为子宫内膜异位症和子宫腺肌病护理人员提供的多学科团队会议实施与开展建议——欧洲子宫内膜异位症联盟（EEL）的德尔菲共识
Recommendations for the implementation and conduct of multidisciplinary team meetings for those providing endometriosis and adenomyosis care - a Delphi consensus of the European Endometriosis League (EEL).
作者信息
Burla L, Kalaitzopoulos D R, Samartzis N, Khazali S, Bokor A, Renner S P, Hudelist G, Constantin A S, Schäfer S D, Nassif J, Naem A, Keckstein J, Krentel H
出版信息
Facts Views Vis Obgyn. 2024 Sep;16(3):337-350. doi: 10.52054/FVVO.16.3.038.
BACKGROUND
The treatment of endometriosis and adenomyosis requires a complex, multidisciplinary approach. Some centres have established multidisciplinary teams (MDT) and regular meetings. There are currently no international data or recommendations.
OBJECTIVES
To examine existing MDT meetings and define consensus recommendations to support implementation and conduct.
MATERIALS AND METHODS
Online questionnaires were sent through the European Endometriosis League (EEL) based on a Delphi protocol. After a literature review and assessment of existing MDT meetings, essential aspects for consensus statements were identified. The consensus statements were evaluated using a 5-point Likert scale with the possibility to modify them. Results were analysed between rounds and reported to the respondents. Consensus, defined as ≥70% agreement, concluded the Delphi process when achieved in the majority of statements.
MAIN OUTCOME MEASURES
Prevalence and type of existing MDT meetings and recommendations.
RESULTS
In round 1, 69 respondents participated, with 49.3% (34) having an MDT meeting at their institutions, of which 97% are multidisciplinary. 50 % meet once a month and 64.7% indicated that less than 25% of their patients are discussed. Throughout the three rounds, 47 respondents from 21 countries participated. During the process, 82 statements were defined, with an agreement of 92.7% on the statements.
CONCLUSIONS
This study assessed existing MDT meetings for endometriosis and adenomyosis and developed recommendations for their implementation and conduct. The consensus group supports the strengths of MDT meetings, highlighting their role in offering guideline-based, multidisciplinary, and personalised care.
WHAT IS NEW?: This study presents the first international data and recommendations on MDT meetings for endometriosis and adenomyosis.
背景
子宫内膜异位症和子宫腺肌病的治疗需要复杂的多学科方法。一些中心已经组建了多学科团队（MDT）并定期召开会议。目前尚无国际数据或相关建议。
目的
审视现有的多学科团队会议，并确定共识性建议以支持其实施和开展。
材料与方法
基于德尔菲法，通过欧洲子宫内膜异位症联盟（EEL）发送在线问卷。在对现有多学科团队会议进行文献综述和评估后，确定了共识声明的关键方面。使用5点李克特量表对共识声明进行评估，并允许对其进行修改。对各轮结果进行分析并反馈给受访者。当大多数声明达成≥70%的一致意见时，即达成共识，德尔菲过程结束。
主要观察指标
现有多学科团队会议的患病率、类型及相关建议。
结果
在第一轮中，69名受访者参与，其中49.3%（34名）所在机构设有多学科团队会议，其中97%为多学科性质。50%的会议每月召开一次，64.7%的受访者表示讨论的患者不到其患者总数的25%。在三轮调查过程中，来自21个国家的47名受访者参与。在此过程中，共确定了82条声明，声明的一致率为92.7%。
结论
本研究评估了现有的子宫内膜异位症和子宫腺肌病多学科团队会议，并制定了关于其实施和开展的建议。共识小组支持多学科团队会议的优势，强调了它们在提供基于指南的、多学科的和个性化护理方面的作用。
新发现
本研究提出了关于子宫内膜异位症和子宫腺肌病多学科团队会议的首个国际数据和建议。
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