A narrative review of global inequities in access to uterine artery embolisation

Uterine fibroids are the most common benign tumour of the female reproductive tract. For decades, surgery has been the standard treatment for symptomatic fibroids. However, minimally invasive options such as Uterine Artery Embolisation (UAE) have now emerged as a less invasive, but equally effective treatment. Despite this, access to UAE remains uneven worldwide. This cross-section from ten countries representing all inhabited continents across the globe, highlights several challenges that still exist, despite the abundance of evidence to support the long-term quality of life improvements for women treated with UAE. This narrative review considers enabling factors as well as barriers to treatment in each region, putting forward local strategies to improve access to UAE moving forward.

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Publication Details

Journal
CVIR Endovascular
Published
2026-03-28
DOI
https://doi.org/10.1186/s42155-026-00676-w
Primary Topic
Uterine Myomas and Treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

A narrative review of global inequities in access to uterine artery embolisation

Adam N. Plotnik, Elika Kashef, Heather K. Moriarty, Rahil Kassamali et al.
CVIR Endovascular
Uterine Myomas and Treatments
article

A narrative review of global inequities in access to uterine artery embolisation

Adam N. Plotnik, Elika Kashef, Heather K. Moriarty, Rahil Kassamali, Andreas H. Mahnken, Warren Clements, Sara Lojo-Lendoiro, Greicy Heymann, Vinicius AV Fornazari, Maja Wojno
article en

Abstract

Uterine fibroids are the most common benign tumour of the female reproductive tract. For decades, surgery has been the standard treatment for symptomatic fibroids. However, minimally invasive options such as Uterine Artery Embolisation (UAE) have now emerged as a less invasive, but equally effective treatment. Despite this, access to UAE remains uneven worldwide. This cross-section from ten countries representing all inhabited continents across the globe, highlights several challenges that still exist, despite the abundance of evidence to support the long-term quality of life improvements for women treated with UAE. This narrative review considers enabling factors as well as barriers to treatment in each region, putting forward local strategies to improve access to UAE moving forward.

CVIR EndovascularVol. 9(1)
University of Bern (CH), Imperial College Healthcare NHS Trust (GB), University of California, Los Angeles (US), Aston University (GB), Johannesburg Hospital (ZA), The Alfred Hospital (AU), Cork University Hospital (IE), Monash Alfred Psychiatry Research centre (AU), University Hospital of Geneva (CH), St. Josef-Hospital (DE), Netcare Unitas Hospital (ZA), National Trauma Research Institute (AU), Complejo Hospitalario Universitario de Ferrol (ES), Hamad Medical Corporation (QA), Monash University (AU), Geneva College (US), Universidade Federal de São Paulo (BR)
Gender equality
Openalex Percentile: Top 3%
Uterine Myomas and Treatments
DOIOpen Access PDFOpenAlex
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