How are you taking part in this consultation?

You will not be able to change how you comment later.

You must be signed in to answer questions

  • Question on Document

    Is the evidence generation period appropriate to enable data collection?

  • Question on Document

    Is the recommended reference standard appropriate?

Evidence generation plan for HTG10877 Technologies for diagnosing endometriosis in primary care

Open for comments Open until   Request commenting lead permission

We have updated this service so that members of the same organisation can now collaborate on a joint online response.

Read our blog to learn more.

6 Implementation considerations

The following considerations around implementing the evidence generation process have been identified through working with system partners.

6.1 Implementing the guidance

  • The committee heard that diagnosis is often delayed and access to care is unequal for certain population groups, including:

    • people with female reproductive organs who do not identify as women, including trans men and non-binary people

    • young people

    • women, trans men and non-binary people:

      • from ethnic minority backgrounds (frequent misdiagnosis or dismissal of pain, or cultural barriers to discussing menstrual health)

      • with learning disabilities or who have difficulties communicating their symptoms

      • who find transvaginal ultrasound unacceptable

      • who do not have access to healthcare professionals in primary care with high levels of expertise in transvaginal ultrasound.

  • The technologies may offer additional benefit to women, trans men or non-binary people with a needle phobia.

  • Reporting intervention-related adverse events (for example, worsening pain) is essential to assess any risk associated with the use of the technologies in the NHS.

6.2 Implementing data collection

  • The technologies are currently only available in the private healthcare sector.

  • It is likely that evidence generation within the NHS will cause additional resource and staffing burden. The process is most likely to succeed with dedicated research staff to reduce the burden on NHS staff.

  • Practical requirements, such as fasting, medication cessation, long appointment times and the need for a quiet clinical environment, may result in missed appointments and incomplete datasets.

ISBN: [to be added at publication]