An International Continence Society (ICS) report on the terminology for pelvic floor muscle assessment
An International Continence Society (ICS) report on the terminology for pelvic floor muscle assessment
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DOI：
10.1002/nau.24658
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发表时间：
2021-04-12
影响因子：
2
通讯作者：
Guevara, Jenniffer Voelkl
中科院分区：
文献类型：
--
作者：
Frawley, Helena;Shelly, Beth;Guevara, Jenniffer Voelkl
引言自2005年第一份骨盆底肌肉（PFM）功能和功能障碍术语标准化文件以来，女性和男性骨盆底肌肉（PFM）评估的术语已大大扩展。新的术语已经进入评估报告，新的调查，以衡量PFM功能和功能障碍已经开发。这一术语的更新是需要全面记录的术语及其定义，并描述评估方法和解释的发现，标准化评估程序和援助诊断decisionmaking.Methods这份报告结合了输入的标准化委员会的国际尿失禁协会（ICS）工作组16，由该领域公认的专家和外部裁判作出贡献。创建了一个逻辑的、顺序的、临床指导的评估框架，并据此映射了评估过程。在类别和子分类中，每个术语都有一个数字编码。一个透明的过程中进行了12轮的全面工作组和外部审查，以详尽地检查每个定义，加上额外的广泛的内部发展，与决策的集体意见（共识）。结果一个术语报告的症状，体征，调查和诊断与PFM功能和功能障碍，包括185个单独的定义/描述符，已经开发。它以临床为基础，定义了最常见的评估过程。清晰度和用户友好性的关键目标，使其可解释的临床医生和研究人员的不同disciplines.Conclusion一个共识为基础的术语报告评估的PFM功能和功能障碍已经产生，以帮助临床实践和刺激研究。
Introduction The terminology for female and male pelvic floor muscle (PFM) assessment has expanded considerably since the first PFM function and dysfunction standardization of terminology document in 2005. New terms have entered assessment reports, and new investigations to measure PFM function and dysfunction have been developed. An update of this terminology was required to comprehensively document the terms and their definitions, and to describe the assessment method and interpretation of the finding, to standardize assessment procedures and aid diagnostic decision making.Methods This report combines the input of members of the Standardisation Committee of the International Continence Society (ICS) Working Group 16, with contributions from recognized experts in the field and external referees. A logical, sequential, clinically directed assessment framework was created against which the assessment process was mapped. Within categories and subclassifications, each term was assigned a numeric coding. A transparent process of 12 rounds of full working group and external review was undertaken to exhaustively examine each definition, plus additional extensive internal development, with decision making by collective opinion (consensus).Results A Terminology Report for the symptoms, signs, investigations, and diagnoses associated with PFM function and dysfunction, encompassing 185 separate definitions/descriptors, has been developed. It is clinically based with the most common assessment processes defined. Clarity and user-friendliness have been key aims to make it interpretable by clinicians and researchers of different disciplines.Conclusion A consensus-based Terminology Report for assessment of PFM function and dysfunction has been produced to aid clinical practice and be a stimulus for research.