1 / 28

Diagnosis & Management of Abnormal Uterine Bleeding in Reproductive Period

Diagnosis & Management of Abnormal Uterine Bleeding in Reproductive Period. FOGSI Nomenclature (PALM-COEIN CLASSIFICATION) Evidence Based AUB guidelines (GCPR) (An Indian Perspective) Dr Malleswar Rao K. AUB. Evidence -based Good Clinical Practice Recommendations [GCPR] for Indian women

mccown
Télécharger la présentation

Diagnosis & Management of Abnormal Uterine Bleeding in Reproductive Period

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Diagnosis & Management of Abnormal Uterine Bleeding in Reproductive Period FOGSI Nomenclature (PALM-COEIN CLASSIFICATION) Evidence Based AUB guidelines (GCPR) (An Indian Perspective) Dr Malleswar Rao K

  2. AUB Evidence-based Good Clinical Practice Recommendations [GCPR] for Indian women A Gynecologic Endocrine Society of India (GESI) initiative in collaboration with Endocrine Committee of Association of Obstetricians and Gynecologists of Delhi

  3. AUB There is a remarkable inconsistency in the management of AUB in day to day clinical practice owing to lack of Good Clinical Practice (GCP) guidelines for diagnosis and management of AUB in India. Hence, there is an urgent need for the development of Indian guideline with recommendations on GCP to diagnose and manage AUB.

  4. Normal & Abnormal limits of Menstruation

  5. Suggested “normal limits” for uterine bleeding in the mid-reproductive years Munro MG. Rev EndocrMetab Disorder (2012) 13: 225-234

  6. PALM-COEIN CLASSIFICATION To standardize nomenclature of AUB, a new system known by the acronym PALM-COEIN (Polyp; Adenomyosis; Leiomyoma; Malignancy and Hyperplasia; Coagulopathy; Ovulatory Disorders; Endometrial factors; Iatrogenic; and Not classified) was introduced in 2011 by the International Federation of Gynecology and Obstetrics (FIGO) based on etiopathogenesis.

  7. Grading system of current GCPR The current consensus guidelines have been developed in accordance with the American association of clinical endocrinologists (AACE) protocol for standardized production of clinical practice guidelines. Recommendations are organized aetiology-wise, according to the PALMCOEIN system. They are based on clinical importance and graded (A, B, C, and D), coupled with four intuitive levels of evidence (1, 2, 3, and 4) based on the quality of supporting evidence

  8. Interesting, right? This is just a sneak preview of the full presentation. We hope you like it! To see the rest of it, just click here to view it in full on PowerShow.com. Then, if you’d like, you can also log in to PowerShow.com to download the entire presentation for free.

More Related