关于多囊卵巢综合征的诊断标准的德尔菲共识
Fabio Facchinetti1,2, Alessandra Gambineri3,4, Gianluca Aimaretti5
1The Experts Group on Inositol in Basic and Clinical Research (EGOI), Rome, Italy. facchi@unimore.it.
Journal of endocrinological investigation
|January 20, 2025
概括
意大利专家一致认为,目前的多囊性卵巢综合征 (PCOS) 指南是不够的. 他们主张包括代谢因素和区分PCOS表型,以改善临床实践.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 妇科 妇科医生 妇科
- 代谢健康 代谢健康
背景情况:
- 多囊卵巢综合征 (PCOS) 是一种复杂的内分泌疾病,具有重大临床和研究影响.
- 目前对PCOS管理的临床指南可能无法完全解决这种疾病的多方面的性质.
研究的目的:
- 确定意大利妇科医生和内分泌学家关于PCOS的定义,诊断和治疗的共识.
- 确定有关PCOS管理的专家意见的共识和分歧领域.
主要方法:
- 德尔菲调查对102名意大利妇科和内分泌专家进行了调查,他们专注于PCOS.
- 该调查涉及三轮评估26项陈述,共识定义为至少70%的同意.
主要成果:
- 达成的共识率很高 (96%),26个声明中有25个达成共识.
- 在PCOS定义和诊断方面观察到强烈的共识,但在最佳治疗策略方面出现了分歧.
- 专家强调了当前指南的不足,并支持将代谢因素纳入PCOS评估.
结论:
- 调查显示,目前的PCOS临床指南需要修订,以纳入代谢因素.
- 有一个公认的需要区分高雄性和非高雄性PCOS表型.
- 这项研究提供了一份关于意大利医疗保健系统中PCOS专家意见的宝贵快照.
相关概念视频
Diagnostic and Statistical Manual of Mental Disorders (DSM)
38
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
38
Oogenesis
63.4K
In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...
63.4K
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
138
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
138
Receiver Operating Characteristic Plot
74
A ROC (Receiver Operating Characteristic) plot is a graphical tool used to assess the performance of a binary classification model by illustrating the trade-off between sensitivity (true positive rate) and specificity (false positive rate). By plotting sensitivity against 1 - specificity across various threshold settings, the ROC curve shows how well the model distinguishes between classes, with a curve closer to the top-left corner indicating a more accurate model. The area under the ROC curve...
74
Chronic Pancreatitis II: Collaborative Care
70
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
70


