Abstract Archives of the RSNA, 2011
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