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Cited by 36Endometriosis Research and TreatmentHealthcare cost, quality, practicesHealth Systems, Economic Evaluations, Quality of Life

The DOI matches its Crossref record; 297 of the 298 references it cites were found in a registry or an index.

Management of Endometriosis: Toward Value-Based, Cost-Effective, Affordable Care

Open access
Vercellini, Paolo, Facchin, Federica, Buggio, Laura, Barbara, Giussy, Berlanda, Nicola, Frattaruolo, Maria Pina, Somigliana, Edgardo·2018·Journal of Obstetrics and Gynaecology Canada
DOI 10.1016/j.jogc.2017.07.011
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Abstract

Endometriosis management seems to be influenced by outcome-independent biomedical, pharmacological, and technological developments. The propensity towards doing more affects several aspects of care, sometimes translating into proposals that are not based on sound epidemiological principles and robust evidence. Different stakeholders share the interest for doing more testing and using novel and costly drugs or devices in patients with endometriosis. Although some women may benefit from such an approach, the majority do not, and some may be harmed. Moreover, an uncontrolled increase in expenditures for endometriosis management without demonstrated and proportional health benefits would waste the finite resources of national health care services and would risk cost-related non-adherence. Cost-effectiveness analyses should be systematically pre-planned in future trials on endometriosis, and the concept of "value" of medical interventions should guide investigators and health care policymakers. Reducing low-value care, financial toxicity, and the burden of treatment is respectful not only of endometriosis patients, but also of the entire society. Whenever possible, long-term therapeutic strategies should be tailored to each woman's needs, and high-value tests and treatments should be chosen based on her priorities and preferences. Moreover, listening to patients, understanding their concerns, avoiding disease labelling, explaining plainly what is known and what is unknown, and giving constant reassurance and encouragement may be exceedingly important for the successful management of endometriosis and may change the patient's perception of her clinical condition. Physician empathy has no untoward effects, does not cause harms, and may determine whether a woman successfully copes or desperately struggles with her disease during reproductive life.

Overview

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Crossref · 10.1016/j.jogc.2017.07.011

Cites

297 of 297 references verified0 citation errors · 0 not checkable

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Citations

Cites

2 retracted

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Research works printed but not linked: 1

  1. Vercellini, 2017, The ominous combination of severe endometriosis, in vitro fertilization and placenta previa, BJOG

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Metadata

Authors
Vercellini, P., Facchin, F., Buggio, L., Barbara, G., Berlanda, N., Frattaruolo, M. P., & Somigliana, E.
Affiliations
  • University of Milan (IT)
  • Università Cattolica del Sacro Cuore (IT)
  • Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico (IT)
Corresponding author
Vercellini, Paolo
ORCID
Venue
Journal of Obstetrics and Gynaecology Canada
Publisher
Elsevier BV
Published
2018-06
Volume
40
Issue
6
Pages
726-749.e10
ISSN
1701-2163 (ISSN-L)
DOI
10.1016/j.jogc.2017.07.011
OpenAlex
W2761947111
Cited by
36
References
298
Citations by year
2026: 4 · 2025: 5 · 2024: 4 · 2023: 4 · 2022: 1 · 2021: 6 · 2020: 1 · 2019: 3 · 2018: 6
FWCI
0.54
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Obstetrics and Gynaecology Canada (publishedVersion)
  • PubMed (publishedVersion)
  • Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, other-oa)
Funders
  • Ferring
  • Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
  • EMD Serono (5x1000)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
  • Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Keywords
endometriosis, low-value care, cost-effectiveness, value-based care, financial toxicity, overuse of diagnostic testing, patient preferences, patient-centered care, physician empathy, health care expenditure, cost-related nonadherence
MeSH terms
Adolescent, Cost-Benefit Analysis, Costs and Cost Analysis, Endometriosis, Female, Fertilization in Vitro, Health Priorities, Humans, Infertility, Female, Menopause, Ovarian Neoplasms, Ovariectomy, Conflict of Interest, Treatment Outcome, Hormone Replacement Therapy, Patient Preference, Pain Management

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