69 67 not 68 (60) Cohort niet RCT2.2Betrouwbaarheid sterilisatietechniekenEmbase1990-november2010Medline(Ovid)1990-november2010reliab*:ab,ti OR effectiveness:ab,ti AND ('uterine tubesterilization'/exp/mj OR sterilization*:ti OR sterilisation*:ti OR(tubal NEAR/1 ligation*):ab,ti OR (tubal NEAR/1 occlusion*):ab,tiOR (laparoscopic NEAR/1 tubectom*):ab,ti OR (filshie NEAR/1clip*):ab,ti OR (hulka NEAR/1 clip*):ab,ti OR (falo* NEAR/1ring*):ab,ti OR (fallop* NEAR/1 ring*):ab,ti OR (tubal NEAR/1coagulation*):ab,ti OR essure*:ab,ti OR ovabloc*:ab,ti ORadiana:ab,ti OR (tubal NEAR/1 sterili?ation*):ab,ti ORpomeroy:ab,ti) AND ([dutch]/lim OR [english]/lim) AND[embase]/lim1 *Sterilization, Reproductive/ (3198)2 *Sterilization, Tubal/ (2629)3 (sterilization* or sterilisation*).ti. (8247)4 ("tubal ligation*" or "tubal occlusion*" or "laparoscopictubectom*" or "filshie clip*" or "Hulka clip*" or "falo* ring*" or"fallop* Ring*" or "tubal coagulation*" or Essure* or Ovabloc* orAdiana or "tubal sterili?ation*").ti,ab. (3494)5 pomeroy.ti,ab. (249)6 1 or 2 or 3 or 4 or 5 (11983)7 reliability.ti,ab. (75609)8 effectiveness.ti,ab. (202088)9 7 or 8 (275771)10 reliab*.ti,ab. (237859)11 8 or 10 (434521)12 6 and 11 (514)62 12 not (Male/ not (Male/ and Female/)) (500)63 limit 62 to (english language and yr="1990 -Current") (253)64 Filter SR (10)65 Filter RCT (53)66 exp cohort studies/ (797892)67 63 and 66 (50)68 65 not 64 (50) > RCTs excl. SR69 67 not (68 or 64) (28) > Cohort studies exc. RCT… hits… hitsEmbase1990-november2010reliab*:ab,ti OR effectiveness:ab,ti AND ('uterine tubesterilization'/exp/mj OR sterilization*:ti OR sterilisation*:ti OR(tubal NEAR/1 ligation*):ab,ti OR (tubal NEAR/1 occlusion*):ab,tiOR (laparoscopic NEAR/1 tubectom*):ab,ti OR (filshie NEAR/1clip*):ab,ti OR (hulka NEAR/1 clip*):ab,ti OR (falo* NEAR/1ring*):ab,ti OR (fallop* NEAR/1 ring*):ab,ti OR (tubal NEAR/1coagulation*):ab,ti OR essure*:ab,ti OR ovabloc*:ab,ti ORadiana:ab,ti OR (tubal NEAR/1 sterili?ation*):ab,ti ORpomeroy:ab,ti) AND ([dutch]/lim OR [english]/lim) AND[embase]/lim… hits3. Risicofactoren ???Het aantal referenties genoemd voor <strong>de</strong> search in Embase is na exclusie <strong>van</strong> <strong>de</strong> referenties gevon<strong>de</strong>n viaMedlineSR= systematische reviews, RCT = randomised controlled trial. Wanneer geen type on<strong>de</strong>rzoeks<strong>de</strong>sign vermeld staatachter het aantal hits, is niet beperkt op het type on<strong>de</strong>rzoeks<strong>de</strong>sign.70
ReferentieType studieKenmerken(studie/patiënten)Interventie (I)Uitkomstmaten enfollow-up duurResultatenBeoor<strong>de</strong>lingkwaliteit studieBIJLAGE 2 Evi<strong>de</strong>nce tabel 2.1 Wat is meest optimale sterilisatie techniek, gelet op <strong>de</strong> veiligheid, complicaties enpijnbeleving <strong>van</strong> <strong>de</strong> procedure?Argueta, 1980CohortstudyprospectiveComparitive.No inclusion/exclustion criteria were<strong>de</strong>scribed.Socio<strong>de</strong>mographic characteristics weresimilar between the intervention groups.Mean age: 29 years.Mean parity: 4.Laparoscopic application ofspring loa<strong>de</strong>d + Hulka clips vstubal rings.Outcomes:- Failure- Surgical time- Surgical difficulties- Pain- Postoperative complications andcomplaints- Gynaecological events up to 24months after surgery.- Pregnancy rate.The groups were similar for failure and surgical timeSurgical difficulties:Study groups clearly <strong>de</strong>fined: (?)Selectionbias*: (-), randomisationA<strong>de</strong>quate assesment of exposure *:(+)A<strong>de</strong>quate assesment of outcomes*:(+)Assesor of the effect a<strong>de</strong>quatelyblin<strong>de</strong>d*: (-), but they did arandomisation for interventionSufficient length of follow-up*: (+),24 monthsSelective loss tofollow-up*: (-)I<strong>de</strong>ntification ofconfoun<strong>de</strong>rs andcorrection in analysis: (?)Financial support: partialsupported.71
- Page 5 and 6:
Conclusies ........................
