Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, University of California, Los Angeles, Los Angeles, CA, USA.
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, University of Illinois at Chicago, Chicago, IL, USA.
J Assist Reprod Genet. 2021 Jul;38(7):1809-1817. doi: 10.1007/s10815-021-02186-1. Epub 2021 Apr 18.
To study how SART-member fertility clinics communicated via clinic websites during the first wave of the COVID-19 pandemic following publication of ASRM COVID-19 Task Force recommendations.
SART-member fertility clinic websites were systematically surveyed for the presence of an REI-specific COVID-19 message (REI-CM) and analyzed for their adherence to ASRM guidance.
Of the 381 active clinic websites, 249 (65.3%) had REI-specific COVID messaging. The presence of REI-CM was more common in private than in academic practices (73% vs 38%, p < 0.001) and with increasing practice volume: 38% of clinics with < 200 annual cycles vs 91% of clinics with > 1000 cycles (p < 0.001). Adherence to ASRM guidance was more common in academic than in private practices (54% vs 31%, p = 0.02). Additionally, 9% of REI-CM (n = 23) announced continued treatment regardless of a patient's clinical urgency. This messaging was more common in groups doing > 1000 cycles a year (18%, p = 0.009). Clinics treating all-comers were less likely to cite ASRM than other clinics (41% vs 62%, p = 0.045). However, 75% (n = 14) cited COVID-19 guidance from WHO, CDC, and state and local governments.
Clinic response to ASRM recommendations during the first wave of COVID-19 pandemic was heterogeneous. Although academic practices were more likely to follow ASRM guidance, there was a lower extent of patient-facing messaging among academic practices than private clinics. In event of further escalations of this and future pandemics, clinics can learn from experiences to provide clear messaging to patients.
研究在 ASRM COVID-19 工作组建议发布后，SART 成员生育诊所如何通过诊所网站在 COVID-19 大流行的第一波期间进行沟通。
对 SART 成员生育诊所网站进行系统调查，以了解是否存在特定于 REI 的 COVID 信息（REI-CM），并分析其对 ASRM 指南的遵守情况。
在 381 个活跃的诊所网站中，有 249 个（65.3%）有特定于 REI 的 COVID 信息。在私人诊所中比在学术实践中更常见存在 REI-CM（73%比 38%，p < 0.001），并且随着实践量的增加而更为常见：在年周期<200 个的诊所中为 38%，在年周期>1000 个的诊所中为 91%（p < 0.001）。在学术实践中比在私人实践中更常见遵守 ASRM 指南（54%比 31%，p = 0.02）。此外，9%的 REI-CM（n = 23）宣布继续治疗，无论患者的临床紧急程度如何。这种信息传递在每年进行>1000 个周期的组中更为常见（18%，p = 0.009）。治疗所有患者的诊所比其他诊所更不可能引用 ASRM（41%比 62%，p = 0.045）。但是，75%（n = 14）引用了世界卫生组织、疾病预防控制中心以及州和地方政府的 COVID-19 指南。
在 COVID-19 大流行的第一波期间，诊所对 ASRM 建议的反应是多种多样的。尽管学术实践更有可能遵循 ASRM 指南，但与私人诊所相比，学术实践中针对患者的信息传递较少。在这种情况以及未来的大流行进一步升级的情况下，诊所可以从经验中吸取教训，为患者提供明确的信息。
