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对胎儿结构异常的管理,结果,风险和预期分类,以帮助产前咨询:一项前性验证研究

Vikesh Agrawal¹, Ramesh Babu², Kanishka Das³

¹Department of Pediatric Surgery, Netaji Subhash Chandra Bose Medical College, Jabalpur, India. drvikeshagrawal@gmail.com.

Pediatric surgery international

|October 8, 2025

概括

MORE分类系统为胎儿异常的产前咨询提供了一个结构化的方法,在经验丰富的外科医生中显示出良好的可靠性和有效性. 建议在管理和风险领域进行改进,以便更广泛地使用.

科学领域:

医疗成像医学成像
胎儿医学胎儿医学
手术决策 - 手术决策

背景情况:

增加胎儿异常的产前检测需要改进风险分层和咨询框架.
传统方法缺乏复杂决策所需的多因素方法.
MORE (管理,结果,风险,预期) 分类是为了标准化产前咨询而开发的.

研究的目的:

评估MORE分类系统的评分间可靠性和构造有效性.
评估该系统在指导胎儿异常的结构化产前咨询方面的实用性.

主要方法:

三位高级儿科外科医生对55例MORE分类的前性评估.
管理 (M),结果 (O) 和风险 (R) 组件的应用; 预期 (E) 被排除在外.
统计分析包括类内相关系数 (ICC),弗莱斯的卡帕,克伦巴赫的α和斯皮尔曼的相关性.

主要成果:

可以接受良好的内部一致性 (克朗巴赫的α:0.757-0.812) 和高构造有效性 (斯皮尔曼的r = 0.812).
观察到公平到适度的互评价协议 (ICC:0.398-0.584).
组件的变量协议:管理层轻微 (κ=0.163),结果公平 (κ=0.293),风险中等 (κ=0.409). 卓越的测试-重新测试可靠性.

结论:

MORE分类证明了经验丰富的外科医生为产前咨询提供良好的可靠性和强大的有效性.
结果领域显示出最高的一致性; 管理和风险领域需要精细化,以便更广泛地应用.
该系统为多学科决策和标准化产前咨询提供了一个务实的框架,特别是在资源有限的环境中.

关键词:

产前咨询产前咨询胎儿异常胎儿异常评价者之间的可靠性.更多的分类更多的分类儿科外科手术儿科外科手术产前诊断在产前诊断.结构形结构形结构形

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