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Open Access 01-12-2017 | Review article

The role of the multidisciplinary team in the management of deep infiltrating endometriosis

Authors: Lilian Ugwumadu, Rima Chakrabarti, Elaine Williams-Brown, John Rendle, Ian Swift, Babbin John, Heather Allen-Coward, Emmanuel Ofuasia

Published in: Gynecological Surgery | Issue 1/2017

Abstract

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.

Koninckx PR, Meuleman C, Demeyere S et al (1991) Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain. Fertil Steril 55:759–765CrossRefPubMed

Cornillie FJ, Oosterlynck D, Lauweryns JM, Koninckx PR (1990) Deeply infiltrating pelvic endometriosis: histology and clinical significance. Fertil Steril 53:978–983CrossRefPubMed

Jubanyik KJ, Comite F (1997) Extrapelvic endometriosis. Obstet Gynecol Clin N Am 24(2):411–440CrossRef

Fleisch MC, Xafis D, De Bruyne F et al (2005) Radical resection of invasive endometriosis with bowel or bladder involvement long-term results. Eur J Obstet Gynecol Reprod Biol 123:224–229CrossRefPubMed

Calman–Hine Report (1995) A policy framework for commissioning cancer services: a report by the Expert Advisory Group on cancer to the Chief Medical Officers of England and Wales. Department of Health, London

Kennedy S, Bergqvist A, Chapron C, D’Hooghe T, Dunselman G, Greb R, Hummelshoj L, Prentice A, Saridogan E (2005) ESHRE guideline for the diagnosis and management of endometriosis. Hum Reprod 20:2698–2704CrossRefPubMed

British Society for Gynaecological Endoscopy (BSGE) ‘Criteria for a BSGE recognised centre for laparoscopic treatment of women with recto-vaginal endometriosis’. http://www.bsge.org.uk. Accessed 2 Jan 2017

Haward R, Amir Z, Borrill C, Dawson J, Scully J, West M et al (2003) Breast cancer teams: the impact of constitution, new cancer workload, and methods of operation on their effectiveness. Br J Cancer 89:15–22CrossRefPubMedPubMedCentral

Wagner E (2004) Effective teamwork and quality of care. Med Care 42:1037–1039CrossRefPubMed

10.

Mickan SM (2005) Evaluating the effectiveness of health care teams. Aust Health Rev 29:211–217CrossRefPubMed

11.

D’Hooghe T (2006) Hummelshoj L (2006) multi-disciplinary centres/networks of excellence for endometriosis management and research: a proposal. Hum Reprod 21(11):2743–2748CrossRefPubMed

12.

Simoens S, Dunselman G et al (2012) The burden of endometriosis: costs and quality of life of women with endometriosis and treated in referral centres. Hum Reprod 27(5):1292–1299CrossRefPubMed

13.

Chapron C, Dubuisson JB, Pansini V, Vieira M, Fauconnier A, Barakat H, Dousset B (2002) Routine clinical examination is not sufficient for diagnosing and locating deeply infiltrating endometriosis. J Am Assoc Gynecol Laparosc 9:115–119CrossRefPubMed

14.

Bazot M, Detchev R, Cortez A, Amouyal P, Uzan S, Darai E (2003) Transvaginal sonography and rectal endoscopic sonography for the assessment of pelvic endometriosis: a preliminary comparison. Hum Reprod 18:1686–1692CrossRefPubMed

15.

Hudelist G, English J, Thomas AE et al (2011) Diagnostic accuracy of transvaginal ultrasound for noninvasive diagnosis of bowel endometriosis: systematic review and meta-analysis. Ultrasound Obstet Gynecol 37:257CrossRefPubMed

16.

Nisenblat V, Bossuyt PMM, Farquhar C, Johnson N, Hull ML (2016) Imaging modalities for the non-invasive diagnosis of endometriosis. Cochrane Database Syst Rev Issue 2. doi:10.1002/14651858

17.

Kinkel K, Frei KA, Balleyguier C, Chapron C (2006) Diagnosis of endometriosis with imaging: a review. Eur Radiol 16:285–298CrossRefPubMed

18.

Saba L, Sulcis R, Melis GB, de Cecco CN, Laghi A, Piga M et al (2014) Endometriosis: the role of magnetic resonance imaging. Acta Radiol 56(3):355–367CrossRefPubMed

19.

Abrao MS, Gonc alves MO, Dias JA Jr, Podgaec S, Chamie LP, Blasbalg R (2007) Comparison between clinical examination, transvaginal sonography and magnetic resonance imaging for the diagnosis of deep endometriosis. Hum Reprod 22:3092–3097CrossRefPubMed

20.

Cavaco-Gomes J et al (2017) Laparoscopic management of ureteral endometriosis: a systematic review. Eur J Obstet Gynecol Reprod Biol 210:94–101CrossRefPubMed

21.

American Society for Reproductive Medicine (1997) Revised American Society for Reproductive Medicine classification of endometriosis. Fertil Steril 67(5):817–21.

22.

Crosignani PG, Vercellini P, Biffignandi F, Costantini W, Cortesi I, Imparato E (1996) Laparoscopy versus laparotomy in conservative surgical treatment for severe endometriosis. Fertil Steril 66:706–711CrossRefPubMed

23.

Wolthuis AM, Meuleman C, Tomassetti C, D’Hooghe T, de Buck van Overstraeten A, D’Hoore A (2014) Bowel endometriosis: colorectal surgeon’s perspective in a multidisciplinary surgical team. World J Gastroenterol 20(42):15616–15623CrossRefPubMedPubMedCentral

24.

Dunselman GA, Vermeulen N, Becker C, Calhaz-Jorge C, D’Hooghe T, De Bie B, Heikinheimo O, Horne AW, Kiesel L, Nap A, Prentice A, Saridogan E, Soriano D, Nelen W (2014) ESHRE guideline: management of women with endometriosis. Hum Reprod 29:400–412CrossRefPubMed

25.

Fleissig A, Jenkins V, Catt S, Fallowfield L (2006) Multidisciplinary teams in cancer care: are they effective in the UK? Lancet Oncol 7:935–943CrossRefPubMed

26.

Sidhom MA, Paulsen MG (2006) Multidisciplinary care in oncology: medicolegal implications of group decisions. Lancet 7:951–954CrossRefPubMed

27.

Leso PB, Coward JI, Letsa U et al (2013) A study of the decision outcomes and financial costs of multidisciplinary team meetings (MDMs) in oncology. Br J Cancer 109:2295–2300CrossRef

28.

Hummelshoj L, Prentice A, Groothuis P (2006) Update on endometriosis. Womens Health 2:53–56

29.

Stones RW, Selfe S (2000) Psychosocial and economic impact of chronic pelvic pain. Baillieres Clin Obstet Gynaecol 14:415–431CrossRef

Title: The role of the multidisciplinary team in the management of deep infiltrating endometriosis
Authors: Lilian Ugwumadu
Rima Chakrabarti
Elaine Williams-Brown
John Rendle
Ian Swift
Babbin John
Heather Allen-Coward
Emmanuel Ofuasia
Publication date: 01-12-2017
Publisher: Springer Berlin Heidelberg
Published in: Gynecological Surgery / Issue 1/2017
Print ISSN: 1613-2076
Electronic ISSN: 1613-2084
DOI: https://doi.org/10.1186/s10397-017-1018-0

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