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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMARQUES, Ana Luiza Santos
dc.contributor.authorANDRES, Marina Paula
dc.contributor.authorKHO, Rosanne M.
dc.contributor.authorABRAO, Mauricio Simoes
dc.identifier.citationJOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, v.27, n.2, p.332-343, 2020
dc.description.abstractStudy Objective: To systematically review the literature regarding the efficacy of high-intensity focused ultrasound (HIFU) in reducing adenomyotic lesions, patients' pain and bleeding symptoms, and the impact on patients' quality of life. Data Source: A search was performed through PubMed/MEDLINE and Cochrane databases. Methods of Study Selection: All available studies published in the English language in the last 10 years that evaluated the effects of HIFU for adenomyosis. Tabulation, Integration, and Results: A systematic review was performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A meta-analysis was performed on data from homogeneous studies. Pooled results from the meta-analysis showed that after HIFU treatment for adenomyosis, a large effect was observed in reducing the uterine volume at 12 months (standard mean difference [SMD] = 0.85), a significant reduction in dysmenorrhea at 3 months (SMD = 1.83) and 12 months (SMD = 2.37), and a significant improvement in quality of life at 6 months (SMD = 3.0) and 12 months (SMD = 2.75). Adverse reactions after HIFU were reported in 55.9% of patients. Conclusion: This review suggests a potential benefit for HIFU in the treatment of adenomyosis-related symptoms; however, findings of the meta-analysis were based on fewer, nonuniform studies, which did not equally account for each specific symptom/parameter across the board. Results showed there appears to be a potential of HIFU in the treatment of adenomyosis-related symptoms. To date, there are no comparative and randomized clinical trials comparing the HIFU technique with other conservative treatment options. As yet, there are insufficient data regarding fertility and pregnancy outcomes.eng
dc.relation.ispartofJournal of Minimally Invasive Gynecology
dc.subjectHigh-intensity focused ultrasoundeng
dc.subjectSystematic revieweng
dc.subject.otheruterine adenomyosiseng
dc.titleIs High-intensity Focused Ultrasound Effective for the Treatment of Adenomyosis? A Systematic Review and Meta-analysiseng
dc.rights.holderCopyright ELSEVIER SCIENCE INCeng
dc.subject.wosObstetrics & Gynecologyeng
dc.type.versionpublishedVersioneng, Rosanne M.:Cleveland Clin, Womens Hlth Inst, Benign Gynecol Surg Sect, Cleveland, OH 44106 USA
hcfmusp.publisher.cityNEW YORKeng
hcfmusp.relation.referenceAbbott JA, 2017, BEST PRACT RES CL OB, V40, P68, DOI 10.1016/j.bpobgyn.2016.09.006eng
hcfmusp.relation.referenceBohlmann MK, 2014, GEBURTSH FRAUENHEILK, V74, P139, DOI 10.1055/s-0033-1360311eng
hcfmusp.relation.referenceCheung VYT, 2018, BEST PRACT RES CL OB, V46, P74, DOI 10.1016/j.bpobgyn.2017.09.002eng
hcfmusp.relation.referenceCoyne KS, 2017, CURR MED RES OPIN, V33, P193, DOI 10.1080/03007995.2016.1248382eng
hcfmusp.relation.referenceDi Donato N, 2014, EUR J OBSTET GYN R B, V181, P289, DOI 10.1016/j.ejogrb.2014.08.016eng
