ArticleBJGP open2024
Towards reducing diagnostic delay in endometriosis in primary care: a qualitative study.
Article in BJGP open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 9 citations in OpenAlex.
- Patient-Centred Perspectives on Diagnostic Strategies for Endometriosis: A Qualitative Study.BJOG : an international journal of obstetrics and gynaecology · 2026Article
- Endometriosis: pathophysiology and the potential role of diet.Advances in physiology education · 2026Review
- Shortening the Endometriosis Diagnostic Pathway: A Narrative Review and Research Agenda.International journal of women's health · 2026Review
- 'I think it is helpful … I mean it's not always helpful' - diagnostic complexity in endometriosis: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Exploring delay to diagnosis of endometriosis, a healthcare professional perspective.BMC health services research · 2025Article
- 'The Difficulty of Diagnosis Compromises Patient Care for People With Endometriosis': Interview Study With Aotearoa New Zealand General Practitioners.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Primary Care Approach to Endometriosis: Diagnostic Challenges and Management Strategies-A Narrative Review.Journal of clinical medicine · 2025Review
- Evaluation of the Epidemiological Disease Burden and Nationwide Cost of Endometriosis in Hungary.Healthcare (Basel, Switzerland) · 2024Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDue to a heterogeneity of symptoms, a lack of an adequate diagnostic test, and a lack of awareness, diagnostic delay in endometriosis in primary care on average amounts to 35 months.
aimTo determine which interventions are most feasible to reduce time to diagnosis in primary care, focusing on GPs' preferences, the intervention's content, design, and implementation. DESIGN &
settingWe conducted a qualitative study by performing focus groups with GPs and GP trainees between July and October 2021.
methodData collection was continued until saturation was obtained. Focus groups were transcribed and openly encoded. Themes were formulated by three independent researchers.
resultsDivided over five focus groups 22 GPs and 13 GP trainees participated. Three themes were formulated: increasing awareness, combined intervention, and reaching unaware GPs. Suggestions for a combined intervention strategy were adaptation of guidelines, a diagnostic support tool, and compulsory education. To reach unaware GPs, participants felt that education should be offered in regional networks and education for GP trainees should be mandatory. A guideline on menstrual symptoms should be considered and the term endometriosis should be added to the differential diagnosis paragraphs of existing guidelines. A diagnostic support tool should be linked to a guideline and consist of a flowchart with steps starting with the first presentation of symptoms leading to the diagnosis of endometriosis.
conclusionAccording to GPs, a combined intervention strategy consisting of an adapted guideline, a diagnostic support tool, and education might be successful interventions in reducing diagnostic delay in endometriosis.
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