Mesh : Adult Female Humans Pregnancy Evidence-Based Medicine Hyperprolactinemia / chemically induced diagnosis etiology pathology Pituitary Neoplasms / complications drug therapy Prolactinoma / complications drug therapy

来  源:   DOI:10.1210/jc.2010-1692   PDF(Sci-hub)

Abstract:
OBJECTIVE: The aim was to formulate practice guidelines for the diagnosis and treatment of hyperprolactinemia.
METHODS: The Task Force consisted of Endocrine Society-appointed experts, a methodologist, and a medical writer.
METHODS: This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to describe both the strength of recommendations and the quality of evidence.
METHODS: One group meeting, several conference calls, and e-mail communications enabled consensus. Committees and members of The Endocrine Society, The European Society of Endocrinology, and The Pituitary Society reviewed and commented on preliminary drafts of these guidelines.
CONCLUSIONS: Practice guidelines are presented for diagnosis and treatment of patients with elevated prolactin levels. These include evidence-based approaches to assessing the cause of hyperprolactinemia, treating drug-induced hyperprolactinemia, and managing prolactinomas in nonpregnant and pregnant subjects. Indications and side effects of therapeutic agents for treating prolactinomas are also presented.
摘要:
目的:制定高泌乳素血症诊断和治疗的实践指南。
方法:工作组由内分泌学会指定的专家组成,一个方法学家,一个医学作家。
方法:本基于证据的指南是使用建议分级制定的,评估,发展,和评估(等级)系统来描述建议的强度和证据的质量。
方法:一次小组会议,几个电话会议,电子邮件通信促成了共识。内分泌学会的委员会和成员,欧洲内分泌学会,垂体学会审查并评论了这些指南的初步草案。
结论:针对催乳素水平升高患者的诊断和治疗提出了实践指南。这些包括基于证据的方法来评估高催乳素血症的原因,治疗药物引起的高泌乳素血症,和管理非妊娠和妊娠受试者的泌乳素瘤。还提供了用于治疗催乳素瘤的治疗剂的适应症和副作用。
公众号