Adesão ao seguimento ambulatorial de pacientes com doença trofoblástica gestacional atendidas em um centro de referência

Reprodu??o & Climatério Pub Date : 2016-05-01 DOI:10.1016/j.recli.2016.04.007

Julianna Barroso Rizzo Mendonça, Leonardo Ribeiro Soares, Maurício Guilherme de Campos Viggiano

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引用次数: 1

Abstract

Objective

To evaluate the adherence to outpatient follow‐up among patients with gestational trophoblastic disease (GTD) in a reference center in the Midwest region of Brazil.

Methods

This was an observational, retrospective study that included all patients diagnosed with GTD in the Maternity School of the Universidade Federal de Goiás in one year. Data were collected regarding age, parity and B‐hCG values. Adherence to follow‐up and histopathological examination of the uterine evacuation product were obtained by chart review.

Results

Among the 55 patients included in the study, only 27 (49%) continued with the treatment properly; of which 11 (40.7%) had chemotherapy indication by the protocol service.

Conclusion

The adherence rate to outpatient follow‐up was low. The high rate of patients in need of chemotherapy determines an alarming scenario on the prognosis of patients who did not complete the follow‐up. This study highlights the need for effective strategies for the management and control of the disease.

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在转诊中心就诊的妊娠滋养层疾病患者的门诊随访依从性

目的评价巴西中西部地区某参比中心妊娠滋养细胞病(GTD)患者门诊随访依从性。方法:这是一项观察性、回顾性研究，纳入了联邦大学Goiás产科学校一年内诊断为GTD的所有患者。收集有关年龄、胎次和B - hCG值的数据。通过图表复习获得随访依从性和子宫排液产物的组织病理学检查。结果在纳入研究的55例患者中，只有27例(49%)继续正确治疗;其中11例(40.7%)有化疗指征。结论门诊随访依从率较低。需要化疗的患者的高比率决定了未完成随访的患者的预后令人担忧。这项研究强调需要有效的策略来管理和控制这种疾病。

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Reprodu??o & Climatério

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