The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions
The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions
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DOI：
10.1002/ijgo.12666
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发表时间：
2018-12-01
影响因子：
3.8
通讯作者：
Fraser, Ian S.
中科院分区：
文献类型：
--
作者：
Munro, Malcolm G.;Critchley, Hilary O. D.;Fraser, Ian S.
背景：国际妇产科联合会(FIGO)关于生殖年内正常和异常子宫出血(AUB)症状的命名(FIGO AUB系统1)和AUB原因分类(FIGO AUB系统2；Palm-COEIN)的系统于2011年首次同时出版。其目的是统一正常和异常出血症状的定义，并对生育期AUB的潜在原因进行分类和细分，以促进研究、教育和临床护理。这些制度的设计是灵活的，并可酌情定期审查和修改。目标、方法和结果，以审查、澄清并在适当的情况下修订以前公布的系统。在很大程度上，这一过程是一个反复的过程，涉及菲戈月经失调委员会，以及2012至2017年间来自世界各地的流行病学家、妇科医生和该领域其他专家的一些应邀提交的材料。在罗马、温哥华和新加坡举行了面对面的会议，并举行了一些电话会议和其他旨在评估系统各个方面的交流。在考虑重大变化的情况下，使用匿名投票，在某些情况下使用改进的兰德-德尔菲技术。
Background The International Federation of Gynecology and Obstetrics (FIGO) systems for nomenclature of symptoms of normal and abnormal uterine bleeding (AUB) in the reproductive years (FIGO AUB System 1) and for classification of causes of AUB (FIGO AUB System 2; PALM-COEIN) were first published together in 2011. The purpose was to harmonize the definitions of normal and abnormal bleeding symptoms and to classify and subclassify underlying potential causes of AUB in the reproductive years to facilitate research, education, and clinical care. The systems were designed to be flexible and to be periodically reviewed and modified as appropriate. Objectives Methodology and outcome To review, clarify, and, where appropriate, revise the previously published systems. To a large extent, the process has been an iterative one involving the FIGO Menstrual Disorders Committee, as well as a number of invited contributions from epidemiologists, gynecologists, and other experts in the field from around the world between 2012 and 2017. Face-to-face meetings have been held in Rome, Vancouver, and Singapore, and have been augmented by a number of teleconferences and other communications designed to evaluate various aspects of the systems. Where substantial change was considered, anonymous voting, in some instances using a modified RAND Delphi technique, was utilized.