导致子宫内膜异位症诊断延迟的因素 - 一项系统性审查和元分析
Wenwei Li1, Huiyan Feng1, Qingjian Ye1
1Department of Gynaecology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Frontiers in medicine
|August 6, 2025
概括
子宫内膜异位症的诊断延迟源于患者和提供者因素,影响女性.
科学领域:
- 妇科 妇科 妇科 妇科
- 生殖健康 生殖健康
- 医学诊断 医学诊断 医学诊断
背景情况:
- 子宫内膜异位症影响全球10%的女性,但诊断往往会延迟数年.
- 诊断延迟加剧症状严重程度,降低生活质量,并损害生殖结果.
- 这次系统性审查和元分析旨在确定子宫内膜异位症诊断延迟的来源.
研究的目的:
- 估计子宫内膜异位症诊断延迟的来源.
- 分析这些延迟对患者结果的影响.
- 为缩短诊断时间的干预提供证据.
主要方法:
- 在PubMed,Cochrane和谷歌学者的系统文献搜索.
- 从最初的2,348条记录中包括了10条文章.
- 随机效应的元分析,以估计诊断延迟因素的聚合效应大小 (SMD).
主要成果:
- 与患者相关的因素 (例如,延迟寻求帮助) 显示出显著的综合效应大小 (SMD: 1.94).
- 与提供者相关的因素 (例如错误诊断) 也具有相当大的聚合效应大小 (SMD: 2.00).
- 没有发现显著的出版偏差.
结论:
- 子宫内膜异位症的诊断延迟是多因素的,是由患者和提供者障碍所驱动的.
- 建议采取干预措施,包括公众教育,加强提供者培训和简化诊断.
- 需要进一步研究系统层面的变化和非侵入性工具.
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