炎症性腸疾患における妊娠管理に関する世界共通意見
Uma Mahadevan1, Cynthia H Seow2, Edward L Barnes3
1Division of Gastroenterology, Department of Medicine, University of California, San Francisco, California.
まとめ
この世界的なコンセンサスは,妊婦の炎症性腸疾患 (IBD) の管理のための証拠に基づいたガイドラインを提供し,標準化されたケア実践を通じて母と乳児の健康状態を改善することを目的としています.
科学分野:
- 胃腸内科
- 産婦人科
- 公衆衛生
背景:
- 炎症性腸疾患 (IBD) の女性における妊娠は,重大なリスクをもたらす.
- 妊娠中のIBD薬に関する高品質の研究とデータは限られている.
- IBDの妊婦のケアにおいて 医療従事者の知識とグローバルガイドラインの多様性は 混乱を招きます
研究 の 目的:
- 妊娠中の女性におけるIBDの管理のためのデータ主導の実践的なガイドラインを確立する.
- 妊娠中のIBD患者に対する知識のギャップを埋め,ケアを標準化する.
- IBDの妊婦の妊娠率,服薬の順守,治療結果を改善する.
主な方法:
- データに富んだ領域のGRADE (評価,開発,評価の格付け) プロセスを利用しました.
- 専門家の意見に基づくコンセンサスを得るためにRAND (研究開発) プロセスを採用した.
- 乳児の健康を優先する
主要な成果:
- 10つの主要なトピックで34のGRADE勧告と35のコンセンサス声明を開発しました.
- 現在のデータと専門家の意見を統合して,包括的なガイドラインを作成しました.
- 妊娠中のIBD管理の重要な側面を扱った.
結論:
- このコンソーシアムの目標は,世界のIBD妊娠ケアを改善するための実践的な,研究に基づくガイドラインを提供することでした.
- IBDの妊婦の混乱を軽減し,一貫した高品質のケアを促進することを目的としています.
- この複雑な患者集団の管理における証拠と専門家のコンセンサスの重要性を強調しています.
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