Jacobson Michelle, Mills Kelsey, Graves Gillian, Wolfman Wendy, Fortier Michel
Toronto, ON.
Victoria, BC.
J Obstet Gynaecol Can. 2021 Dec;43(12):1450-1456.e1. doi: 10.1016/j.jogc.2021.09.011. Epub 2021 Nov 17.
Provide strategies for improving the care of perimenopausal and postmenopausal women based on the most recent published evidence.
Perimenopausal and postmenopausal women.
BENEFITS, HARMS, AND COSTS: Target population will benefit from the most recent published scientific evidence provided via the information from their health care provider. No harms or costs are involved with this information since women will have the opportunity to choose among the different therapeutic options for the management of the symptoms and morbidities associated with menopause, including the option to choose no treatment.
Databases consulted were PubMed, MEDLINE, and the Cochrane Library for the years 2002-2020, and MeSH search terms were specific for each topic developed through the 7 chapters.
The authors rated the quality of evidence and strength of recommendations using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. See online Appendix A (Tables A1 for definitions and A2 for interpretations of strong and weak recommendations). INTENDED AUDIENCE: physicians, including gynaecologists, obstetricians, family physicians, internists, emergency medicine specialists; nurses, including registered nurses and nurse practitioners; pharmacists; medical trainees, including medical students, residents, fellows; and other providers of health care for the target population.
RECOMMENDATIONS.
根据最新发表的证据，提供改善围绝经期和绝经后女性护理的策略。
围绝经期和绝经后女性。
益处、危害和成本：目标人群将从医疗保健提供者提供的最新发表的科学证据中受益。由于女性将有机会在管理与绝经相关的症状和疾病的不同治疗方案中进行选择，包括选择不治疗，因此该信息不会带来危害或成本。
查询的数据库为2002年至2020年的PubMed、MEDLINE和Cochrane图书馆，医学主题词（MeSH）搜索词针对通过7章内容所涉及的每个主题进行了专门设定。
作者采用推荐分级评估、制定和评价（GRADE）方法对证据质量和推荐强度进行评级。见在线附录A（表A1为定义，表A2为强推荐和弱推荐的解释）。目标受众：医生，包括妇科医生、产科医生、家庭医生、内科医生、急诊医学专家；护士，包括注册护士和执业护士；药剂师；医学实习生，包括医学生、住院医师、研究员；以及为目标人群提供医疗保健服务的其他人员。
推荐意见。
