Titre : Techniques de diagnostic gynécologique et obstétrique

Techniques de diagnostic gynécologique et obstétrique : Questions médicales fréquentes

Termes MeSH sélectionnés :

Randomized Controlled Trials as Topic
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NewYork-Presbyterian Hospital, New York, and the Department of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, New York." } }, { "@type": "Person", "name": "Maya M Hammoud", "url": "https://questionsmedicales.fr/author/Maya%20M%20Hammoud", "affiliation": { "@type": "Organization", "name": "Departments of Obstetrics and Gynecology and Learning Health Sciences, University of Michigan, Ann Arbor, Michigan." } }, { "@type": "Person", "name": "Jeffrey A Kuller", "url": "https://questionsmedicales.fr/author/Jeffrey%20A%20Kuller", "affiliation": { "@type": "Organization", "name": "Professor." } } ], "citation": [ { "@type": "ScholarlyArticle", "name": "Abstracts of randomized controlled trials in pediatric dentistry: reporting quality and spin.", "datePublished": "2023-11-10", "url": "https://questionsmedicales.fr/article/37950213", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1186/s12874-023-02085-2" } }, { "@type": 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gynécologique et obstétrique", "description": "Comment traiter une infection vaginale ?\nQuel traitement pour les fibromes utérins ?\nComment gérer l'endométriose ?\nQuel est le traitement de la prééclampsie ?\nComment traiter le syndrome des ovaires polykystiques ?", "url": "https://questionsmedicales.fr/mesh/D003944?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=7#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Techniques de diagnostic gynécologique et obstétrique", "description": "Quelles complications peuvent survenir après une césarienne ?\nQuels risques d'une grossesse multiple ?\nQuelles complications de l'endométriose ?\nQuels sont les risques d'une prééclampsie non traitée ?\nQuelles complications peuvent survenir après un avortement ?", "url": "https://questionsmedicales.fr/mesh/D003944?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=7#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Techniques de diagnostic gynécologique et obstétrique", "description": "Quels sont les facteurs de risque du cancer du sein ?\nQuels facteurs augmentent le risque d'endométriose ?\nQuels sont les facteurs de risque de la prééclampsie ?\nQuels facteurs influencent les infections vaginales ?\nQuels sont les facteurs de risque des fibromes utérins ?", "url": "https://questionsmedicales.fr/mesh/D003944?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=7#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Qu'est-ce qu'une échographie obstétricale ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "C'est une technique d'imagerie utilisant des ondes sonores pour visualiser le fœtus." } }, { "@type": "Question", "name": "Comment fonctionne un test Pap ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Il prélève des cellules du col de l'utérus pour détecter des anomalies précoces." } }, { "@type": "Question", "name": "À quoi sert une hystéroscopie ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Elle permet d'examiner l'intérieur de l'utérus à l'aide d'un instrument optique." } }, { "@type": "Question", "name": "Quand faire un dépistage du cancer du sein ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Il est recommandé de commencer à 50 ans, ou plus tôt selon les facteurs de risque." } }, { "@type": "Question", "name": "Qu'est-ce qu'une amniocentèse ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "C'est un prélèvement de liquide amniotique pour analyser des anomalies génétiques." } }, { "@type": "Question", "name": "Quels sont les symptômes d'une grossesse extra-utérine ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Douleurs abdominales, saignements vaginaux et parfois des douleurs à l'épaule." } }, { "@type": "Question", "name": "Comment reconnaître une infection vaginale ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Par des démangeaisons, des pertes inhabituelles et des douleurs lors des rapports." } }, { "@type": "Question", "name": "Quels signes indiquent un fibrome utérin ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Saignements menstruels abondants, douleurs pelviennes et pression abdominale." } }, { "@type": "Question", "name": "Quels symptômes d'endométriose ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Douleurs pelviennes, règles douloureuses et douleurs pendant les rapports sexuels." } }, { "@type": "Question", "name": "Quels sont les signes d'une prééclampsie ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Hypertension, œdème et protéines dans les urines pendant la grossesse." } }, { "@type": "Question", "name": "Comment prévenir les infections vaginales ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Maintenir une bonne hygiène, éviter les douches vaginales et porter des sous-vêtements en coton." } }, { "@type": "Question", "name": "Quelles sont les mesures préventives pour le cancer du col ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Vaccination contre le HPV et dépistage régulier par test Pap." } }, { "@type": "Question", "name": "Comment réduire le risque d'endométriose ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Aucune méthode garantie, mais un suivi médical régulier peut aider à la détection précoce." } }, { "@type": "Question", "name": "Quelles sont les recommandations pour une grossesse saine ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Suivre un régime équilibré, faire de l'exercice et éviter l'alcool et le tabac." } }, { "@type": "Question", "name": "Comment prévenir les complications de la grossesse ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Suivi prénatal régulier et gestion des conditions de santé préexistantes." } }, { "@type": "Question", "name": "Comment traiter une infection vaginale ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Avec des antibiotiques ou des antifongiques selon le type d'infection." } }, { "@type": "Question", "name": "Quel traitement pour les fibromes utérins ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Options incluent médicaments, embolisation ou chirurgie selon la gravité." } }, { "@type": "Question", "name": "Comment gérer l'endométriose ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Traitements incluent médicaments anti-inflammatoires et chirurgie si nécessaire." } }, { "@type": "Question", "name": "Quel est le traitement de la prééclampsie ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Surveillance étroite et parfois accouchement anticipé pour protéger la mère et l'enfant." } }, { "@type": "Question", "name": "Comment traiter le syndrome des ovaires polykystiques ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Avec des changements de mode de vie, médicaments pour réguler les cycles menstruels." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir après une césarienne ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Infections, hémorragies et complications liées à l'anesthésie." } }, { "@type": "Question", "name": "Quels risques d'une grossesse multiple ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Prématurité, faible poids à la naissance et complications pour la mère." } }, { "@type": "Question", "name": "Quelles complications de l'endométriose ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Infertilité, douleurs chroniques et risques accrus de cancer ovarien." } }, { "@type": "Question", "name": "Quels sont les risques d'une prééclampsie non traitée ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Peut entraîner des convulsions, des lésions organiques et des complications pour le fœtus." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir après un avortement ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Infections, saignements excessifs et complications psychologiques." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque du cancer du sein ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Antécédents familiaux, âge avancé et mutations génétiques comme BRCA1/2." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque d'endométriose ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Antécédents familiaux, menstruations précoces et cycles menstruels longs." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque de la prééclampsie ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Antécédents de prééclampsie, obésité et hypertension chronique." } }, { "@type": "Question", "name": "Quels facteurs influencent les infections vaginales ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Déséquilibre hormonal, antibiotiques récents et pratiques d'hygiène inappropriées." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque des fibromes utérins ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Obésité, antécédents familiaux et déséquilibres hormonaux." } } ] } ] }

