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Patient Experiences With a Multidisciplinary Fibroid Program
Kelsey Musselman1, Ja Hyun Shin2, Nicole A Lamparello3
1Department of Gynecology and Obstetrics (Musselman), Johns Hopkins Hospital, Baltimore, Maryland.
Journal of Minimally Invasive Gynecology
|April 27, 2024
Summary
Many patients with fibroids receive inadequate counseling on treatment options. A multidisciplinary fibroid center improves patient knowledge and shared decision-making for uterine fibroid management.
Area of Science:
- Gynecology
- Interventional Radiology
- Patient Education
Background:
- Fibroid treatment options have expanded, yet patient counseling remains insufficient.
- Patients desire shared decision-making tailored to their health goals.
- Multidisciplinary care models are emerging for complex conditions like uterine fibroids.
Purpose of the Study:
- To evaluate patient knowledge of fibroid treatment options before and after consultation at a multidisciplinary fibroid center.
- To assess the impact of a collaborative care model on patient understanding and satisfaction.
Main Methods:
- Prospective survey study conducted at an academic medical center.
- Patients consulted with a minimally invasive gynecologic surgeon (MIGS) and an interventional radiologist (IR).
- Surveys collected data on demographics, prior evaluations, treatment knowledge, and patient experience.
Main Results:
- 35.3% of patients seen by OB/GYN were not offered any treatment.
- Limited counseling on medical, surgical, or interventional options was reported prior to the multidisciplinary consultation.
- Post-consultation, 95.1% of patients felt more knowledgeable about their fibroid treatment options.
Conclusions:
- Patients with symptomatic fibroids often lack adequate information on management options.
- A collaborative, multidisciplinary approach enhances patient education and understanding of surgical and interventional procedures.
- Multidisciplinary centers improve shared decision-making and patient knowledge regarding fibroid treatments.
