The International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) Revised Glossary on ART Terminology, 2009

The International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) Revised Glossary on ART Terminology, 2009
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DOI:
10.1093/humrep/dep343
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发表时间:
2009-11-01
期刊:
影响因子:
6.1
通讯作者:
van der Poel, S.
van der Poel, S.
中科院分区:
医学1区
文献类型:
--
作者:
Zegers-Hochschild, F.;Adamson, G. D.;van der Poel, S.

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背景技术背景:医疗辅助生殖(MAR)中使用的许多定义在不同的环境中各不相同,因此难以标准化和比较不同国家和地区的程序。随着世界范围内不孕症干预措施的扩大,包括较低的资源环境,共同命名的重要性和价值至关重要。其目标是制定一套国际公认并不断更新的定义,用于标准化和协调国际数据收集,并协助监测全球范围内实施的辅助生殖技术(ART)的可用性、有效性和安全性。72名临床医生、基础科学家、流行病学家和社会科学家12月齐聚瑞士日内瓦世卫组织总部,2008.在几个月前,设立了三个工作组,负责三个具体领域的术语:临床条件和程序、实验室程序和成果计量。每个小组审查了现有的ICMART词汇表,提出了修订建议,并介绍了新的术语,以考虑词汇expandment.RESULTS:达成共识的87个术语,扩大了34个术语,其中包括许多临床和实验室程序的定义,原来的词汇表。特别强调的是在描述结果的措施,如累积分娩率和其他标志物的安全性和有效性在ART.CONCLUSIONS:标准化的术语应有助于分析全球趋势的MAR干预措施和ART结果的比较在不同国家和地区。该术语表将有助于负责ART实践的专业人员以及负责国家、区域和国际登记的专业人员之间进行更加标准化的交流。
BACKGROUND: Many definitions used in medically assisted reproduction (MAR) vary in different settings, making it difficult to standardize and compare procedures in different countries and regions. With the expansion of infertility interventions worldwide, including lower resource settings, the importance and value of a common nomenclature is critical. The objective is to develop an internationally accepted and continually updated set of definitions, which would be utilized to standardize and harmonize international data collection, and to assist in monitoring the availability, efficacy, and safety of assisted reproductive technology (ART) being practiced worldwide.METHOD: Seventy-two clinicians, basic scientists, epidemiologists and social scientists gathered together at the WHO headquarters in Geneva, Switzerland in December, 2008. Several months in advance, three working groups were established which were responsible for terminology in three specific areas: clinical conditions and procedures, laboratory procedures and outcome measures. Each group reviewed the existing ICMART glossary, made recommendations for revisions and introduced new terms to be considered for glossary expansion.RESULTS: A consensus was reached on 87 terms, expanding the original glossary by 34 terms, which included definitions for numerous clinical and laboratory procedures. Special emphasis was placed in describing outcome measures such as cumulative delivery rates and other markers of safety and efficacy in ART.CONCLUSIONS: Standardized terminology should assist in analysis of worldwide trends in MAR interventions and in the comparison of ART outcomes across countries and regions. This glossary will contribute to a more standardized communication among professionals responsible for ART practice, as well as those responsible for national, regional and international registries.