Department of Gynaecology and Obstetrics, (791), Radboud University Medical Center, PO Box 9101, Nijmegen HB 6500, the Netherlands.
Department of Gynaecology and Obstetrics, (791), Radboud University Medical Center, PO Box 9101, Nijmegen HB 6500, the Netherlands.
Reprod Biomed Online. 2018 Dec;37(6):761-768. doi: 10.1016/j.rbmo.2018.09.006. Epub 2018 Oct 6.
To evaluate implementation of the key recommendations of the European Society of Human Reproduction and Embryology (ESHRE) guidelines on endometriosis, and to assess factors influencing diagnostic delay of endometriosis from Dutch gynaecologists' point of view.
Questionnaire study among gynaecologists from all hospitals in the Netherlands. The questionnaire consisted of 56 questions relating to implementation of the ESHRE guidelines, organization of endometriosis care and diagnostic delay.
Gynaecologists from 67 out of 85 hospitals completed the questionnaire. A total of 99-100% of respondents agree with, and 91-100% adhere to, the diagnosis-related recommendations in the guidelines. Diagnostic delay is estimated at 42 months. Main factors contributing to diagnostic delay according to gynaecologists are lack of knowledge and awareness of endometriosis in both patients and medical professionals, as well as limitations in diagnostics and late referral. Suggested interventions to reduce diagnostic delay are aimed at improving knowledge and awareness in both patients and medical professionals, as well as improving collaborations between medical professionals.
Overall familiarity with, and use of, the 2014 ESHRE guidelines among Dutch gynaecologists is high. Dutch gynaecologists agree with the recommendations relating to diagnosis and adhere to them closely. Diagnostic delay, however, is still considerable; therefore, efforts to reduce diagnostic delay of endometriosis should be aimed at improving knowledge and awareness in both patients and medical professionals, as well as improving collaboration.
评估欧洲人类生殖与胚胎学会（ESHRE）关于子宫内膜异位症指南的关键建议的实施情况，并从荷兰妇科医生的角度评估影响子宫内膜异位症诊断延迟的因素。
对荷兰所有医院的妇科医生进行问卷调查。问卷包括 56 个问题，涉及 ESHRE 指南的实施、子宫内膜异位症护理的组织以及诊断延迟。
85 家医院中有 67 家医院的妇科医生完成了问卷调查。99-100%的受访者同意并遵守指南中与诊断相关的建议。诊断延迟估计为 42 个月。根据妇科医生的说法，导致诊断延迟的主要因素是患者和医疗专业人员对子宫内膜异位症的知识和意识缺乏，以及诊断限制和转诊延迟。为减少诊断延迟而提出的干预措施旨在提高患者和医疗专业人员的知识和意识，并改善医疗专业人员之间的合作。
荷兰妇科医生对 2014 年 ESHRE 指南的总体熟悉程度和使用程度都很高。荷兰妇科医生同意与诊断相关的建议，并严格遵守这些建议。然而，诊断延迟仍然相当大；因此，减少子宫内膜异位症诊断延迟的努力应旨在提高患者和医疗专业人员的知识和意识，并改善合作。
