[The Rouen Expert center in the diagnosis and multidisciplinary management of endometriosis: A French pilot experiment]

Horace Roman, H. Roman, Roman H, I Chanavaz-Lacheray, Chanavaz-Lacheray I, Isabella Chanavaz‐Lacheray, l’équipe Rouendométriose
Gynecologie, obstetrique, fertilite & senologie · 2018 · vol. 46(7-8) , pp. 563–569 · doi:10.1016/j.gofs.2018.06.006 · PMID:29937108 · W2809371232
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The Rouen Expert Center for endometriosis managed 2066 patients, performed 615 surgeries, preserved fertility in 50 cases, and published 76 articles, demonstrating improved care and research output.

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Abstract

OBJECTIVES: To retrospectively describe the activity of the Diagnosis and Multidisciplinary Management of Endometriosis Expert Center of Rouen-Normandy, before and after official identification by French Health Authorities. METHODS: Retrospective study of the main activities of an Expert Center, from January 2013 to March 2018. RESULTS: The Endometriosis Expert Center of Rouen-Normandy is a regional network, organised as a pyramid with a Referral Center at the top (the Rouen University Hospital) leading a network of public and private Expertise Centers below in Normandy. Ten to 11 Multidisciplinary Team meetings per year were organised, allowing the study of 15 to 20 cases by physicians coming from up to 17different places (hospital, clinic or private practice). 2066patients diagnosed with endometriosis were hospitalised in the Referral Center, among them 615were operated for colorectal endometriosis, among which 607by laparoscopy (97%). The surgical team was multidisciplinary in 444surgeries (72.2%). 50cycles of fertility preservation (oocyte freezing) were led. Research activity allowed the publication of 76scientific articles, among which 41 (53.9 %) in a journal of rank SIGAPS A or B. Medical training was organised for active health professionals as well as students, including school nurses. CONCLUSION: The Endometriosis Expert Center of Rouen-Normandy pilot project has helped improving the diagnosis and better management of the disease in Normandy. This experiment could be exported to all the other regions of France, in order to unit health professionals with the aim of a national fight program against endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Endometriosis Endometriosis Endometriosis Female Female Fertility Preservation Fertility Preservation France France Hospitals, University Hospitals, University Humans Humans Interdisciplinary Communication

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