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第374号 - 宫颈长度通用筛查

No. 374-Universal Cervical Length Screening.

作者信息

Butt Kimberly, Crane Joan, Hutcheon Jennifer, Lim Ken, Nevo Ori

机构信息

Fredericton, NB.

St. Johns, NL.

出版信息

J Obstet Gynaecol Can. 2019 Mar;41(3):363-374.e1. doi: 10.1016/j.jogc.2018.09.019.

Abstract

OBJECTIVE

To review the evidence and provide an opinion as to whether universal cervical length screening to prevent preterm birth should be adopted across Canada.

OUTCOMES

Outcomes evaluated include prevention of preterm birth.

EVIDENCE

Literature searches using Knowledge Finder, Medline and Cochrane databases were searched for articles published up to April 2018 on cervical length screening for prevention of preterm birth.

VALUES

The evidence obtained was reviewed and evaluated by the Diagnostic Imaging Committee of the SOGC under the leadership of the principal authors, and recommendations were made according to guidelines developed by the Canadian Task Force on Preventive Health Care.

BENEFITS, HARMS, AND COSTS: The prevention of preterm birth in a cost-effective manner is of significant importance to the health of mothers and their families. This committee opinion will summarize the current evidence for universal cervical length screening to prevent preterm birth in Canada, determine whether it meets the Junger and Wilson criteria for screening tests, and make recommendations as to its use in Canada.

VALIDATION

These guidelines have been reviewed and approved by the Diagnostic Imaging Committee of the SOGC and The Society of Obstetricians and Gynaecologists of Canada (SOGC).

SPONSORS

The Society of Obstetricians and Gynaecologists of Canada (SOGC).

摘要

目的

回顾相关证据,并就是否应在加拿大全国采用普遍的宫颈长度筛查以预防早产发表意见。

结果

评估的结果包括预防早产。

证据

使用知识发现者、医学期刊数据库和考克兰图书馆数据库进行文献检索,查找截至2018年4月发表的关于宫颈长度筛查预防早产的文章。

价值观

在主要作者的领导下,加拿大妇产科医师协会诊断影像委员会对获取的证据进行了审查和评估,并根据加拿大预防性医疗保健特别工作组制定的指南提出了建议。

益处、危害和成本:以具有成本效益的方式预防早产对母亲及其家庭的健康至关重要。本委员会意见将总结加拿大普遍进行宫颈长度筛查以预防早产的现有证据,确定其是否符合容格和威尔逊筛查试验标准,并就其在加拿大的应用提出建议。

验证

这些指南已由加拿大妇产科医师协会诊断影像委员会和加拿大妇产科医师协会(SOGC)审查并批准。

主办方

加拿大妇产科医师协会(SOGC)。

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