- Page 7 and 8:
Onderbouwing en overwegingen ......
- Page 9 and 10:
Gezien de risico’s van een laparo
- Page 11 and 12:
Hysteroscopische sterilisaties moet
- Page 13 and 14:
Afbakening en uitgangsvragenDe huid
- Page 15 and 16:
In eerste instantie werd gezocht na
- Page 17 and 18:
Tabel 2. Niveau van bewijskracht va
- Page 19 and 20: Implementatie en indicatorontwikkel
- Page 21 and 22: HOOFDSTUK 1AchtergrondinformatieInl
- Page 23 and 24: altijd werd aangenomen en dat de le
- Page 25 and 26: Peterson, H. B., Xia, Z., Hughes, J
- Page 27 and 28: Veiligheid2.1 Wat is meest optimale
- Page 29 and 30: Bipolaire coagulatie versus Filshie
- Page 31 and 32: hebben geantwoord, waarbij een succ
- Page 33 and 34: Klinische relevantie: kritiek / bel
- Page 35 and 36: Ringen 5,9 (3,3 - 8,5) 10,0 (6,4 -
- Page 37 and 38: Van alle in Nederland beschikbare s
- Page 39 and 40: LiteratuurAranda, C., Broutin, A.,
- Page 41 and 42: HOOFDSTUK 3Keuze van sterilisatieme
- Page 43 and 44: mislukken van de sterilisatie.In de
- Page 45 and 46: Uterus myomatosus en andere uterusa
- Page 47 and 48: Niveau 3En zijn aanwijzingen dat ee
- Page 49 and 50: HOOFDSTUK 4CounselingUitgangsvraag4
- Page 51 and 52: Kans op spijtDe meeste vrouwen neme
- Page 53 and 54: - Algemene voorgeschiedenis- Kans o
- Page 55 and 56: terwijl soms ook de hulp van een ma
- Page 57 and 58: een open verbinding - fistel - onts
- Page 59 and 60: Stel de zwangerschapstermijn vast e
- Page 61 and 62: HOOFDSTUK 6KwaliteitscriteriaUitgan
- Page 63 and 64: InleidingAls na een sterilisatie ee
- Page 65 and 66: BevestigingstestBij alle laparoscop
- Page 67 and 68: Bij analyse van zwangerschappen na
- Page 69: BIJLAGE 1 ZoekverantwoordingDeze ri
- Page 73 and 74: ReferentieType studieKenmerken(stud
- Page 75 and 76: ReferentieType studieKenmerken(stud
- Page 77 and 78: ReferentieType studieKenmerken(stud
- Page 79 and 80: ReferentieType studieKenmerken(stud
- Page 81 and 82: ReferentieType studieKenmerken(stud
- Page 83 and 84: ReferentieType studieKenmerken(stud
- Page 85 and 86: ReferentieType studieKenmerken(stud
- Page 87 and 88: ReferentieType studieKenmerken(stud
- Page 89 and 90: ReferentieType studieKenmerken(stud
- Page 91 and 92: ReferentieType studieKenmerken(stud
- Page 93 and 94: ReferentieType studieKenmerken(stud
- Page 95 and 96: ReferentieType studieKenmerken(stud
- Page 97 and 98: ReferenceType studyCharacteristicsI
- Page 99 and 100: ReferenceType studyCharacteristicsI
- Page 101 and 102: ReferenceType studyCharacteristicsI
- Page 103 and 104: ReferenceType studyCharacteristicsI
- Page 105 and 106: ReferenceType studyCharacteristicsI
- Page 107 and 108: ReferenceType studyCharacteristicsI
- Page 109 and 110: ReferenceType studyCharacteristicsI
- Page 111 and 112: ReferenceType studyCharacteristicsI
- Page 113 and 114: ReferenceType studyCharacteristicsI
- Page 115 and 116: ReferenceType studyCharacteristicsI
- Page 117 and 118: * Uitkomst: de uitkomst en gebruikt
- Page 119 and 120: 119
- Page 121 and 122:
121