Pregnancy of unknown location: a consensus statement of
nomenclature, definitions, and outcome

J 2011

Pregnancy of unknown location: a consensus statement of nomenclature, definitions, and outcome

BARNHART, Kurt; Norah M. VAN MELLO; Tom BOURNE; Emma KIRK; Ben VAN CALSTER et al.

Základní údaje

Originální název

Pregnancy of unknown location: a consensus statement of nomenclature, definitions, and outcome

Autoři

Vydání

FERTILITY AND STERILITY, 2011, 0015-0282

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30214 Obstetrics and gynaecology

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 3.775

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/11:00056736

Organizační jednotka

Lékařská fakulta

DOI

https://doi.org/10.1016/j.fertnstert.2010.09.006

UT WoS

000287480300005

Klíčová slova anglicky

Nomenclature; pregnancy of unknown location; international consensus; ectopic pregnancy

Příznaky

Mezinárodní význam

Změněno: 5. 4. 2012 09:33, Mgr. Michal Petr

Anotace

V originále

Objective: To improve the interpretation of future studies in women who are initially diagnosed with a pregnancy of unknown location (PUL), we propose a consensus statement with definitions of population, target disease, and final outcome. Design: A review of literature and a series of collaborative international meetings were used to develop a consensus for definitions and final outcomes of women initially diagnosed with a PUL. Result(s): Global differences were noted in populations studied and in the definitions of outcomes. We propose to define initial ultrasound classification of findings into five categories: definite ectopic pregnancy (EP), probable EP, PUL, probable intrauterine pregnancy (IUP), and definite IUP. Patients with a PUL should be followed and final outcomes should be categorized as visualized EP, visualized IUP, spontaneously resolved PUL, and persisting PUL. Those with the transient condition of a persisting PUL should ultimately be classified as nonvisualized EP, treated persistent PUL, resolved persistent PUL, or histologic IUP. These specific categories can be used to characterize the natural history or location (intrauterine vs. extrauterine) of any early gestation where the initial location is unknown. Conclusion(s): Careful definition of populations and classification of outcomes should optimize objective interpretation of research, allow objective assessment of future reproductive prognosis, and hopefully lead to improved clinical care of women initially identified to have a PUL.

Citovat

BARNHART, Kurt; Norah M. VAN MELLO; Tom BOURNE; Emma KIRK; Ben VAN CALSTER; Cecilia BOTTOMLEY; Karine CHUNG; George CONDOUS; Steven GOLDSTEIN; Petra J. HAJENIUS; Ben Willem MOL; Thomas MOLINARO; Katherine L. O'Flynn O'BRIEN; Richard HUSIČKA; Mary SAMMEL a Dirk TIMMERMAN. Pregnancy of unknown location: a consensus statement of nomenclature, definitions, and outcome. FERTILITY AND STERILITY. 2011, roč. 95, č. 3, s. 857-866. ISSN 0015-0282. Dostupné z: https://doi.org/10.1016/j.fertnstert.2010.09.006.

@article{978533,
   author = {Barnhart, Kurt and van Mello, Norah M. and Bourne, Tom and Kirk, Emma and Van Calster, Ben and Bottomley, Cecilia and Chung, Karine and Condous, George and Goldstein, Steven and Hajenius, Petra J. and Mol, Ben Willem and Molinaro, Thomas and O'Brien, Katherine L. O'Flynn and Husička, Richard and Sammel, Mary and Timmerman, Dirk},
   article_number = {3},
   doi = {https://doi.org/10.1016/j.fertnstert.2010.09.006},
   keywords = {Nomenclature; pregnancy of unknown location; international consensus; ectopic pregnancy},
   language = {eng},
   issn = {0015-0282},
   journal = {FERTILITY AND STERILITY},
   title = {Pregnancy of unknown location: a consensus statement of nomenclature, definitions, and outcome},
   volume = {95},
   year = {2011}
}

TY  - JOUR
ID  - 978533
AU  - Barnhart, Kurt - van Mello, Norah M. - Bourne, Tom - Kirk, Emma - Van Calster, Ben - Bottomley, Cecilia - Chung, Karine - Condous, George - Goldstein, Steven - Hajenius, Petra J. - Mol, Ben Willem - Molinaro, Thomas - O'Brien, Katherine L. O'Flynn - Husička, Richard - Sammel, Mary - Timmerman, Dirk
PY  - 2011
TI  - Pregnancy of unknown location: a consensus statement of nomenclature, definitions, and outcome
JF  - FERTILITY AND STERILITY
VL  - 95
IS  - 3
SP  - 857-866
EP  - 857-866
SN  - 00150282
KW  - Nomenclature
KW  - pregnancy of unknown location
KW  - international consensus
KW  - ectopic pregnancy
N2  - Objective: To improve the interpretation of future studies in women who are initially diagnosed with a pregnancy of unknown location (PUL), we propose a consensus statement with definitions of population, target disease, and final outcome. Design: A review of literature and a series of collaborative international meetings were used to develop a consensus for definitions and final outcomes of women initially diagnosed with a PUL. Result(s): Global differences were noted in populations studied and in the definitions of outcomes. We propose to define initial ultrasound classification of findings into five categories: definite ectopic pregnancy (EP), probable EP, PUL, probable intrauterine pregnancy (IUP), and definite IUP. Patients with a PUL should be followed and final outcomes should be categorized as visualized EP, visualized IUP, spontaneously resolved PUL, and persisting PUL. Those with the transient condition of a persisting PUL should ultimately be classified as nonvisualized EP, treated persistent PUL, resolved persistent PUL, or histologic IUP. These specific categories can be used to characterize the natural history or location (intrauterine vs. extrauterine) of any early gestation where the initial location is unknown. Conclusion(s): Careful definition of populations and classification of outcomes should optimize objective interpretation of research, allow objective assessment of future reproductive prognosis, and hopefully lead to improved clinical care of women initially identified to have a PUL.
ER  -

BARNHART, Kurt; Norah M. VAN MELLO; Tom BOURNE; Emma KIRK; Ben VAN CALSTER; Cecilia BOTTOMLEY; Karine CHUNG; George CONDOUS; Steven GOLDSTEIN; Petra J. HAJENIUS; Ben Willem MOL; Thomas MOLINARO; Katherine L. O'Flynn O'BRIEN; Richard HUSIČKA; Mary SAMMEL a Dirk TIMMERMAN. Pregnancy of unknown location: a consensus statement of nomenclature, definitions, and outcome. \textit{FERTILITY AND STERILITY}. 2011, roč.~95, č.~3, s.~857-866. ISSN~0015-0282. Dostupné z: https://doi.org/10.1016/j.fertnstert.2010.09.006.

Přehled o publikaci