Preconception, Interconception, and reproductive health screening tools: A systematic review.
Preconception, Interconception, and reproductive health screening tools: A systematic review.
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DOI：
10.1111/1475-6773.14123
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发表时间：
2023-04
影响因子：
3.4
通讯作者：
Stulberg, Debra
中科院分区：
文献类型：
--
作者：
Ren, Megan;Shireman, Hannah;VanGompel, Emily White;Bello, Jennifer K.;Carlock, Francesca;McHugh, Ashley;Stulberg, Debra
关键词：
确定和描述适用于一般门诊临床实践的满足生殖健康需求的标准化受孕和孕前筛查工具。本系统综述确定了有关妊娠意向筛查和咨询工具以及孕前和孕间护理标准化方法的研究。我们专注于为临床环境设计的工具，但也包括具有临床实施潜力的研究工具。这些工具可能包括避孕咨询的一部分，但那些只专注于避孕咨询的工具被排除在外。数据收集自 2000 年 1 月至 2022 年 3 月期间在美国进行的研究。我们进行了系统的文献检索，生成了一系列独特的工具，评估了支持每种工具的证据质量，并描述了每种工具经过同行评审的临床应用。我们使用混合方法评估工具来评估个别研究的质量。我们检索了 PubMed、Web of Science 和 CINAHL 数据库，查找 2000 年 1 月至 2022 年 3 月以英文发布的标准化孕前和孕间健康筛查工具。我们使用关键词“孕前护理”、“孕间护理”、“计划生育”、“避孕”、“生殖健康服务”和“咨询”。利用系统评价的首选报告项目指南，我们筛选了标题和摘要，以确定需要全文审查的研究。检索结果为 15,399 项研究。删除 4172 个重复项后，我们筛选了 11,227 个标题/摘要，并高级 207 个进行全文审查。从这些研究中，我们确定了 53 项符合条件的研究，代表 22 种工具/标准化方法，其中 10 项有来自随机临床试验的证据。这些在设计、设置和研究人群方面范围广泛。临床医生在实施标准生殖筛查服务时可以选择多种工具。越来越多的研究可以为选择合适的工具提供信息，并且需要更多的研究来确定对患者长期结果的影响。
To identify and describe the standardized interconception and preconception screening tools for reproductive health needs that are applicable in general outpatient clinical practice. This systematic review identifies research on pregnancy intention screening and counseling tools, and standardized approaches to preconception and interconception care. We focus on tools designed for clinical settings, but also include research tools with potential for clinical implementation. These tools may include a component of contraceptive counseling, but those focusing solely on contraceptive counseling were excluded. Data were collected from studies done in the United States between January 2000 and March 2022. We performed a systematic literature search to generate a list of unique tools, assessed the quality of evidence supporting each tool, and described the peer‐reviewed clinical applications of each. We used the Mixed Methods Appraisal Tool to appraise the quality of individual studies. We searched PubMed, Web of Science, and CINAHL databases for standardized preconception and interconception health screening tools published in English from January 2000 through March 2022. We used keywords “preconception care,” “interconception care,” “family planning,” “contraception,” “reproductive health services,” and “counseling.” Utilizing the Preferred Reporting Items for Systematic Reviews guidelines, we screened titles and abstracts to identify studies for full text review. The search resulted in 15,399 studies. After removing 4172 duplicates, we screened 11,227 titles/abstracts and advanced 207 for full‐text review. From these, we identified 53 eligible studies representing 22 tools/standardized approaches, of which 10 had evidence from randomized clinical trials. These ranged widely in design, setting, and population of study. Clinicians have a choice of tools when implementing standard reproductive screening services. A growing body of research can inform the selection of an appropriate tool, and more study is needed to establish effects on long‐term patient outcomes.
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通讯作者：
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影响因子：
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