دورية أكاديمية
ACR Appropriateness Criteria® Management of Uterine Fibroids: 2023 Update.
| العنوان: | ACR Appropriateness Criteria® Management of Uterine Fibroids: 2023 Update. |
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| المؤلفون: | Makary MS; Ohio State University Wexner Medical Center, Columbus, Ohio. Electronic address: minamakary1@hotmail.com., Zane K; Research Author, University of Chicago Hospitals, Chicago, Illinois., Hwang GL; Stanford University School of Medicine, Stanford, California., Kim CY; Panel Chair, Duke University Medical Center, Durham, North Carolina., Ahmed O; University of Chicago, Chicago, Illinois., Knavel Koepsel EM; University of Wisconsin, Madison, Wisconsin., Monroe EJ; University of Wisconsin, Madison, Wisconsin., Scheidt MJ; Froedtert & The Medical College of Wisconsin, Milwaukee, Wisconsin., Smolock AR; Froedtert & The Medical College of Wisconsin, Milwaukee, Wisconsin., Stewart EA; Mayo Clinic and Mayo Clinic Alix School of Medicine; American College of Obstetricians and Gynecologists., Wasnik AP; University of Michigan, Ann Arbor, Michigan., Pinchot JW; Specialty Chair, University of Wisconsin, Madison, Wisconsin. |
| مؤلفون مشاركون: | Expert Panel on Interventional Radiology |
| المصدر: | Journal of the American College of Radiology : JACR [J Am Coll Radiol] 2024 Jun; Vol. 21 (6S), pp. S203-S218. |
| نوع المنشور: | Journal Article; Practice Guideline |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 101190326 Publication Model: Print Cited Medium: Internet ISSN: 1558-349X (Electronic) Linking ISSN: 15461440 NLM ISO Abbreviation: J Am Coll Radiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, NY : Elsevier, c2004- |
| مواضيع طبية MeSH: | Leiomyoma*/diagnostic imaging , Leiomyoma*/therapy , Leiomyoma*/surgery , Uterine Neoplasms*/diagnostic imaging , Uterine Neoplasms*/therapy , Societies, Medical*, Humans ; Female ; United States ; Evidence-Based Medicine ; Uterine Artery Embolization/methods |
| مستخلص: | Uterine fibroids are the most common benign tumor in women of reproductive age and can present with symptoms including bleeding, bulk related symptoms, and infertility. Several treatment options are available for the management of uterine fibroids, including medical management, minimally invasive therapies such as uterine artery embolization and MR-guided focused ultrasound ablation, and surgical interventions ranging from laparoscopic myomectomy to open hysterectomy. Given this wide range of therapeutic interventions, it is important to understand the data supporting these interventions and to be able to apply it in different clinical settings. This document provides a summary of recent trials supporting various therapies for uterine fibroids, including recent evidence for MR-guided focused ultrasound ablation and a detailed discussion of fertility outcomes in myomectomy and uterine fibroid embolization. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation. (Copyright © 2024 American College of Radiology. Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: AUC; Appropriateness Criteria; MR-guided high-frequency focused ultrasound ablation; MRgFUS; UAE; UFE; appropriate use criteria; uterine artery embolization; uterine fibroid embolization |
| تواريخ الأحداث: | Date Created: 20240601 Date Completed: 20240601 Latest Revision: 20240601 |
| رمز التحديث: | 20240602 |
| DOI: | 10.1016/j.jacr.2024.02.022 |
| PMID: | 38823944 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1558-349X |
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| DOI: | 10.1016/j.jacr.2024.02.022 |