目的:为了解加拿大子宫内膜异位症诊断的影响和方法提供一种当代方法。
方法:个人,家庭,社区,卫生保健提供者,以及受影响的卫生保健管理人员,照顾病人,或管理子宫内膜异位症服务的交付。
方法:详细的病史有助于子宫内膜异位症的诊断,考试,与有子宫内膜异位症护理经验的提供者进行影像学检查。手术病理评估证实了子宫内膜异位症的诊断;然而,对于那些诊断通过影像学检查得到证实的人来说,这是不需要的。
结果:有必要解决子宫内膜异位症的早期认识,以促进及时获得护理和支持。面向公众的教育,受影响的个人和家庭,卫生保健提供者,和卫生保健管理人员对于减少诊断和治疗的延误至关重要。
结果:提高对诊断的影响和方法的认识和教育,可能有助于子宫内膜异位症患者和家庭及时获得护理。早期和适当的护理可能有助于减轻医疗保健系统的负担;然而,改进的临床评估可能需要初始投资。
方法:每个部分都采用了独特的搜索策略,该策略代表了与重点领域相关的文献中可用的证据。本指南各部分的文献检索在附录A中列出,并包括本文中描述的已发表系统综述的信息。
方法:这些建议是由一个国家专家小组通过为期两年的迭代共识过程进行两轮审查后制定的。有关该过程的更多详细信息在附录B中共享。作者使用建议等级评估对证据的质量和建议的强度进行了评估,开发和评估(等级)方法。见附录C(表C1定义和表C2强和有条件建议的解释)。
■本指南旨在支持参与子宫内膜异位症影响者的医疗保健提供者和政策制定者以及支持他们所需的系统。
结论:子宫内膜异位症的影响和诊断更新了加拿大卫生保健提供者和决策者的指南。
OBJECTIVE: To provide a contemporary approach to the understanding of the impact and methods for the diagnosis of endometriosis in Canada.
METHODS: Individuals, families, communities, health care providers, and health care administrators who are affected by, care for patients with, or manage delivery of services for endometriosis.
METHODS: The diagnosis of endometriosis is facilitated by a detailed history, examination, and imaging tests with providers who are experienced in endometriosis care. Surgical evaluation with pathology confirms a diagnosis of endometriosis; however, it is not required for those whose diagnosis was confirmed with imaging.
RESULTS: There is a need to address earlier recognition of endometriosis to facilitate timely access to care and support. Education directed at the public, affected individuals and families, health care providers, and health care administrators are essential to reduce delays in diagnosis and treatment.
RESULTS: Increased awareness and education about the impact and approach to diagnosis may support timely access to care for patients and families affected by endometriosis. Earlier and appropriate care may support a reduced health care system burden; however, improved clinical evaluation may require initial investments.
METHODS: Each section was reviewed with a unique search strategy representative of the evidence available in the literature related to the area of focus. The literature searches for each section of this
guideline are listed in Appendix A and include information from published systematic reviews described in the text.
METHODS: The recommendations were developed following two rounds of review by a national expert panel through an iterative 2-year
consensus process. Further details on the process are shared in Appendix B. The authors rated the quality of evidence and strength of recommendations using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. See Appendix C (Table C1 for definitions and Table C2 for interpretations of strong and conditional recommendations).
UNASSIGNED: This
guideline is intended to support health care providers and policymakers involved in the care of those impacted by endometriosis and the systems required to support them.
CONCLUSIONS: Endometriosis impact and diagnosis updated
guidelines for Canadian health care providers and policymakers.
CONCLUSIONS: RECOMMENDATIONS.