General practitioners and endometriosis: Level of knowledge and the impact of training

Roullier C, Chloé Roullier, S. Sanguin, Sophie Sanguin, Sanguin S, Parent C, Camille Parent, Mélyne Lombart, Lombart M, M. Lombart, F Sergent, Sergent F, Fabrice Sergent, Arthur Foulon, Foulon A
Journal of gynecology obstetrics and human reproduction · 2021 · vol. 50(10) , pp. 102227 · doi:10.1016/j.jogoh.2021.102227 · PMID:34520875 · W3200887987
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This study assessed general practitioners' knowledge of endometriosis and the effect of specific training on their understanding and diagnostic confidence.

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Abstract

ObjectiveTo assess general practitioners' (GPs') knowledge of and practice in the diagnosis and management of endometriosis following the publication of updated French national guidelines in 2017.Materials and methodsA descriptive, anonymous, epidemiological survey of 102 GPs in the Picardie region of France.ResultsOnly 25% of the GPs considered that they knew enough about endometriosis for their routine clinical practice. This proportion was 58.9% amongst GPs with an university diploma in gynaecology and 31.4% amongst those participating in continuing medical education courses on gynaecology. Only 19.6% of the GPs were aware of the updated French national guidelines. With regard to five main suggestive, localizing signs of endometriosis, dyspareunia, dysmenorrhoea and infertility were mentioned as being of diagnostic value by 55.9%, 37.3% and 43.1% of the GPs, respectively; in contrast, functional urinary tract disorders and painful defecation were not mentioned very often. GPs with a qualification in gynaecology and those participating in continuing medical education in gynaecology knew more about treating endometriosis.ConclusionIn the Picardie region of France, GPs appear to be only moderately aware of how to manage endometriosis; this probably contributes to the diagnostic delay associated with this condition. GPs with a university diploma in gynaecology and those participating in continuing medical education in gynaecology appeared to have a better grasp of the subject. Continuing medical education on this topic should therefore be promoted and expanded.

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Condition tags

endometriosis

MeSH descriptors

Clinical Competence Endometriosis General Practitioners Adult Clinical Competence Clinical Competence Endometriosis Endometriosis Female France France General Practitioners General Practitioners General Practitioners Health Knowledge, Attitudes, Practice Humans Male Middle Aged Surveys and Questionnaires

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