Assessing the impact of a regional multidisciplinary team meeting for endometriosis using the CovotemⓇ online platform
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This study evaluated the impact of a regional multidisciplinary team meeting for endometriosis using the CovotemⓇ online platform.
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Abstract
INTRODUCTION: Endometriosis, affecting approximately 10 % of women of reproductive age, is a chronic condition that significantly impacts quality of life through a range of debilitating symptoms. Diagnosis, often delayed and relies on symptom assessment, clinical examination, and imaging. Management typically involves analgesics, hormonal treatments, surgery, and assisted reproduction technology (ART) if needed. To enhance patient care, the Bourgogne Franche-Comté endometriosis network established multidisciplinary team meetings (MDTs) using the Covotem® online platform. This study evaluates the effectiveness of this approach.
MATERIALS AND METHODS: This multicentric retrospective study analyzed patient files presented at endometriosis MDTs from November 2022 to February 2024. Data were gathered from the Covotem® platform and patients' medical records.
RESULTS: A total of 269 cases were included, with 180 cases (66,9 %) from Franche-Comté region and 89 (33,1 %) from Bourgogne. Deep endometriosis was present in 52 % of cases, while ovarian endometriosis was observed in 30 %. Infertility was reported in 48 % of cases. The MDTs comprised at least three specialties in 97 % of meetings. Quality-of-life assessments were conducted for 27 % of patients. Pelvic MRI reviews were performed for 66 % of patients, leading to report modifications in 41 % of cases. MDT recommendations included surgical intervention for 26 %, medical management for 36 %, fertility preservation for 6 %, and ART for 19 %. The MDT recommendations were implemented for 92 % of patients, typically within 22 days.
CONCLUSION: This regional online MDT platform improved endometriosis diagnosis and optimized therapeutic strategies, particularly through enhanced imaging reviews and refined treatment recommendations.
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