Middle-East obgyn graduate education (MOGGE) foundation practice guidelines: diagnostic approach to pregnancy of unknown location: practice guideline no. 03-O-21
Abstract:Background
Pregnancy of unknown location (PUL) is a term used to describe failure of visualization of intrauterine or extrauterine gestational sac in a woman with a positive pregnancy test.
Body of the abstract
Ectopic pregnancy (EP) accounts for 1–2 % of all pregnancies. EP contributes to maternal mortality of a known cause by 4% in developed countries. However, case fatality rate may be 10 times higher in low-resource countries. This may be attri… Show more
“…It is recommended to supplement and improve the four fields of “independence”, “rigor”, “participants” and “application”, especially the “independence” and “application” fields. Only four guidelines 7 , 8 , 10 , 14 had higher scores. In addition to considering more high-quality studies, future research or guideline development may need to take into account unmeasured confounding factors, such as patient preferences, different experiences, levels of ultrasound and laparoscopic surgery and various types of ectopic pregnancies (interstitial, abdominal, cervical, ovarian) to optimize the development process of practice guidelines and thereby improve patient prognosis.…”
Section: Discussionmentioning
confidence: 94%
“…Nine guidelines were finally included in this study ( Figure 1 ). 7–15 Figure 1 Study selection diagram. …”
Section: Resultsmentioning
confidence: 99%
“…Nine guidelines were finally included in this study (Figure 1). [7][8][9][10][11][12][13][14][15] Table 1 summarizes the general characteristics of the guidelines. The study included 8 guidelines and 1 consensus covering 3 continents.…”
Section: Resultsmentioning
confidence: 99%
“…In the field of “scope and purpose”, only one guideline 15 had a standardized score <50%, mainly because the general purpose of the guideline was not clearly stated. In the field of “stakeholder involvement”, 7 guidelines 7 , 9 , 11–15 had a standardized score of <50.00%. Their main shortcomings were as follows: (1) the specific work of the expert was not described, only the name is provided.…”
Section: Discussionmentioning
confidence: 99%
“…Only three guidelines 7 , 14 , 15 scored ≥50.00% in “independence”field. The main points were the lack of clarification on conflicts of interest and whether funding will affect the content of the guideline.…”
Introduction
To evaluate the methodological quality of diagnosis and treatment guidelines/consensus related to ectopic pregnancy.
Materials and methods
Use the “Appraisal of Guidelines and Research and Evaluation” (AGREE II) method to evaluate the differences among the guideline/consensus.
Results
We appraised 9 clinical practice guidelines for ectopic pregnancy (9 clinical practice guidelines from 5 countries) including the United States, United Kingdom, Ireland, Canada, and China. The guidelines received the highest scores for clarity of presentation (82.72%) and lowest scores for editorial independence (30.56%). The comprehensive recommendations of the 7 guidelines were Grade B, the other 2 guidelines were Grade C.
Conclusion
The overall quality of the ectopic pregnancy guidelines had room for improvement. It is recommended to supplement and improve the four fields of “independence”, “rigor”, “participants” and “application”, especially the “independence” and “application” fields.
“…It is recommended to supplement and improve the four fields of “independence”, “rigor”, “participants” and “application”, especially the “independence” and “application” fields. Only four guidelines 7 , 8 , 10 , 14 had higher scores. In addition to considering more high-quality studies, future research or guideline development may need to take into account unmeasured confounding factors, such as patient preferences, different experiences, levels of ultrasound and laparoscopic surgery and various types of ectopic pregnancies (interstitial, abdominal, cervical, ovarian) to optimize the development process of practice guidelines and thereby improve patient prognosis.…”
Section: Discussionmentioning
confidence: 94%
“…Nine guidelines were finally included in this study ( Figure 1 ). 7–15 Figure 1 Study selection diagram. …”
Section: Resultsmentioning
confidence: 99%
“…Nine guidelines were finally included in this study (Figure 1). [7][8][9][10][11][12][13][14][15] Table 1 summarizes the general characteristics of the guidelines. The study included 8 guidelines and 1 consensus covering 3 continents.…”
Section: Resultsmentioning
confidence: 99%
“…In the field of “scope and purpose”, only one guideline 15 had a standardized score <50%, mainly because the general purpose of the guideline was not clearly stated. In the field of “stakeholder involvement”, 7 guidelines 7 , 9 , 11–15 had a standardized score of <50.00%. Their main shortcomings were as follows: (1) the specific work of the expert was not described, only the name is provided.…”
Section: Discussionmentioning
confidence: 99%
“…Only three guidelines 7 , 14 , 15 scored ≥50.00% in “independence”field. The main points were the lack of clarification on conflicts of interest and whether funding will affect the content of the guideline.…”
Introduction
To evaluate the methodological quality of diagnosis and treatment guidelines/consensus related to ectopic pregnancy.
Materials and methods
Use the “Appraisal of Guidelines and Research and Evaluation” (AGREE II) method to evaluate the differences among the guideline/consensus.
Results
We appraised 9 clinical practice guidelines for ectopic pregnancy (9 clinical practice guidelines from 5 countries) including the United States, United Kingdom, Ireland, Canada, and China. The guidelines received the highest scores for clarity of presentation (82.72%) and lowest scores for editorial independence (30.56%). The comprehensive recommendations of the 7 guidelines were Grade B, the other 2 guidelines were Grade C.
Conclusion
The overall quality of the ectopic pregnancy guidelines had room for improvement. It is recommended to supplement and improve the four fields of “independence”, “rigor”, “participants” and “application”, especially the “independence” and “application” fields.
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