Consensus on current management of endometriosis
Consensus on current management of endometriosis
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DOI：
10.1093/humrep/det050
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发表时间：
2013-06-01
影响因子：
6.1
通讯作者：
Hummelshoj, Lone
中科院分区：
文献类型：
--
作者：
Johnson, Neil P.;Hummelshoj, Lone
是否就子宫内膜异位症的治疗达成了全球共识，其中考虑了患有子宫内膜异位症妇女的观点？通过让对子宫内膜异位症感兴趣的国家和国际、医学和非医疗学会的代表参与，有可能就目前的子宫内膜异位症的治疗发表一项国际共识声明。世界上任何地方的子宫内膜异位症的管理都部分基于循证做法，部分基于未经证实的治疗和方法。一些国家和国际机构制定了若干准则，但仍存在争议和不确定领域，尤其是由于缺乏确凿证据。在会前和会后举行了一次协商一致的会议。2011年9月8日，在法国蒙彼利埃举行的第11届世界子宫内膜异位症大会期间举行了一次协商一致的会议。来自不同学科的34个国家和国际组织、医疗和非医疗组织的56名代表参加了严格的会前和会后进程，最终达成了这项协商一致声明。有七项发言取得了一致的共识；然而，没有一项发言是在没有对发言的力度或发言本身提出警告的情况下作出的。只有两项声明未能达成多数人的共识。这些声明涵盖了全球考虑因素、子宫内膜异位症组织、支持小组、中心或专业网络的作用、子宫内膜异位症在妇女一生中的影响，以及与子宫内膜异位症有关的疼痛、不孕和其他症状的全方位治疗选择。这一协商一致的过程与正式指南制定的过程不同。与参与这一进程的人不同的国际专家小组可能会产生微妙的不同共识声明。这是代表五大洲34个主要持股组织的大型全球财团首次召开会议，系统地评估目前关于子宫内膜异位症治疗的最佳现有证据，并达成共识。除了18个国际医疗组织外，还有来自16个国家子宫内膜异位症组织的代表参加，包括非专业支持团体，从而促使患有子宫内膜异位症的妇女提供意见。世界子宫内膜异位症协会委托并主办了这次协商一致会议。与会者出席会议的财政支助由他们所代表的组织提供。没有为这一协商一致进程提供其他具体资金。所有参赛者的全部信息都在此公布。
Is there a global consensus on the management of endometriosis that considers the views of women with endometriosis?It was possible to produce an international consensus statement on the current management of endometriosis through engagement of representatives of national and international, medical and non-medical societies with an interest in endometriosis.Management of endometriosis anywhere in the world has been based partially on evidence-based practices and partially on unsubstantiated therapies and approaches. Several guidelines have been developed by a number of national and international bodies, yet areas of controversy and uncertainty remain, not least due to a paucity of firm evidence.A consensus meeting, in conjunction with a pre- and post-meeting process, was undertaken.A consensus meeting was held on 8 September 2011, in conjunction with the 11th World Congress on Endometriosis in Montpellier, France. A rigorous pre- and post-meeting process, involving 56 representatives of 34 national and international, medical and non-medical organizations from a range of disciplines, led to this consensus statement.A total of 69 consensus statements were developed. Seven statements had unanimous consensus; however, none of the statements were made without expression of a caveat about the strength of the statement or the statement itself. Only two statements failed to achieve majority consensus. The statements covered global considerations, the role of endometriosis organizations, support groups, centres or networks of expertise, the impact of endometriosis throughout a womans life course, and a full range of treatment options for pain, infertility and other symptoms related to endometriosis.This consensus process differed from that of formal guideline development. A different group of international experts from those participating in this process would likely have yielded subtly different consensus statements.This is the first time that a large, global, consortium, representing 34 major stake-holding organizations from five continents, has convened to systematically evaluate the best available current evidence on the management of endometriosis, and to reach consensus. In addition to 18 international medical organizations, representatives from 16 national endometriosis organizations were involved, including lay support groups, thus generating input from women who suffer from endometriosis.The World Endometriosis Society commissioned and hosted the consensus meeting. Financial support for participants to attend the meeting was provided by the organizations that they represented. There was no other specific funding for this consensus process. Full disclosures of all participants are presented herein.