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Pelvic exam in gynecology and obstetrics: Guidelines for clinical practice

dc.rights.licenseopenen_US
dc.contributor.authorDEFFIEUX, Xavier
dc.contributor.authorROUSSET-JABLONSKI, Christine
dc.contributor.authorGANTOIS, Adrien
dc.contributor.authorBRILLAC, Thierry
dc.contributor.authorMARUANI, Julia
dc.contributor.authorMAITROT-MANTELET, Lorraine
dc.contributor.authorMIGNOT, Stéphanie
dc.contributor.authorGAUCHER, Laurent
dc.contributor.authorATHIEL, Yoann
dc.contributor.authorBAFFET, Hortense
dc.contributor.authorBAILLEUL, Alexandre
dc.contributor.authorBERNARD, Valérie
dc.contributor.authorBOURDON, Mathilde
dc.contributor.authorCARDAILLAC, Claire
dc.contributor.authorCARNEIRO, Yaritza
dc.contributor.authorCHARIOT, Patrick
dc.contributor.authorCORROENNE, Romain
dc.contributor.authorDABI, Yohann
dc.contributor.authorDAHLEM, Laurence
dc.contributor.authorFRANK, Sophie
dc.contributor.authorFREYENS, Anne
hal.structure.identifierBiologie des maladies cardiovasculaires = Biology of Cardiovascular Diseases
dc.contributor.authorGROUTHIER, Virginie
dc.contributor.authorHERNANDEZ, Isabelle
dc.contributor.authorIRAOLA, Elisabeth
dc.contributor.authorLAMBERT, Marie
dc.contributor.authorLAUCHET, Nadege
dc.contributor.authorLEGENDRE, Guillaume
dc.contributor.authorLE LOUS, Maela
dc.contributor.authorLOUIS-VAHDAT, Christine
dc.contributor.authorMARTINAT SAINTE-BEUVE, Anne
dc.contributor.authorMASSON, Marine
dc.contributor.authorMATTEO, Caroline
dc.contributor.authorPINTON, Anne
dc.contributor.authorSABBAGH, Emmanuelle
dc.contributor.authorSALLEE, Camille
dc.contributor.authorTHUBERT, Thibault
dc.contributor.authorHERON, Isabelle
dc.contributor.authorPIZZOFERRATO, Anne-Cécile
dc.contributor.authorARTZNER, France
dc.contributor.authorTAVENET, Arounie
dc.contributor.authorLE RAY, Camille
dc.contributor.authorFAUCONNIER, Arnaud
dc.date.accessioned2023-07-18T07:46:47Z
dc.date.available2023-07-18T07:46:47Z
dc.date.issued2023-06-01
dc.identifier.issn2468-7189en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/183413
dc.description.abstractEnTo provide guidelines for the pelvic clinical exam in gynecology and obstetrics. A multidisciplinary experts consensus committee of 45 experts was formed, including representatives of patients' associations and users of the health system. The entire guidelines process was conducted independently of any funding. The authors were advised to follow the rules of the Grading of Recommendations Assessment, Development and Evaluation (GRADE®) system to guide assessment of quality of evidence. The potential drawbacks of making strong recommendations in the presence of low-quality evidence were emphasized. The committee studied 40 questions within 4 fields for symptomatic or asymptomatic women (emergency conditions, gynecological consultation, gynecological diseases, obstetrics, and pregnancy). Each question was formulated in a PICO (Patients, Intervention, Comparison, Outcome) format and the evidence profiles were produced. The literature review and recommendations were made according to the GRADE® methodology. The experts' synthesis work and the application of the GRADE method resulted in 27 recommendations. Among the formalized recommendations, 17 present a strong agreement, 7 a weak agreement and 3 an expert consensus agreement. Thirteen questions resulted in an absence of recommendation due to lack of evidence in the literature. The need to perform clinical examination in gynecological and obstetrics patients was specified in 27 pre-defined situations based on scientific evidence. More research is required to investigate the benefit in other cases.
dc.language.isoENen_US
dc.subjectArticle clinique
dc.subject.enFemale
dc.subject.enHumans
dc.subject.enPregnancy
dc.subject.enConsensus
dc.subject.enGenital Diseases
dc.subject.enFemale
dc.subject.enGynecological Examination
dc.subject.enGynecology
dc.subject.enObstetrics
dc.title.enPelvic exam in gynecology and obstetrics: Guidelines for clinical practice
dc.title.alternativeGynecol Obstet Fertil Senolen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.gofs.2023.04.001en_US
dc.subject.halSciences du Vivant [q-bio]/Médecine humaine et pathologieen_US
dc.identifier.pubmed37258002en_US
bordeaux.journalGynécologie Obstétrique Fertilité & Sénologieen_US
bordeaux.page297-330en_US
bordeaux.volume51en_US
bordeaux.hal.laboratoriesBiologie des maladies cardiovasculaires (BMC) - UMR 1034en_US
bordeaux.issue6en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.import.sourcepubmed
hal.popularnonen_US
hal.audienceInternationaleen_US
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