制定临床实践指导方针在儿科和青少年生育上
Harjot Kaur1, Michael Assis2, Apoorva Bhargava3
1Department of Obstetrics, Gynaecology and Newborn Health, University of Melbourne, Parkville, VIC, Australia.
Best practice & research. Clinical obstetrics & gynaecology
|August 8, 2025
概括
国际指导方针建议年轻的癌症患者进行生育讨论,但全球差异仍然存在. 制定量身定制的国家指导方针,如澳大利亚和新西兰血液瘤学小组 (ANZCHOG) 的指导方针,对于公平的生育不良护理至关重要.
科学领域:
- 在生育能力上.
- 生殖医学是一种生殖医学.
- 在瘤学瘤学.
背景情况:
- 国际生育指南建议对儿童,青少年和年轻成人 (CAYA) 癌症患者进行生育讨论和保存.
- 在执行这些建议方面存在重大的全球差异,阻碍了公平的护理.
- 实验性和已确定的生育保护技术之间的不清楚区别为患者,临床医生和决策者创造了障碍.
研究的目的:
- 从四大洲的六个峰会机构提供CAYA关于生育指导的概述.
- 识别关键国际指导方针之间的相似之处和差异,以解决当地知识差距.
- 确定澳大利亚和新西兰制定国家指南的利益相关者优先事项.
主要方法:
- 从国际指南中对CAYA关于共同生育建议和证据水平的审查.
- 在CAYA Oncofertility (ANZCO) 澳大利亚和新西兰联盟成员中达成德尔菲共识.
- 为制定地方指导方针制定优先问题的制定.
主要成果:
- 在不同的国际机构中,关于生育指南的差异很大.
- 确定需要本地化指导方针来规范护理,并改善中心之间的协调.
- 根据当地CAYA环境定制的ANZCHOG指导方针被优先考虑.
结论:
- 制定特定背景的国家指导方针对于标准化CAYA的生育护理至关重要.
- 这些指导方针将为儿童癌症护理提供者提供明确的指导和治理.
- 解决差异需要在指导方针的制定和实施方面采取协调一致的努力.
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