When more is not better: 10 'don'ts' in endometriosis management. An ETIC* position statement
When more is not better: 10 'don'ts' in endometriosis management. An ETIC* position statement
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DOI：
10.1093/hropen/hoz009
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发表时间：
2019-01-01
影响因子：
8.3
通讯作者：
Zupi, E.
中科院分区：
文献类型：
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作者：
Alio, L.;Angioni, S.;Zupi, E.
来自意大利16个学术部门和分布在全国各地的教学医院的子宫内膜异位症专家网络对现有证据进行了严格的评估，并确定了关于取消实施措施的10项建议。只有在有高质量的证据可用时，才会提出强烈的建议。目的是选择10种低价值的医疗干预措施，其特征是在潜在的好处、潜在的伤害和成本之间存在不利的平衡，这应该被劝阻于患有子宫内膜异位症的女性。所有专家都同意以下建议：对于无盆腔疼痛症状的不孕妇女，不要建议用腹腔镜检查和治疗浅表腹膜子宫内膜异位症；对于有子宫内膜异位症的不孕妇女，在任何阶段都不要建议控制性卵巢刺激和IUI；不要切除卵巢小的子宫内膜异位症(直径
A network of endometriosis experts from 16 Italian academic departments and teaching hospitals distributed all over the country made a critical appraisal of the available evidence and definition of 10 suggestions regarding measures to be de-implemented. Strong suggestions were made only when high-quality evidence was available. The aim was to select 10 low-value medical interventions, characterized by an unfavorable balance between potential benefits, potential harms, and costs, which should be discouraged in women with endometriosis. The following suggestions were agreed by all experts: do not suggest laparoscopy to detect and treat superficial peritoneal endometriosis in infertile women without pelvic pain symptoms; do not recommend controlled ovarian stimulation and IUI in infertile women with endometriosis at any stage; do not remove small ovarian endometriomas (diameter