EngenderHealth, Fistula Care, New York, New York, USA.
Curr Opin Obstet Gynecol. 2013 Oct;25(5):399-403. doi: 10.1097/GCO.0b013e3283648d60.
To highlight the lack of consistency in the terminology and indicators related to obstetric fistula care and to put forward a call for consensus.
Recent studies show at least some degree of statistical correlation between outcome and the following clinical factors: degree of scarring/fibrosis, fistula location, fistula size, damage to the urethra, presence of circumferential fistula, bladder capacity, and prior attempt at fistula repair.
Consensus about basic definitions of clinical success does not yet exist. Opinions vary widely about the prognostic parameters for success or failure. Commonly agreed upon definitions and outcome measures will help ensure that site reviews are accurate and conducted fairly. To properly compare technical innovations with existing methods, agreement must be reached on definitions of success. Standardized indicators for mortality and morbidity associated with fistula repair will improve the evidence base and contribute to quality of care.
强调与产科瘘护理相关的术语和指标缺乏一致性，并呼吁达成共识。
最近的研究表明，结果与以下临床因素之间至少存在一定程度的统计学相关性：瘢痕/纤维化程度、瘘管位置、瘘管大小、尿道损伤、环形瘘管存在、膀胱容量和先前瘘管修复尝试。
关于临床成功的基本定义尚未达成共识。关于成功或失败的预后参数，意见分歧很大。普遍认同的定义和结果衡量标准将有助于确保站点审查准确和公正进行。为了正确比较技术创新与现有方法，必须就成功的定义达成一致。与瘘管修复相关的死亡率和发病率的标准化指标将提高证据基础，并有助于提高护理质量。
