来自2024年澳大利亚基于证据的指南不解释不育的建议:从ESHRE基于证据的指南不解释不育的 ADAPTE过程
Michael F Costello1,2, Robert J Norman1,3, Luk Rombauts1,4
1NHMRC Centre for Research Excellence in Women's Health in Reproductive Life, Sydney, NSW.
The Medical journal of Australia
|September 15, 2024
概括
本指南提供基于证据的建议,用于诊断和治疗澳大利亚无法解释的不孕症. 它完善了定义和诊断程序,将国际指南适应澳大利亚医疗保健环境.
科学领域:
- 生殖医学 生殖医学
- 临床指南 临床指南
- 基于证据的实践.
背景情况:
- 澳大利亚2024指南提供了基于证据的建议,用于诊断和治疗无法解释的不孕症.
- 它适应了欧洲人类生殖和胚胎学会 (ESHRE) 2023年指导方针,用于使用ADAPTE过程的澳大利亚医疗保健环境.
研究的目的:
- 为不育夫妇建立最佳的诊断工作.
- 在澳大利亚,为被诊断为无法解释的不孕症的夫妇定义最佳的治疗方法.
主要方法:
- 通过ADAPTE流程调整ESHRE 2023指南.
- 综合多学科专业知识和消费者观点.
- 应用推,评估,发展和评价 (GRADE) 框架的分级.
主要成果:
- 该指南包括40个建议,21个实践点和3个研究建议.
- 它完善了无法解释的不孕不育的定义,并包括了基本的诊断程序.
- 大多数建议都是基于低质量或非常低质量的证据,需要研究建议.
结论:
- 该指南提供了一种针对澳大利亚的细致方法来诊断和治疗无法解释的不孕症.
- 它强调,由于现有证据的质量不佳,需要进一步研究.
- 像ASKFertility移动应用程序这样的资源支持指南的实施.
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