Women need better coordination between primary and secondary care Endometriosis affects as many as 10% of women of reproductive age, or 190 million women globally.1 It can cause debilitating chronic pelvic pain and infertility, with treatment, work loss, and healthcare estimated to cost £12.5bn annually in the UK alone.2 The 2024 National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report audited the care provided to 941 patients with surgically confirmed endometriosis and included the review of data from 120 general practitioners (GPs) and 623 specialists, alongside organisational data from 167 hospitals.3 The report highlights examples of effective, timely, holistic, and patient centred care across all settings but also reminds us that we could and should do better for many women with endometriosis, throughout their care journey. Specific challenges discussed include the long timeframe to and difficulties in diagnosing and treating endometriosis, the lack of coordination between primary and secondary care, and the difficulty in accessing supportive services. No clinical findings specifically correlate with a diagnosis of endometriosis, so GPs must often consider other conditions that have similar presenting symptoms. This may …

中文翻译：

---

重组子宫内膜异位症护理


女性需要更好地协调初级和二级保健 子宫内膜异位症影响多达 10% 的育龄妇女，即全球 1.9 亿女性。它会导致使人衰弱的慢性盆腔疼痛和不孕症，仅在英国每年就估计花费 125 亿英镑的治疗、失业和医疗保健费用。2024 年国家患者预后和死亡保密调查 （NCEPOD） 报告审计了为 941 名手术证实的子宫内膜异位症患者提供的护理。包括对来自 120 名全科医生 （GP） 和 623 名专家的数据的审查，以及来自 167 家医院的组织数据。该报告强调了在所有环境中有效、及时、全面和以患者为中心的护理示例，但也提醒我们，我们可以而且应该为许多患有子宫内膜异位症的女性在整个护理过程中做得更好。讨论的具体挑战包括诊断和治疗子宫内膜异位症的时间长和困难、初级和二级保健之间缺乏协调以及难以获得支持服务。没有临床发现与子宫内膜异位症的诊断特别相关，因此全科医生必须经常考虑具有类似症状的其他疾病。这可能 ...