Clinical procedures and practices used in the perioperative treatment of female genital fistula during a prospective cohort study.
Clinical procedures and practices used in the perioperative treatment of female genital fistula during a prospective cohort study.
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DOI：
10.1186/1471-2393-14-220
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发表时间：
2014-07-05
影响因子：
3.1
通讯作者：
Barone MA
中科院分区：
文献类型：
--
作者：
Ruminjo JK;Frajzyngier V;Bashir Abdullahi M;Asiimwe F;Barry TH;Bello A;Danladi D;Ganda SO;Idris S;Inoussa M;Lynch M;Mussell F;Podder DC;Wali A;Barone MA
过去十年，非洲和南亚各国越来越多地提供女性生殖器瘘的治疗和护理。在国际妇产科联合会(妇产科联合会)及其合作伙伴于2011年出版全球瘘管病培训手册之前，没有国际公认的标准化培训课程，包括围手术期护理。瘘管护理从业者和倡导者社区缺乏关于各种围手术期临床程序和做法的流行率的数据，也缺乏其潜在的规划意义。这里提供的数据来自2007年9月至2010年9月在五个国家的11个瘘管修复机构进行的前瞻性队列研究。临床程序和做法中使用的常规围术期管理超过1300名妇女被描述。20多种临床程序和做法被列在了表格中。其中一些在所有部位都是常用的(例如，95.3%的病例是经阴道修补的)；另一些是罕见的(例如，瓣/移植物，3.4%)或根据部位的不同而变化很大(例如，对于患有尿瘘的女性，修复后膀胱导尿的中位时间的四分位数范围为14至29天)。这些发现显示了广泛的临床程序和实践，在安全性、有效性和成本效益方面具有不同的计划含义。这种差异表明有必要进行进一步研究，以加强发展中国家治疗瘘管的证据基础。
Treatment and care for female genital fistula have become increasingly available over the last decade in countries across Africa and South Asia. Before the International Federation of Gynaecology and Obstetrics (FIGO) and partners published a global fistula training manual in 2011 there was no internationally recognized, standardized training curriculum, including perioperative care. The community of fistula care practitioners and advocates lacks data about the prevalence of various perioperative clinical procedures and practices and their potential programmatic implications are lacking. Data presented here are from a prospective cohort study conducted between September 2007 and September 2010 at 11 fistula repair facilities supported by Fistula Care in five countries. Clinical procedures and practices used in the routine perioperative management of over 1300 women are described. More than two dozen clinical procedures and practices were tabulated. Some of them were commonly used at all sites (e.g., vaginal route of repair, 95.3% of cases); others were rare (e.g., flaps/grafts, 3.4%) or varied widely depending on site (e.g. for women with urinary fistula, the inter-quartile range for median duration of post-repair bladder catheterization was 14 to 29 days). These findings show a wide range of clinical procedures and practices with different program implications for safety, efficacy, and cost-effectiveness. The variability indicates the need for further research so as to strengthen the evidence base for fistula treatment in developing countries.
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影响因子：
3.1
作者：
Arrowsmith, Steven D.;Ruminjo, Joseph;Landry, Evelyn G.
通讯作者：
Landry, Evelyn G.
影响因子：
7.2
作者：
Barone MA;Frajzyngier V;Ruminjo J;Asiimwe F;Barry TH;Bello A;Danladi D;Ganda SO;Idris S;Inoussa M;Lynch M;Mussell F;Podder DC
通讯作者：
Podder DC
DOI：
10.1111/j.1471-0528.1998.tb10122.x
发表时间：
1998-04-01
期刊：
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY
影响因子：
--
作者：
Tomlinson, AJ;Thornton, JG
通讯作者：
Thornton, JG
影响因子：
6.7
作者：
Neilson, JP;Lavender, T;Wray, S
通讯作者：
Wray, S
影响因子：
3.3
作者：
Landry, Evelyn;Frajzyngier, Vera;Barone, Mark A.
通讯作者：
Barone, Mark A.