Sources (10000 au total)

Abstracts of randomized controlled trials in pediatric dentistry: reporting quality and spin.

Abstracts provide readers a concise and readily accessible information of the trials. However, poor reporting quality and spin (misrepresentation of research findings) can lead to an overestimation in... We hand-searched RCTs in five leading pediatric dental journals between 2015 and 2021. Reporting quality in each abstract was assessed using the original 16-item CONSORT for abstracts checklist. Linea... One hundred eighty-two abstracts were included in reporting quality evaluation. The mean overall quality score was 4.57 (SD, 0.103; 95% CI, 4.36-4.77; score range, 1-10). Only interventions, objective... The reporting quality of RCT abstracts in pediatric dentistry is suboptimal and the prevalence of spin is high. Joint efforts are needed to improve reporting quality and minimize spin....

Attrition and withdrawal in multiple myeloma randomized controlled trials: A systematic review.

Patients with multiple myeloma (MM) enrolled in randomized control trials (RCTs) discontinue treatment for various reasons; however, no prior study has analyzed reasons for discontinuation. We perform... A comprehensive search for RCTs in MM from 2015 to 2021 identified 45 studies meeting inclusion criteria.... Of 21 236 randomized patients, 10 161 (47.8%) discontinued therapy by primary endpoint ascertainment. Causes of discontinuation included progression (n = 4790; 22.6% of randomized patients); toxicity ... Although progression is the most common reason for RCT treatment discontinuation in patients with MM, over 10% discontinued due to toxicity. Furthermore, 24.4% of trials showed substantial imbalances ...

Data monitoring committees in pediatric randomized controlled trials registered in ClinicalTrials.gov.

