关于在患有多发性硬化症的人群中使用避孕措施的专家意见
Jan Hillert1, Riley Bove2, Lisa B Haddad3
1Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
概括
这项研究为患有多发性硬化症 (MS) 的人选择避孕方法提供了专家建议. 这些指导方针针对MS患者的计划生育和避孕选择,包括疾病修饰疗法 (DMT) 的选择.
科学领域:
- 神经学 神经学
- 生殖健康 生殖健康
- 临床实践指南 临床实践指南
背景情况:
- 对于选择适合多发性硬化症 (PwMS) 患者的适当避孕方法,存在有限的指导.
- 这需要专家开发的建议来支持临床决策.
研究的目的:
- 在患有多发性硬化症 (MS) 的人群中制定专家共识的计划生育和避孕建议.
- 为临床医生提供实用指导,讨论和选择PwMS的避孕方案.
主要方法:
- 由13名国际临床专家组成的多学科指导委员会采用了经过修改的Delphi方法.
- 编写了15个临床问题,重点关注以患者为中心的护理,避孕药的选择和疾病修饰疗法 (DMT) 的管理.
- 75%的专家受访者将共识定义为同意.
主要成果:
- 在25个建议中,24个建议达成了共识.
- 关键建议涵盖了PwMS的避孕药的讨论,类型,安全性和选择.
- 该指南针对特定的患者群体,包括严重残疾或DMT患者.
结论:
- 这些建议代表了临床医生关于MS患者选择避孕药的第一个全面指导.
- 该指南旨在改善多发性硬化症患者的以患者为中心的护理和计划生育.
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