International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) revised glossary of ART terminology, 2009

International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) revised glossary of ART terminology, 2009
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DOI:
10.1016/j.fertnstert.2009.09.009
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发表时间:
2009-11-01
影响因子:
6.7
通讯作者:
Vanderpoel, S.
Vanderpoel, S.
中科院分区:
医学2区
文献类型:
--
作者:
Zegers-Hochschild, F.;Adamson, G. D.;Vanderpoel, S.

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目的:医学辅助生殖(MAR)中使用的许多定义在不同的环境下有不同的定义,这使得标准化和比较不同国家和地区的程序变得困难。随着不孕不育干预措施在世界范围内的扩大,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,并协助监测世界各地正在实施的辅助生殖技术(ART)的可用性、有效性和安全性。方法:2008年12月,72名临床医生、基础科学家、流行病学家和社会科学家聚集在瑞士日内瓦的世界卫生组织总部。几个月前,成立了三个工作组,负责三个具体领域的术语:临床条件和程序、实验室程序和结果衡量。各小组审查了国际辅助生殖技术监测委员会现有的词汇,提出了修订建议,并提出了新的词汇扩展考虑。结果(S):达成了87个术语的共识,将原来的词汇扩大了34个术语,其中包括许多临床和实验室程序的定义。结论:标准化术语应有助于分析MAR干预措施的全球趋势,并有助于跨国家和地区的ART结果的比较。这一词汇将有助于负责艺术实践的专业人员以及负责国家、地区和国际注册的专业人员之间更标准化的沟通。(Fertil Steril(R)2009;92:1520-4.(C)2009年由美国生殖医学会提供。)
Objective: 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 World Health Organization headquarters in Geneva, Switzerland, in December 2008. Several months before, three working groups were established asresponsible for terminology in three specific areas: clinical conditions and procedures, laboratory procedures, and outcome measures. Each group reviewed the existing International Committee for Monitoring Assisted Reproductive Technology glossary, made recommendations for revisions and introduced new terms to be considered for glossary expansion.Result(s): 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.Conclusion(s): 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. (Fertil Steril (R) 2009;92:1520-4. (C) 2009 by American Society for Reproductive Medicine.)