诊断子宫内膜异位症的时间:当前状态,挑战和区域特征-系统文献综述
Pauline De Corte1, Moritz Klinghardt1, Sophia von Stockum1
1Berlin Center for Epidemiology and Health Research, Berlin, Germany.
BJOG : an international journal of obstetrics and gynaecology
|October 7, 2024
概括
对子宫内膜异位症的诊断延迟持续,往往超过十年. 本次审查强调了对标准化定义和医生提高意识的需要,以改善患者的及时诊断.
科学领域:
- 生殖医学 生殖医学
- 妇科健康 妇科健康
- 诊断的延迟 诊断的延迟
背景情况:
- 子宫内膜异位症的诊断延迟可以达到10年.
- 目前关于诊断及时性的数据有限,尽管意识增加了.
研究的目的:
- 系统地审查有关子宫内膜异位症诊断时间的证据.
- 分析基于诊断定义,地理和患者因素的变化.
主要方法:
- 自2018年以来,MEDLINE和Embase对研究进行了系统的文献搜索.
- 包括主要的观察性研究,不包括病例报告和灰色文献.
- 评估诊断时间,方法,研究类型,国家和偏见.
主要成果:
- 包括17项观察性研究,报告诊断时间从0.3到12年.
- 根据定义,位置和患者特征,观察到诊断时间的显著变化.
- 证据的整体质量从差到好不等.
结论:
- 在子宫内膜异位症的持续诊断延迟主要是由医生驱动的.
- 标准化定义,提高认识和有针对性的干预措施至关重要.
- 解决这些因素可以改善子宫内膜异位症诊断的及时性.
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