对子宫内膜异位症问卷的症状选择达成共识:修改后的e-Delphi研究
Tong Zhu1, Henrik Marschall1, Karina E Hansen1
1Department of Public Health, Aarhus University, Aarhus, Denmark.
BJOG : an international journal of obstetrics and gynaecology
|January 13, 2025
概括
这项研究确定了子宫内膜异位症问卷中的六个关键症状:月经疼痛,性交期间的疼痛,周期性排便疼痛,周期性疼痛,不孕不育,以及为盆腔疼痛频繁的医疗保健访问. 这些发现有助于提高人们对子宫内膜异位症的认识和早期检测.
科学领域:
- 生殖医学 生殖医学
- 临床流行病学 临床流行病学
- 患者报告的结果
背景情况:
- 子宫内膜异位症的诊断和特征依赖于症状评估.
- 标准化问卷对于一致的研究和临床评估至关重要.
- 为了有效的子宫内膜异位症研究工具,需要就关键症状达成共识.
研究的目的:
- 建立关于子宫内膜异位症最重要的症状和后果的共识.
- 为对怀疑或确诊子宫内膜异位症的个体制定问卷提供信息.
- 改善对子宫内膜异位症在一般人群中的表征.
主要方法:
- 一个由患者,医生和研究人员共同开发的107项症状问卷.
- 一项两轮修改后的e-Delphi研究,涉及国际参与者 (7个国家).
- 共识被定义为70%的同意,包括症状的相关性.
主要成果:
- 76名参与者完成了第一轮,65人完成了第二轮.
- 六个症状达到了共识:月经疼痛,性交期间的疼痛,排便期间的周期性疼痛,周期性疼痛,不孕不育,以及增加腹部/骨盆疼痛的医疗保健联系人.
- 这些症状是通过严格的,多利益相关方的共识过程来确定的.
结论:
- 在子宫内膜异位症研究问卷中确定了六种核心症状.
- 这些症状对于提高认识和支持早期检测子宫内膜异位症至关重要.
- 基于共识的方法确保了在不同人群中相关性和适用性.
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