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循证内分泌学:在垂体意外瘤患者管理中阐明其原则。

Evidence-based endocrinology: illustrating its principles in the management of patients with pituitary incidentalomas.

机构信息

Division of Endocrinology, Mayo College of Medicine, Rochester, MN 55905, USA.

出版信息

Best Pract Res Clin Endocrinol Metab. 2012 Feb;26(1):9-19. doi: 10.1016/j.beem.2011.06.003.

DOI:10.1016/j.beem.2011.06.003
PMID:22305449
Abstract

Incidentally discovered pituitary lesions are commonly encountered in the current era of ever-increasing imaging. Individualizing a particular approach implies a thorough analysis of existing evidence and balancing it against different patient expectations. We will illustrate the application of principles of Evidence-Based Medicine to a case of a pituitary incidentaloma by formulating questions that are important to patient care and finding related evidence. Our objective is to reflect the opportunities and the challenges that an evidence-based clinical approach offers to clinicians and patients.

摘要

偶然发现的垂体病变在当前影像学日益增多的时代很常见。个体化的特定方法意味着对现有证据进行彻底分析,并将其与不同患者的期望进行平衡。我们将通过提出对患者护理重要的问题并找到相关证据,来说明将循证医学原则应用于垂体意外瘤病例的情况。我们的目的是反映循证临床方法为临床医生和患者带来的机遇和挑战。

相似文献

1
Evidence-based endocrinology: illustrating its principles in the management of patients with pituitary incidentalomas.循证内分泌学:在垂体意外瘤患者管理中阐明其原则。
Best Pract Res Clin Endocrinol Metab. 2012 Feb;26(1):9-19. doi: 10.1016/j.beem.2011.06.003.
2
Whither pituitary incidentaloma?
J Clin Endocrinol Metab. 2011 Apr;96(4):939-41. doi: 10.1210/jc.2011-0415.
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Pituitary tumours: pituitary incidentalomas.垂体肿瘤:垂体偶发瘤。
Best Pract Res Clin Endocrinol Metab. 2009 Oct;23(5):667-75. doi: 10.1016/j.beem.2009.05.001.
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[New developments in pituitary diseases].[垂体疾病的新进展]
Dtsch Med Wochenschr. 2012 Dec;137(49):2540-2. doi: 10.1055/s-0032-1327285. Epub 2012 Nov 27.
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Incidental pituitary adenomas.偶然发现的垂体腺瘤。
Neurosurg Focus. 2011 Dec;31(6):E18. doi: 10.3171/2011.9.FOCUS11217.
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The Hormone Foundation's Patient guide to pituitary incidentaloma assessment and treatment.激素基金会垂体意外瘤评估与治疗患者指南
J Clin Endocrinol Metab. 2011 Apr;96(4):35A-6A. doi: 10.1210/jcem.96.4.zeg35a.
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[Pituitary incidentaloma].[垂体偶发瘤]
Nihon Rinsho. 2006 May 28;Suppl 1:167-71.
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Pituitary incidentalomas.垂体意外瘤。
Best Pract Res Clin Endocrinol Metab. 2012 Aug;26(4):395-403. doi: 10.1016/j.beem.2011.10.009. Epub 2012 May 22.
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The epidemiology and management of pituitary incidentalomas.垂体偶发瘤的流行病学与管理
Horm Res. 2007;68 Suppl 5:195-8. doi: 10.1159/000110624. Epub 2007 Dec 10.
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[Incidentaloma--one of the greatest challenges of modern endocrinology].[偶发瘤——现代内分泌学的最大挑战之一]
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