Nelly Tan MD, Presenter: Nothing to Disclose

Timothy Dale McClure MD, Abstract Co-Author: Nothing to Disclose

Michael Johnson, Abstract Co-Author: Nothing to Disclose

Christopher Tarnay, Abstract Co-Author: Nothing to Disclose

David Shin-Kuo Lu MD, Abstract Co-Author: Consultant, Covidien AG Speaker, Covidien AG Consultant, Johnson & Johnson Research grant, Johnson & Johnson Consultant, Bayer AG Research grant, Bayer AG Speaker, Bayer AG

Steven Satish Raman MD, Abstract Co-Author: Nothing to Disclose

To appreciate the clinical and economic significance of uterine fibroidsand effect on treatment pattern with a multi-disciplinary approach.

We instituted a multi-disciplinary fibroid center in 2008 and we investigate the effect on treatment pattern. When patients are referred to UCLA, patients are seen by a radiologist and a gynecologist. The patient population consisted of health-insured and self-pay patients. All inquiries were recorded in an IRB-approved database.

 There were a total of 332 patient inquires from August 2008 to April 2010. Of these, 157 (47.2%) patients requested evaluation by our team. 49.6% (78/157) underwent treatment. 27/78 (34.6%) had surgery, 7/78 (8.9%) underwent UAE, 35/78 (44.8%) received MRgFUS, and 9/78 (11.5%) were treated with medical therapy.

Surgery continues to be the mainstay treatment modality for patients with symptomatic fibroids. In 2004, 60% of patients with symptomatic myomas were managed surgically and 79% of these patients underwent hysterectomy. In contrast, 34.6% (27/78) of our patients were treated with surgery and 18.5% (5/27) underwent hysterectomy. Most of the patients preferred minimally or non-invasive treatments and a minority (35%) underwent surgery.

Inter-disciplinary approach to management of patients with fibroids significantly changes the treatment pattern.  We recommend an adoption of this type of program in a university setting.

Tan, N, McClure, T, Johnson, M, Tarnay, C, Lu, D, Raman, S, Uterine Fibroid Treatment Patterns after Introduction of an Interdisciplinary Fibroid Program.  Radiological Society of North America 2011 Scientific Assembly and Annual Meeting, November 26 - December 2, 2011 ,Chicago IL. http://archive.rsna.org/2011/11002852.html