Dydrogesterone as an Option in the Medical Treatment of Endometriosis: A Brief Comment

Carvalho, Bruno Ramalho de

doi:10.1055/s-0042-1751075

Cited by 1 publication

(2 citation statements)

References 15 publications

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“…Neil et al, 2013 [7] 2013 WES -Diagnosis, treatment, pain management, infertility treatment First version Consensus G.A.J et al, 2014 [8] 2014 ESHRE -Diagnosis, treatment, pain management, infertility treatment Update Guide Ulrich et al, 2014 [9] 2014 DGGG Germany Diagnosis, treatment, health care management, infertility treatment First version Guide Carvalho et al, 2016 [10] 2016 -Portugal medication First version Consensus Neil et al, 2017 [11] 2017 WES -Classification of endometriosis First version Consensus NICE, 2017 [12] 2017 NICE Britain Diagnosis, treatment, health care management, pain management Update Guide Tetsuya et al, 2020 [13] 2018 JSOG&JSE Japan Treatment of reproductive tract endometriosis First version Guide Hyejin et al, 2018 [14] 2018 quality CPG should be followed in clinical decision making. The AGREE II system is universal and suitable for any disease area in all health care links.…”

Section: Guideline Published Yr Release Organization Country Main The...mentioning

confidence: 99%

“…Neil et al, 2013 [7] WES GRADE Experts consensus 69 17 128 G.A.J et al, 2014 [8] ESHRE GRADE Experts consensus 83 13 121 Ulrich et al,2 014 [9] DGGG -Experts consensus -15 211 Carvalho et al, 2016 [10] -GRADE Experts consensus -11 83 Neil et al, 2017 [11] WES GRADE Experts consensus 28 10 15 NICE, 2017 [12] NICE GRADE Literature search 21 363 256 Tetsuya et al, 2020 [13] -GRADE Experts consensus 8 26 164 Hyejin et al, 2018 [14] KSE GRADE Experts consensus 71 − = no such item, CPG = clinical practice guidelines.…”

Section: Number Of Referencesmentioning

confidence: 99%

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Quality evaluation of endometriosis guidelines using AGREE II

Liu¹,

Du²,

Chen³

et al. 2022

Medicine

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Background: To systematically evaluate the guidelines for endometriosis published in the past decade, and to provide reference for the selection of guidelines for endometriosis through quality evaluation and comparison.Methods: PubMed database, Embase database, evidence-based medicine clinical practice guidelines (CPG) database and the National Institute for Health and Clinical Excellence in the United Kingdom were searched by computer from December 2012 to December 2020 to retrieve published endometriosis CPG published by professional institutions or organizations. The search languages are English and Portuguese. Two researchers evaluated the quality of included CPG according to appraisal of guidelines for research and evaluation (AGREE II). The evaluation includes 6 areas: scope and purpose, participants, rigor of formulation, clarity of expression, applicability and independence. The recommendation level of CPG is determined by the distribution of standardized scores in the above 6 areas.Results: A total of 8 articles on endometriosis CPG were included, including 5 guidelines and 3 consensuses, covering 5 countries in 2 continents; the publication year was 2013 to 2020. The average standardized scores of the scope and purpose, participants, rigor, clarity, applicability and independence of CPG were 77.1%, 52.8%, 50.5%, 86.8%, 31.3%, and 36.5%, respectively. Among the 8 CPGs, 1 was grade A (recommended), 5 were grade B (recommended after improvement), and 2 were grade C (not recommended). Seven CPG recommendations were based on expert consensus, and one was developed through detailed literature retrieval, analysis and evidence rating evaluation. There was little difference between the guidelines in terms of treatment-related recommendations.Conclusions: The quality of endometriosis CPG released in 2013 to 2020 is quite different, and some CPGs are not ideal in terms of rigor, applicability and independence. The guidelines issued by NICE in 2017 are A-grade recommendations. The standardized scores in various fields are high, and the formation process of CPG is the most standardized, which is worth learning and reference.Abbreviations: AGREE II = appraisal of guidelines for research and evaluation, CPGs = clinical practice guidelines, ICC = intragroup correlation coefficient.

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