Abordaje transdisciplinario del dolor pélvico crónico asociado a endometriosis en Colombia: declaración de consenso para una atención centrada en la paciente
DOI:
https://doi.org/10.18597/rcog.4671Palabras clave:
Dolor pélvico, Endometriosis, Cuidado centrado en el paciente, Cuidado transdiciplinario, Consenso, Obstetricia, GinecologíaResumen
Objetivo: esta declaración de consenso busca transformar la atención de la endometriosis en Colombia a través de la estandarización del manejo clínico mediante la conformación de equipos transdisciplinarios y el uso de indicadores de calidad, el fortalecimiento de la educación y sensibilización tanto de profesionales como de la comunidad para reducir el retraso diagnóstico, y el impulso de la investigación y la inversión en políticas públicas que garanticen un acceso equitativo y mejoren integralmente la calidad de vida de las pacientes.
Métodos: se conformó un panel transdisciplinario de expertos en dolor pélvico crónico (DPC) y endometriosis en Colombia. Participaron médicos ginecobstetras, una fisioterapeuta y una nutricionista. El consenso se desarrolló mediante un proceso participativo estructurado, compartiendo experiencias, evidencia científica disponible y guías internacionales, desde la perspectiva del contexto colombiano. Las afirmaciones se presentan de acuerdo con los objetivos planteados para lograr una atención equitativa y de calidad del dolor pélvico asociado a la endometriosis, y apoyar a las mujeres que sufren esta condición.
Resultados: el consenso consolidó siete declaraciones y principios estratégicos para la atención de esta condición en Colombia:
- Construcción de equipos transdisciplinarios de trabajo.
- Retos a superar en la creación de equipos transdisciplinarios para el DPC asociado a la endometriosis.
- Estrategias para mejorar la atención del DPC asociado a la endometriosis.
- Estrategias para un acceso equitativo al manejo del DPC asociado a la endometriosis.
- Estrategias para reducir el estigma del dolor menstrual y el DPC asociado a la endometriosis.
- Lineamientos clave para una guía nacional sobre el DPC asociado a la endometriosis.
- Estrategias de monitoreo y medición de impacto.
Conclusiones: se plantean siete áreas clave y se desarrollan las propuestas iniciales para la atención integral de las mujeres con DPC asociado a la endometriosis. Invitamos a todos los actores del sistema de salud, desde los profesionales de primera línea hasta los líderes nacionales, a unirse a este esfuerzo para que se implementen acciones que promuevan la educación continuada y la investigación en Colombia sobre esta condición y sus consecuencias.
Biografía del autor/a
Juan Diego Villegas-Echeverri, Unidad de Laparoscopia Ginecológica Avanzada y Dolor Pélvico ALGIA. Pereira
Salud Comfamiliar. Pereira, Colombia.
Lilian Rubiano Paiva, Postgrado Ginecología y Obstetricia, Universidad Tecnológica de Pereira. Pereira, Colombia.
Asociación Risaraldense Ginecología y Obstetricia. Pereira, Colombia.
Carolina Meza Paul, Clínica Medellín, Grupo Quirón Salud Colombia. Medellín, Colombia.
Clínica Las Américas Auna Colombia. Medellín, Colombia.
Hebert Quintero, Unidad de Endoscopia Ginecológica y Endometriosis de Clínica El Carmen. Barranquilla, Colombia.
Unidad de Dolor Pélvico y Endometriosis del Atlántico. Barranquilla, Colombia.
Daniel Sanabria, Endomed Colombia IPS. Bogotá, Colombia.
Clínica del Country. Bogotá, Colombia.
María Alejandra Santacruz Mosquera, Unidad de Laparoscopia Ginecológica Avanzada y Dolor Pélvico ALGIA. Pereira, Colombia.
Nutrisanté IPS. Pereira, Colombia.
Jimmy Castañeda Castañeda, Educación, Federación Colombiana de Obstetricia y Ginecología (FECOLSOG). Bogotá, Colombia.
Programa Salud Reproductiva Humana, Fundación Universitaria Sanitas. Bogotá, Colombia.
Universidad Militar Nueva Granada. Bogotá, Colombia.
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