Certification of a Rural Endometriosis Clinic Leads to Improvement in the Diagnosis and Treatment of Endometriosis - a Retrospective Analysis.

IF 1.9 4区医学 Q2 OBSTETRICS & GYNECOLOGY

Geburtshilfe Und Frauenheilkunde Pub Date : 2025-05-19 eCollection Date: 2025-09-01 DOI:10.1055/a-2593-0666

Cynthia Kohl, Jana Kager, Raul Donutiu, Michael Gerken, Thomas Papathemelis

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引用次数: 0

Abstract

Introduction: Endometriosis is a very common benign condition in women. In recent years certification of health care institutions has led to a more standardized care for endometriosis patients, aiming at improving the quality of diagnosis and treatment. The introduction of a common classification system facilitates quantification of disease extent. This study investigated whether certification of a rural endometriosis clinic ameliorated care in endometriosis patients.

Methods and material: A single-center retrospective data analysis was performed of all endometriosis patients that underwent surgery at the investigated institution, certified in 2019, for the years 2018-2022.

Results: Between 2018 and 2022, a total of 812 surgeries were performed, with certification significantly improving diagnostic and surgical outcomes. Post-certification, there was an increase in ultrasound utilization (47.7% vs. 35.6%, p = 0.007), greater recognition of adenomyosis (65.8% vs. 57.0%, p = 0.035), and higher rates of complete lesion removal (92.5% vs. 87.8%, p = 0.011). Pain outcomes also improved, with more patients achieving pain relief 12 months postoperatively (40.5% vs. 34.5%, p = 0.196 vs. < 0.001). Additionally, certification enhanced follow-up assessments (64.1% vs. 40.7%, p < 0.001) and documentation of rectal lesions in patients with dyschezia (p < 0.001), indicating a positive impact on overall care quality.

Conclusion: This study shows that certification significantly improved care for endometriosis patients. Certification enhanced diagnostic precision, increased the use of ultrasound, improved surgical outcomes, and enabled more nuanced application of the #Enzian scoring system. Follow-up assessments became more consistent, reflecting stronger quality control. Despite remaining challenges, certification elevated the clinic's standard of care and emphasized patient-centered management.

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农村子宫内膜异位症诊所的认证导致子宫内膜异位症的诊断和治疗的改善-回顾性分析。

子宫内膜异位症是一种非常常见的女性良性疾病。近年来，卫生保健机构的认证使对子宫内膜异位症患者的护理更加标准化，旨在提高诊断和治疗质量。通用分类系统的引入有助于疾病程度的量化。本研究调查了农村子宫内膜异位症诊所的认证是否改善了子宫内膜异位症患者的护理。方法和材料：对2018-2022年在该调查机构接受手术的所有子宫内膜异位症患者进行单中心回顾性数据分析，该机构于2019年获得认证。结果：2018年至2022年，共完成812例手术，认证显著提高了诊断和手术效果。认证后，超声使用率增加（47.7%比35.6%,p = 0.007），对子宫腺肌症的认知度提高（65.8%比57.0%,p = 0.035），病变完全切除率提高（92.5%比87.8%,p = 0.011）。疼痛结果也得到改善，术后12个月获得疼痛缓解的患者较多（40.5% vs. 34.5%, p = 0.196）。结论：本研究表明认证显著改善了子宫内膜异位症患者的护理。认证提高了诊断精度，增加了超声的使用，改善了手术结果，并使#Enzian评分系统得到了更细致的应用。后续评估变得更加一致，反映出更强的质量控制。尽管仍然存在挑战，但认证提高了诊所的护理标准，并强调了以患者为中心的管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geburtshilfe Und Frauenheilkunde 医学-妇产科学

CiteScore

2.50

自引率

22.20%

发文量

828

审稿时长

6-12 weeks

期刊介绍： Geburtshilfe und Frauenheilkunde (GebFra) addresses the whole field of obstetrics and gynecology and is concerned with research as much as with clinical practice. In its scientific section, it publishes original articles, reviews and case reports in all fields of the discipline, namely gynecological oncology, including oncology of the breast obstetrics and perinatal medicine, reproductive medicine, and urogynecology. GebFra invites the submission of original articles and review articles. In addition, the journal publishes guidelines, statements and recommendations in cooperation with the DGGG, SGGG, OEGGG and the Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF, Association of Scientific Medical Societies, www.awmf.org). Apart from the scientific section, Geburtshilfe und Frauenheilkunde has a news and views section that also includes discussions, book reviews and professional information. Letters to the editors are welcome. If a letter discusses an article that has been published in our journal, the corresponding author of the article will be informed and invited to comment on the letter. The comment will be published along with the letter.