Data monitoring committees advise on clinical trial conduct through appraisal of emerging data to ensure participant safety and scientific integrity. While consideration of their use is recommended fo... We conducted a cross-sectional data analysis of all randomized controlled trials performed exclusively in a pediatric population and registered in ClinicalTrials.gov between 2008 and 2021. We used the... We identified 13,928 pediatric randomized controlled trial records, of which 39.7% reported adopting a data monitoring committee, 49.0% reported not adopting a data monitoring committee, and 11.3% did... According to registry records, the use of data monitoring committees in pediatric randomized controlled trials was more frequent than previously reported in reviews of published trial reports. The use...

The Characteristics and Ethics of Sham Surgeries: A Systematic Review of Randomized Controlled Trials.

We sought to perform a large-scale systematic review across all sham-controlled studies currently present in the literature to better characterize the ethical considerations of these studies.... Innovative surgical procedures are often introduced into the clinical setting without the robust clinical trials required for medicinal treatments. Sham surgeries serve as placebos by performing all s... Ovid MEDLINE was queried through April 2022 with combinations of the Medical Subject (MeSH) headings and keywords including, but not limited to, "surgery," "endoscopy," "randomized controlled trial," ... One hundred seventy-two articles fit our inclusion criteria, with gastrointestinal pathologies being the most common surgical indication. Participants, personnel, and outcome assessment were all blind... Our systematic review of 172 randomized, sham-controlled trials highlights the ethical considerations that must be considered in these studies, namely the importance of transparent study design and ob...

Comparing treatment outcomes in randomized controlled trials of central serous chorioretinopathy.

To perform a qualitative analysis of outcomes published from randomized controlled trials (RCTs) on central serous chorioretinopathy (CSCR) from 1979 to 2022.... Systematic review.... All RCTs (including both therapeutic and non-therapeutic interventions) on CSCR available online till July 2022 were included after an electronic search in multiple databases such as PubMed, CENTRAL, ... The literature search yielded 498 potential publications. After excluding duplicate studies and studies that met clear exclusion criteria, 64 were screened for further evaluation, of which 7 were remo... This review provides a comparative overview of key outcomes reported between RCTs investigating CSCR. We describe the current landscape of treatment modalities for CSCR and note the discrepancies betw...

Randomized Controlled Trials of Artificial Intelligence in Clinical Practice: Systematic Review.

The number of artificial intelligence (AI) studies in medicine has exponentially increased recently. However, there is no clear quantification of the clinical benefits of implementing AI-assisted tool... This study aims to systematically review all published randomized controlled trials (RCTs) of AI-assisted tools to characterize their performance in clinical practice.... CINAHL, Cochrane Central, Embase, MEDLINE, and PubMed were searched to identify relevant RCTs published up to July 2021 and comparing the performance of AI-assisted tools with conventional clinical ma... Among the 11,839 articles retrieved, only 39 (0.33%) RCTs were included. These RCTs were conducted in an approximately equal distribution from North America, Europe, and Asia. AI-assisted tools were i... There is growing evidence supporting the implementation of AI-assisted tools in daily clinical practice; however, the number of available RCTs is limited and heterogeneous. More RCTs of AI-assisted to... PROSPERO CRD42021286539; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=286539....

Disparities in positive results and dissemination of randomized controlled trials in immuno-oncology.

This cross-sectional and longitudinal analysis aimed to demonstrate the disparities in positive results and dissemination patterns of randomized controlled trials (RCTs) in global immuno-oncology (IO)... Phase II-IV RCTs with results reported by article publications registered on ClinicalTrials.gov in 2007-2018 studying immune checkpoint inhibitors (ICIs), adoptive cell transfer, cancer vaccines, and ... Twenty-eight percent of trials were positive (72 of 258), most of which were pharma-sponsored and focused on ICI and multiple IO therapies in lung cancer, melanoma, and multiple cancer types. The rece... Disparities in positive result dissemination are widespread in IO RCTs and affected by trial features. We proposed improvements in upfront registration, procedural integrity, and adequate inclusion of...

Coerced consent in clinical research: study protocol for a randomized controlled trial.

Despite the low-risk nature of participation in most clinical anesthesia trials, subject recruitment on the same day as surgery is often restricted due to the concerns of researchers and local researc... We describe the protocol for a prospective randomized controlled trial examining the voluntariness of patient consent, solicited either in advance of surgery or on the same day, to participate in an a... This study will inform trial design and practice guidelines surrounding the amount of time patients ought to be afforded in order to make durable decisions to participate (or not) in clinical research... The trial was registered prospectively on the Open Science Framework (OSF), registration #46twc, on 2023-Mar-17....