Multi-disciplinary centres/networks of excellence for endometriosis management and research: a proposal

T D'Hooghe, Thomas D'Hooghe, Thomas D’Hooghe, L Hummelshoj, Lone Hummelshøj
Human Reproduction · 2006 · vol. 21(11) , pp. 2743–2748 · doi:10.1093/humrep/del123 · PMID:16982655 · W1964246089
article OA: bronze CC0 ⤵ 103 in-corpus citations
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This proposal outlines the establishment of multi-disciplinary centers and networks of excellence to improve endometriosis management through consistent, evidence-based care, integrated research, and cost-effectiveness.

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Abstract

Centres/networks of excellence are the only way forward to ensure that women with endometriosis receive consistent, evidence-based care, ensuring excellence, continuity of care, multi-disciplinarity, research, training and cost-effectiveness. Clinical excellence should be achieved by proper training, adherence to evidence-based guidelines, quality management and continuous measurement of patient outcome as a central focus. To ensure continuity of care, the first step is to assign to each patient a central gynaecologist who must have continuously updated knowledge regarding all diagnostic and management options for endometriosis and who must set priorities and realistic expectations together with the woman using a long-term multi-disciplinary treatment plan. Scientific research within and scientific collaboration between centres/networks of excellence will create the critical mass of patients and tissue samples that is needed to make progress. Centres/networks of excellence should be accredited as training centres by professional bodies. They should aim at improving the cost-effectiveness of the management of endometriosis by a reduction in the time to diagnosis, a reduction in the time before individualized specialist care is invoked, a reduction of expensive hit-and-miss treatments and a reduction in expensive fertility treatments, if the disease is under control before fertility is impaired.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Interdisciplinary Communication Research Accreditation Endometriosis Female Humans Information Services Interprofessional Relations Research Research Design Treatment Outcome

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (15)

Cited by (50)

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