Endometriosis centers of expertise in the Netherlands: Development toward regional networks of multidisciplinary care

8-10 TABLE 1 Criteria for endometriosis expertise centers in different European countries Endometriosis expertise centers in different countries Denmark 8 Specialist centers Treatment of advanced endometriosis Germany 9 Level 1 Level 2 Level 3 Basic endometriosis care: diagnostics and medical treatm...

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Published in:Health science reports 2022-01, Vol.5 (1), p.e447-n/a
Main Authors: de Kok, Laura, van Hanegem, Nehalennia, van Kesteren, Paul, Klinkert, Ellen, Maas, Jacques, Mijatovic, Velja, Rhemrev, Johann, Verhoeve, Harold, Nap, Annemiek
Format: Article
Language:English
Subjects:
Collaboration
Education
Embryology
Endometriosis
Fertility
Gynecology
Hospitals
In vitro fertilization
Laparoscopy
Obstetrics
Obstetrics/Gynecology
Ovaries
Patient satisfaction
Questionnaires
Reproductive technologies
Research Letter
Research Letters
Surgeons
Surgery
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Summary:8-10 TABLE 1 Criteria for endometriosis expertise centers in different European countries Endometriosis expertise centers in different countries Denmark 8 Specialist centers Treatment of advanced endometriosis Germany 9 Level 1 Level 2 Level 3 Basic endometriosis care: diagnostics and medical treatment Medical and surgical treatment Offering complete endometriosis care, including highly specialized endometriosis surgery for deep infiltrating endometriosis Teaching residents in pathophysiology and endocrinology Offering special training courses for medical and surgical treatment Participating in or conducting scientific studies France 10 Centers of expertise Responsibility for Organizing geographical coverage: directory members, contacting users and government bodies, circulating procedures, protocols, and guidelines, developing epidemiological data collection system, organizing monthly meetings Offering complete tertiary care: coverage of all diagnostic and therapeutic resources for managing endometriosis Communication and education between doctors and patients, involvement in university and postgraduate education and training for professionals, promotion of the best practice Research and evaluation: organizing prospective database for patients undergoing surgery for complex endometriosis, operating clinical audit activities, collecting annual caseload data, and participating in research The Netherlands Level 1 Level 2 Clinical aspects Professional aspects Organizational aspects Clinical aspects Professional aspects Organizational aspects Educational aspects Research aspects METHODOLOGY A Special Interest Group (SIG) of gynecologists involved in care for women with endometriosis, embedded in the Dutch Society for Obstetrics and Gynecology (Nederlandse Vereniging voor Obstetrie en Gynaecologie, NVOG), was founded in 2009. [...]the document was authorized by the members of the NVOG, and the quality standard was ready to be implemented in daily practice in June 2020. ORGANIZATIONAL STRUCTURE For optimizing care, different levels of expertise centers are needed to reach regional collaboration. [...]two levels of centers of expertise are developed: level 1 and level 2 centers (Table 2). Adhesiolysis Diathermic, plasma- or laser ablation of peritoneal and superficial endometriosis Cystectomy with minimal damage to the ovarian cortex Excision by laparotomy of small nodules in the abdominal wall (
ISSN:2398-8835
2398-8835
DOI:10.1002/hsr2.447