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Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation

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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

This summary is machine-generated.

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.

Keywords:

Fibroid management Interventional radiology Patient satisfaction Perspectives Shared decision making

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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.