Three-dimensional model for improvement of endometriosis care (3D-E)
Stefan Lukac1, Katharina Hancke1, Wolfgang Janni1
1Department of Obstetrics and Gynecology, University Hospital Ulm, Ulm, Germany.
Summary
This study introduces the three-dimensional model (3D-E) to improve endometriosis diagnosis and care. The model enhances awareness and timely treatment for women with endometriosis.
Area of Science:
- Reproductive Health
- Medical Education
- Health Systems Management
Background:
- Endometriosis affects 10% of reproductive-age women, causing significant morbidity and economic burden.
- International strategies are being developed to combat endometriosis.
- Timely diagnosis and treatment are crucial for managing endometriosis.
Observation:
- Diagnostic delays in endometriosis are often caused by symptom acceptance and misinterpretation, particularly with extragenital or atypical presentations.
- Healthcare providers and medical students require enhanced education and sensitization regarding endometriosis.
- Involving diverse healthcare professionals, such as nurses, is essential for comprehensive endometriosis care.
Findings:
- The three-dimensional model (3D-E) was developed using Six Sigma principles to address diagnostic delays.
- Key risk factors for delayed diagnosis were identified and targeted.
- The 3D-E model integrates solutions for healthcare providers, including educational initiatives and professional development programs.
Implications:
- The 3D-E model facilitates knowledge transfer and sensitizes healthcare providers to endometriosis.
- It aims to improve the diagnosis and long-term management of endometriosis.
- This adaptable, low-cost model offers a comprehensive approach to enhancing endometriosis care globally.


