially undiagnosed or underestimated, enabled to better discuss the benefits/risks of therapeutic choices, and to organize complex surgeries when those were retained. The development of MEB in regional expert centers will contribute to optimizing the relevance of care for patients with endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Interdisciplinary Communication Interdisciplinary Communication Endometriosis Endometriosis Endometriosis Female Female France France Humans Humans Infertility, Female Infertility, Female Infertility, Female Magnetic Resonance Imaging Magnetic Resonance Imaging Pain Management Pain Management

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