As of the beginning of 2017, we have 51 accredited endometriosis centres and 12 provisional centres registered for this year. With the current annual accreditation criteria, all but one centre managed to achieve the required data entry and video submission which is very encouraging and suggests that the standards we have set are beginning to bed in across the country. From the beginning of this year there will be a requirement for centres to submit 12 cases of pararectal dissection per registered surgeon and we are also asking for job plan details of nurse specialists to ensure appropriate time (a minimum of 5 hours) is allocated for them to manage the endometriosis work.Over the next three years we expect all the nurse specialists to have attended a relevant endometriosis study day such as the BSGE annual scientific meeting and from there on this will need to be done every 3 years.
The growing amount of data we have is beginning to become useful and it has been encouraging to see some centres present there own data at recent scientific meetings. Dominic Byrne has continued to analyse the global data from the last 5-7 years and we are hopeful this will be accepted within a peer review publication in the near future. There is growing interest both within and outside of the society to access and use the data we hold and as a result we have put in place a formal application process for this via the BSGE wbsite so that we can maintain control of where the data is used and ensure the society gets appropriate recognition within any publication or presentation.
NICE are now in the process of creating a guideline on the management of endometriosis and have approached the society as they are interested in the development of a network of centres for specialist care. This obviously fits well with the project we have already established and is clearly an opportunity for us as a society to influence national guidance, particularly within primary care so that patients can be directed to recognised centres from initial referral.
Some minor changes to the database will take place over the coming year, principally with the histopathology page. Analysis of the data indicated an unusually high incidence of malignancy for patients on the database but further investigation has found this to be erroneous. The changes will aim to remove the possibility of this happening and when agreed with our IT partners I will contact all centres to update them of the changes.
Plans are now in place to hold a joint meeting with BSGI specifically for endometriosis and I am hoping the programme will provide further opportunity for centres to present and also allow the growing number of clinicians working in centres to network and share experiences. Further information on this will be available on the BSGE website very soon.
I am sure 2017 will be a productive year for us once more. I look forward to catching up with many of you at the ASM in Hull and thank you for your continued support.
Chair BSGE Endometriosis Centres subcommittee