hcfmusp.relation.referenceDueholm M, 2018, BEST PRACT RES CL OB, V51, P119, DOI 10.1016/j.bpobgyn.2018.01.016eng
hcfmusp.relation.referenceDueholm M, 2017, ACTA OBSTET GYN SCAN, V96, P715, DOI 10.1111/aogs.13158eng
hcfmusp.relation.referenceFaraone Stephen V, 2008, P T, V33, P700eng
hcfmusp.relation.referenceFarquhar C, 2006, BEST PRACT RES CL OB, V20, P603, DOI 10.1016/j.bpobgyn.2006.01.012eng
hcfmusp.relation.referenceFeng YJ, 2017, ULTRASON SONOCHEM, V36, P139, DOI 10.1016/j.ultsonch.2016.11.022eng
hcfmusp.relation.referenceGordts S, 2018, FERTIL STERIL, V109, P380, DOI 10.1016/j.fertnstert.2018.01.006eng
hcfmusp.relation.referenceHozo Stela Pudar, 2005, BMC Med Res Methodol, V5, P13, DOI 10.1186/1471-2288-5-13eng
hcfmusp.relation.referenceLee JS, 2017, BJOG-INT J OBSTET GY, V124, P18, DOI 10.1111/1471-0528.14739eng
hcfmusp.relation.referenceLee JS, 2015, ULTRASON SONOCHEM, V27, P682, DOI 10.1016/j.ultsonch.2015.05.033eng
hcfmusp.relation.referenceLiu XF, 2017, BJOG-INT J OBSTET GY, V124, P40, DOI 10.1111/1471-0528.14746eng
hcfmusp.relation.referenceLiu X, 2016, MEDICINE, V95, DOI 10.1097/MD.0000000000002443eng
hcfmusp.relation.referenceLong L, 2015, INT J CLIN EXP MED, V8, P11701eng
hcfmusp.relation.referenceLuo DH, 2018, STAT METHODS MED RES, V27, P1785, DOI 10.1177/0962280216669183eng
hcfmusp.relation.referenceMoher D, 2015, SYST REV, V4, DOI 10.1186/2046-4053-4-1eng
hcfmusp.relation.referenceNaftalin J, 2014, HUM REPROD, V29, P473, DOI 10.1093/humrep/det451eng
hcfmusp.relation.referenceOzdegirmenci O, 2011, FERTIL STERIL, V95, P497, DOI 10.1016/j.fertnstert.2010.10.009eng
hcfmusp.relation.referencePark J, 2016, J KOREAN MED SCI, V31, P1279, DOI 10.3346/jkms.2016.31.8.1279eng
hcfmusp.relation.referencePRICE DD, 1983, PAIN, V17, P45, DOI 10.1016/0304-3959(83)90126-4eng
hcfmusp.relation.referenceRocha TP, 2018, REPROD SCI, V25, P480, DOI 10.1177/1933719118756754eng
hcfmusp.relation.referenceRohatgi A, 2011, WEBPLOTDIGITIZEReng
hcfmusp.relation.referenceSacks David, 2003, J Vasc Interv Radiol, V14, pS199eng
hcfmusp.relation.referenceShui L, 2015, ULTRASON SONOCHEM, V27, P677, DOI 10.1016/j.ultsonch.2015.05.024eng
hcfmusp.relation.referenceVannuccini Silvia, 2019, F1000Res, V8, DOI 10.12688/f1000research.17242.1eng
hcfmusp.relation.referenceWang W, 2009, ACAD RADIOL, V16, P1416, DOI 10.1016/j.acra.2009.06.005eng
hcfmusp.relation.referenceWhiting Penny, 2003, BMC Med Res Methodol, V3, P25, DOI 10.1186/1471-2288-3-25eng
hcfmusp.relation.referenceZhang X, 2014, EUR J RADIOL, V83, P1607, DOI 10.1016/j.ejrad.2014.05.008eng
hcfmusp.relation.referenceZhang X, 2014, INT J GYNECOL OBSTET, V124, P207, DOI 10.1016/j.ijgo.2013.08.022eng
hcfmusp.relation.referenceZhou M, 2011, FERTIL STERIL, V95, P900, DOI 10.1016/j.fertnstert.2010.10.020eng
Appears in Collections:

Artigos e Materiais de Revistas Científicas - FM/MOG
Departamento de Obstetrícia e Ginecologia - FM/MOG

Artigos e Materiais de Revistas Científicas - HC/ICHC
Instituto Central - HC/ICHC

Artigos e Materiais de Revistas Científicas - LIM/58
LIM/58 - Laboratório de Ginecologia Estrutural e Molecular

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