子宫内膜异位症疼痛管理相关指南和专家共识的系统评价OA

Background As the understanding of pain management in endometriosis deepens,an increasing number of related guidelines and expert consensus have emerged both domestically and internationally,providing significant guidance and reference for clinical practice.However,the quality of these guidelines and expert consensuses is inconsistent,necessitating a systematic review to guide clinical practice.Objective To systematically evaluate the quality of guidelines and expert consensus related to pain management in endometriosis,thereby providing an evidence base for the development of pain management protocols.Methods Evidence-based guidelines involving recommendations for pain management in endometriosis were searched in CNKI,SinoMed,Wanfang Data,VIP,PubMed,Embase,Cochrane Library,Web of Science,CINAHL,Guideline Central,GIN,as well as the official websites of ACOG,NICE,SIGN,WHO,IASP,APS and BPS,and other sources from inception to 12 November,2024.AGREEⅡ was utilized to assess the quality of guidelines and expert consensus related to pain management in endometriosis,and relevant recommendations were summarized.Results A total of 15 guidelines/expert consensus were ultimately included,of which 9 were guidelines and 6 were expert consensuses.7 guidelines/expert consensus were from China,and 8 were from abroad.The publication dates ranged from 2018 to 2024.Among the 6 domains of AGREE Ⅱ,the average scores of the 15 guidelines/expert consensuses were as follows:scope and purpose(83.15%),stakeholder involvement(71.11%),rigor of development(44.79%),clarity of presentation(65.74%),applicability(35.55%),editorial independence(87.78%).33 recommendations were extracted and summarized from 15 guidelines/expert consensus,involving 6 domains,namely general principles of pain management,pain assessment,medication management,surgical management,non-pharmacologic/surgical management,health education.Conclusion The quality of the included guideli`nes/expert consensus is at a moderate level and provides a reference point for clinical practice,but further improvement is needed in the areas of the rigour of development and applicability.