Multi-disciplinary centres/networks of excellence for endometriosis management and research: a proposal
Multi-disciplinary centres/networks of excellence for endometriosis management and research: a proposal
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DOI：
10.1093/humrep/del123
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发表时间：
2006-11-01
影响因子：
6.1
通讯作者：
Hummelshoj, L.
中科院分区：
文献类型：
--
作者：
D'Hooghe, T.;Hummelshoj, L.
卓越中心/网络是确保子宫内膜异位症妇女获得一致的循证护理的唯一途径，确保卓越，护理的连续性，多学科性，研究，培训和成本效益。临床卓越应通过适当的培训，坚持循证指南，质量管理和持续衡量病人的结果作为一个中心焦点。为了确保护理的连续性，第一步是为每位患者分配一名中心妇科医生，该医生必须不断更新关于子宫内膜异位症的所有诊断和管理选项的知识，并且必须与使用长期多学科治疗计划的女性一起确定优先事项和现实的期望。各卓越中心/网络内部的科学研究和它们之间的科学合作将创造取得进展所需的足够数量的病人和组织样本。英才中心/网络应经专业机构认证为培训中心。他们的目标应该是通过减少诊断时间来提高子宫内膜异位症管理的成本效益，减少个体化专科护理之前的时间，减少昂贵的治疗费用，如果疾病在生育能力受损之前得到控制，则减少昂贵的生育治疗费用。
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.