Implementation and Monitoring of a Gestational Trophoblastic Disease Management Program in a Tertiary Hospital in Morocco: Opportunities and Challenges
Identifieur interne : 000391 ( Main/Exploration ); précédent : 000390; suivant : 000392Implementation and Monitoring of a Gestational Trophoblastic Disease Management Program in a Tertiary Hospital in Morocco: Opportunities and Challenges
Auteurs : Imane Khachani [Maroc] ; Mohamed Hassan Alami [Maroc] ; Rachid Bezad [Maroc]Source :
- Obstetrics and Gynecology International [ 1687-9589 ] ; 2017.
Abstract
Url:
DOI: 10.1155/2017/5093472
PubMed: 28567058
PubMed Central: 5439257
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Implementation and Monitoring of a Gestational Trophoblastic Disease Management Program in a Tertiary Hospital in Morocco: Opportunities and Challenges</title><author><name sortKey="Khachani, Imane" sort="Khachani, Imane" uniqKey="Khachani I" first="Imane" last="Khachani">Imane Khachani</name><affiliation wicri:level="1"><nlm:aff id="I1">National Center for Reproductive Health, University Hospital Ibn Sina, University Mohammed V Rabat, No. 1, Rue Soekarno, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>National Center for Reproductive Health, University Hospital Ibn Sina, University Mohammed V Rabat, No. 1, Rue Soekarno, Rabat</wicri:regionArea></affiliation></author><author><name sortKey="Alami, Mohamed Hassan" sort="Alami, Mohamed Hassan" uniqKey="Alami M" first="Mohamed Hassan" last="Alami">Mohamed Hassan Alami</name><affiliation wicri:level="1"><nlm:aff id="I1">National Center for Reproductive Health, University Hospital Ibn Sina, University Mohammed V Rabat, No. 1, Rue Soekarno, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>National Center for Reproductive Health, University Hospital Ibn Sina, University Mohammed V Rabat, No. 1, Rue Soekarno, Rabat</wicri:regionArea></affiliation></author><author><name sortKey="Bezad, Rachid" sort="Bezad, Rachid" uniqKey="Bezad R" first="Rachid" last="Bezad">Rachid Bezad</name><affiliation wicri:level="1"><nlm:aff id="I1">National Center for Reproductive Health, University Hospital Ibn Sina, University Mohammed V Rabat, No. 1, Rue Soekarno, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>National Center for Reproductive Health, University Hospital Ibn Sina, University Mohammed V Rabat, No. 1, Rue Soekarno, Rabat</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28567058</idno><idno 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wicri:step="Curation">000423</idno><idno type="wicri:Area/PubMed/Checkpoint">000427</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000427</idno><idno type="wicri:Area/Main/Merge">000391</idno><idno type="wicri:Area/Main/Curation">000391</idno><idno type="wicri:Area/Main/Exploration">000391</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Implementation and Monitoring of a Gestational Trophoblastic Disease Management Program in a Tertiary Hospital in Morocco: Opportunities and Challenges</title><author><name sortKey="Khachani, Imane" sort="Khachani, Imane" uniqKey="Khachani I" first="Imane" last="Khachani">Imane Khachani</name><affiliation wicri:level="1"><nlm:aff id="I1">National Center for Reproductive Health, University Hospital Ibn Sina, University Mohammed V Rabat, No. 1, Rue Soekarno, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>National Center for Reproductive Health, University Hospital Ibn Sina, University Mohammed V Rabat, No. 1, Rue Soekarno, Rabat</wicri:regionArea></affiliation></author><author><name sortKey="Alami, Mohamed Hassan" sort="Alami, Mohamed Hassan" uniqKey="Alami M" first="Mohamed Hassan" last="Alami">Mohamed Hassan Alami</name><affiliation wicri:level="1"><nlm:aff id="I1">National Center for Reproductive Health, University Hospital Ibn Sina, University Mohammed V Rabat, No. 1, Rue Soekarno, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>National Center for Reproductive Health, University Hospital Ibn Sina, University Mohammed V Rabat, No. 1, Rue Soekarno, Rabat</wicri:regionArea></affiliation></author><author><name sortKey="Bezad, Rachid" sort="Bezad, Rachid" uniqKey="Bezad R" first="Rachid" last="Bezad">Rachid Bezad</name><affiliation wicri:level="1"><nlm:aff id="I1">National Center for Reproductive Health, University Hospital Ibn Sina, University Mohammed V Rabat, No. 1, Rue Soekarno, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>National Center for Reproductive Health, University Hospital Ibn Sina, University Mohammed V Rabat, No. 1, Rue Soekarno, Rabat</wicri:regionArea></affiliation></author></analytic><series><title level="j">Obstetrics and Gynecology International</title><idno type="ISSN">1687-9589</idno><idno type="eISSN">1687-9597</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Objective.</italic> Gestational Trophoblastic Disease (GTD) management requires clear guidelines for diagnosis, treatment, and follow-up. Unequal management skills among practitioners, inadequate treatment, irregular surveillance, and drop-out are common in resource-limited settings and can lead to life-threatening complications and morbidities. To address these challenges, we implemented a GTD Management Program at the National Center for Reproductive Health in Rabat, Morocco.<italic> Methods and Program Description.</italic> In-depth review of management protocols was carried out, and concise guidelines were developed, with targeted training for physicians. A physical space and a weekly fixed GTD consultation were set, and personalized follow-up was established for each patient. An electronic database documenting patients' surveillance was created, allowing immediate outreach in case of irregularities.<italic> Results.</italic> During the period from October 2013 to June 2016, 50 patients were included in this program. Patients' mean age was 33 years; 92% were illiterate and 82% had a low socioeconomic status. 68% had a positive evolution, while 32% developed gestational trophoblastic neoplasia, requiring 2 to 6 chemotherapy sessions. An average of 2.8 outreach reminders were necessary for each patient. 94% fully adhered to the program of care and completed properly their follow-up.<italic> Conclusion.</italic> Implementation and thorough monitoring of this program helped optimize patients' care, avoiding drop-outs and delays in diagnosing and treating complications. </p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Lurain, J R" uniqKey="Lurain J">J. R. Lurain</name></author><author><name sortKey="Brewer, J I" uniqKey="Brewer J">J. I. Brewer</name></author><author><name sortKey="Mazur, M T" uniqKey="Mazur M">M. T. Mazur</name></author><author><name sortKey="Torok, E E" uniqKey="Torok E">E. E. 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