CIRSE 2019: Medicare data shows women “missing out” on uterus-sparing surgery for fibroids

Gerard Goh (Melbourne, Australia) talks to BLearning IR at CIRSE 2019 (Cardiovascular and Interventional Radiological Society of Europe; 7–11 September; Barcelona, Spain) about Australian public Medicare data which has shown a “huge disparity” between the number of hysterectomies performed each year compared with the number of uterine artery embolisations procedures performed.

The data showed that of the 22,500 hysterectomies each year, of which you would expect to see four to five thousand performed for fibroids, fewer than 150 uterine artery embolisations were actually performed.

Goh says that it is “interesting” that a procedure which has been proven to be efficacious has such a poor take-up globally. A major reason for this, Goh states, comes down to a lack of “patient awareness and referrer awareness”. To tackle this issue, he believes interventional radiologists from across the world need to “come together” and work with societies to help educate women and referrers because currently “a lot of women are really missing out on uterus-sparing surgery for fibroids”.

Goh, Gerard

Gerard Goh is an Interventional and Diagnostic Radiologist at the Alfred Hospital in Melbourne, Australia. He is also an Adjunct Senior Lecturer at Monash University in Melbourne, Australia.

Previously, Goh worked for St George’s Hospital in London, UK and was a Honorary Senior Lecturer for St George’s University of London.

He is the president of the Interventional Radiology Society of Australasia (IRSA), a council member and examiner for the European Board of Interventional Radiology (EBIR) for the Cardiovascular and Interventional Radiological Society of Europe (CIRSE), chief examiner of the EBIR examination for the Australia/New Zealand, executive committee member of the Asia Pacific Society of Cardiovascular and Interventional Radiology (APSCVIR) and a council member for the Faculty of Clinical Radiology for the Royal Australian and New Zealand College of Radiologists.

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