Ugwumadu Lilian, Chakrabarti Rima, Williams-Brown Elaine, Rendle John, Swift Ian, John Babbin, Allen-Coward Heather, Ofuasia Emmanuel
Croydon Endometriosis Centre, Croydon University Hospital, 530 London Road, Croydon, CR7 7YE UK.
Gynecol Surg. 2017;14(1):15. doi: 10.1186/s10397-017-1018-0. Epub 2017 Aug 15.
The multidisciplinary team (MDT) is considered good practice in the management of chronic conditions and is now a well-established part of clinical care in the NHS. There has been a recent drive to have MDTs in the management of women with severe endometriosis requiring complex surgery as a result of recommendations from the European Society for Human Reproduction and Embryology (ESHRE) and British Society for Gynaecological Endoscopy (BSGE). The multidisciplinary approach to the management of patients with endometriosis leads to better results in patient outcomes; however, there are potentially a number of barriers to its implementation and maintenance. This paper aims to review the potential benefits, disadvantages and barriers of the multidisciplinary team in the management of severe endometriosis.
多学科团队(MDT)被认为是慢性病管理中的良好实践,现在已成为英国国民医疗服务体系(NHS)临床护理中既定的一部分。由于欧洲人类生殖与胚胎学会(ESHRE)和英国妇科内镜学会(BSGE)的建议,最近推动在重度子宫内膜异位症女性的管理中采用多学科团队,这些女性因病情严重需要进行复杂手术。子宫内膜异位症患者管理的多学科方法能带来更好的患者治疗效果;然而,其实施和维持可能存在一些障碍。本文旨在综述多学科团队在重度子宫内膜异位症管理中的潜在益处、缺点和障碍。