From national to international collaboration in GTD: hurdles and possibilities

Background : Today most women with gestational trophoblastic disease (GTD) can expect to be cured particularly if they live in middle to high income countries with access to GTD centres. In contrast, countries lacking organized GTD care achieve lower survival rates.Objectives : To review and consider some of the successes and areas for improvement in GTD care that have been achieved through national and international collaborations.Methods : The authors searched PubMed and used their own knowledge of working nationally and internationally in GTD to write this reviewConclusions : The establishment of expert centres and national systems for managing GTD is associated with the best disease outcomes. National and in particular international collaboration is most likely to result in further optimisation of management protocols and outcomes.Outlook : It remains crucial for countries lacking GTD centres to try and establish such facilities with support from national agencies and international expert societies.