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An update to terminology describing abnormal uterine bleeding in female athletes: facilitating cross-disciplinary health care
British Journal of Sports Medicine ( IF 11.6 ) Pub Date : 2024-11-01 , DOI: 10.1136/bjsports-2024-108261 Chimsom T Oleka 1, 2 , Travis Anderson 3, 4 , Kathryn E Ackerman 2, 5 , Kirsty J Elliott-Sale 6 , Emily Kraus 2, 7 , Ellen Casey 2, 8 , Trent Stellingwerff 9, 10 , Amber T Donaldson 2, 3, 4 , Jonathan T Finnoff 3, 4, 11 , Eric G Post 3, 4 , William M Adams 3, 4, 12, 13
British Journal of Sports Medicine ( IF 11.6 ) Pub Date : 2024-11-01 , DOI: 10.1136/bjsports-2024-108261 Chimsom T Oleka 1, 2 , Travis Anderson 3, 4 , Kathryn E Ackerman 2, 5 , Kirsty J Elliott-Sale 6 , Emily Kraus 2, 7 , Ellen Casey 2, 8 , Trent Stellingwerff 9, 10 , Amber T Donaldson 2, 3, 4 , Jonathan T Finnoff 3, 4, 11 , Eric G Post 3, 4 , William M Adams 3, 4, 12, 13
Affiliation
Female athlete health, performance, and well-being are best supported by a comprehensive team of medical providers and sports scientists that may include physicians from various specialties, allied health providers, exercise and sports scientists, mental health professionals, and dietitians. Understanding and consistently utilising contemporary terminology in research and clinical practice is critical to ensure precise communication and facilitate effective cross-disciplinary healthcare. This editorial aims to highlight current standardised terminology for describing abnormal menstrual bleeding in order to promote consistency in terminology across sports and exercise science and medicine (SESM). While there has been a recent increase in female athlete research, including studies investigating the influence of the menstrual cycle on athletic performance and health,1 there is a clear absence of standardised menstrual cycle language and classification due to the persistent use of outdated abnormal uterine bleeding (AUB) nomenclature. Indeed, previous research and clinical investigation and management of AUB among non-pregnant women of reproductive age was hindered by inconsistently applied nomenclature and lack of standardised categorisation of potential etiologies.2–5 This ambiguity poses several problems, including the inability to homogeneously classify research participants experiencing AUB, difficulty comparing studies, and significantly undermining the investigative leverage of meta-analyses due to increased risk of inaccurate conclusions, as well as clinical implications (eg, ambiguous diagnoses, less precise clinical care and management and confusing communication across the medical team). Such concerns led to the development of a universally accepted nomenclature and classification system within the gynaecological and obstetrics medical field ~20 years ago that is practical and appropriate for research, education, and clinical needs. However, within the past 10 years, …
中文翻译:
更新描述女运动员异常子宫出血的术语:促进跨学科医疗保健
女运动员的健康、表现和福祉得到了由医疗提供者和运动科学家组成的综合团队的最佳支持,该团队可能包括来自不同专业的医生、联合医疗服务提供者、运动和运动科学家、心理健康专业人员和营养师。在研究和临床实践中理解并始终如一地使用现代术语对于确保精确沟通和促进有效的跨学科医疗保健至关重要。本社论旨在强调当前描述异常月经出血的标准化术语,以促进运动和运动科学与医学 (SESM) 术语的一致性。虽然最近女运动员的研究有所增加,包括调查月经周期对运动表现和健康影响的研究,1但由于持续使用过时的异常子宫出血 (AUB) 命名法,显然缺乏标准化的月经周期语言和分类。事实上,由于应用不一致和缺乏对潜在病因的标准化分类,先前对育龄期非孕妇 AUB 的研究和临床调查和管理受到了阻碍。这种模糊性带来了几个问题,包括无法对经历 AUB 的研究参与者进行同质分类、难以比较研究,以及由于风险增加而显着削弱了荟萃分析的调查杠杆不准确的结论以及临床意义(例如,诊断模棱两可、临床护理和管理不太精确以及整个医疗团队的沟通混乱)。 这些担忧导致 ~20 年前在妇产科医学领域内开发了一个普遍接受的命名法和分类系统,该系统实用且适用于研究、教育和临床需求。然而,在过去的 10 年里,...
更新日期:2024-11-01
中文翻译:
更新描述女运动员异常子宫出血的术语:促进跨学科医疗保健
女运动员的健康、表现和福祉得到了由医疗提供者和运动科学家组成的综合团队的最佳支持,该团队可能包括来自不同专业的医生、联合医疗服务提供者、运动和运动科学家、心理健康专业人员和营养师。在研究和临床实践中理解并始终如一地使用现代术语对于确保精确沟通和促进有效的跨学科医疗保健至关重要。本社论旨在强调当前描述异常月经出血的标准化术语,以促进运动和运动科学与医学 (SESM) 术语的一致性。虽然最近女运动员的研究有所增加,包括调查月经周期对运动表现和健康影响的研究,1但由于持续使用过时的异常子宫出血 (AUB) 命名法,显然缺乏标准化的月经周期语言和分类。事实上,由于应用不一致和缺乏对潜在病因的标准化分类,先前对育龄期非孕妇 AUB 的研究和临床调查和管理受到了阻碍。这种模糊性带来了几个问题,包括无法对经历 AUB 的研究参与者进行同质分类、难以比较研究,以及由于风险增加而显着削弱了荟萃分析的调查杠杆不准确的结论以及临床意义(例如,诊断模棱两可、临床护理和管理不太精确以及整个医疗团队的沟通混乱)。 这些担忧导致 ~20 年前在妇产科医学领域内开发了一个普遍接受的命名法和分类系统,该系统实用且适用于研究、教育和临床需求。然而,在过去的 10 年里,...