Republication de : Recommandations Formalisées d’Experts. Prise en charge de la patiente avec une pré-éclampsie sévère - RFE Communes Société Française d’Anesthésie-Réanimation (SFAR) - Collège National des Gynécologues et Obstétriciens Français (CGNOF) - Université Paris Cité Accéder directement au contenu
Article Dans Une Revue Gynécologie Obstétrique Fertilité & Sénologie Année : 2021

Republication de : Recommandations Formalisées d’Experts. Prise en charge de la patiente avec une pré-éclampsie sévère - RFE Communes Société Française d’Anesthésie-Réanimation (SFAR) - Collège National des Gynécologues et Obstétriciens Français (CGNOF)

1 CHU Trousseau [APHP]
2 CHU Tenon [AP-HP]
3 Service d'Anesthésie Réanimation [CHU Necker]
4 Service d'Anesthésie et Soins intensifs [CHU Rouen]
5 CHU Nantes - Centre Hospitalier Universitaire de Nantes
6 PhAN - Physiopathologie des Adaptations Nutritionnelles
7 CHU ST-E - Centre Hospitalier Universitaire de Saint-Etienne [CHU Saint-Etienne]
8 Service de gynécologie et obstétrique [CHI Poissy-Saint Germain]
9 BREED - Biologie de la Reproduction, Environnement, Epigénétique & Développement
10 HCL - Hospices Civils de Lyon
11 Hôpital Bicêtre [AP-HP, Le Kremlin-Bicêtre]
12 Pôle Anesthésie Réanimation [CHU de Toulouse]
13 Centre Hospitalier Tourcoing
14 Hôpital Jeanne de Flandres
15 Department of Anesthesiology, Intensive care and Perioperative medicine - Hautepierre Hospital, Strasbourg
16 Hôpital Cochin [AP-HP]
17 Hôpital Arnaud de Villeneuve [CHRU Montpellier]
18 CHIC - Centre Hospitalier Intercommunal de Créteil
19 IMRB - Institut Mondor de Recherche Biomédicale
20 AP-HP - Hôpital Antoine Béclère [Clamart]
21 Département d’Anesthésie-Réanimation-SMUR [Hôpital Lariboisière]
22 CHU Dijon - Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand
23 CHRU Nancy - Centre Hospitalier Régional Universitaire de Nancy
24 CHU Marseille
25 EPOPé [CRESS - U1153 / UMR_A 1125] - Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique
26 Pôle d'Obstétrique Reproduction Gynécologie Centre Aliénor d'Aquitaine, Hôpital Pellegrin, Bordeaux, France.
Marc Garnier
  • Fonction : Auteur
Julien Burey
  • Fonction : Auteur
Lionel Bouvet
  • Fonction : Auteur
  • PersonId : 774158
  • IdRef : 080789153
Laurent Zieleskiewicz

Résumé

To provide national guidelines for the management of women with severe pre-eclampsia. Design: A consensus committee of 26 experts was formed. A formal conflict-of-interest (COI) policy was developed at the onset of the process and enforced throughout. The entire guidelines process was conducted independently of any industrial funding. The authors were advised to follow the principles of the Grading of Recommendations Assessment, Development and Evaluation (GRADE(r)) system to guide assessment of quality of evidence. The potential drawbacks of making strong recommendations in the presence of low-quality evidence were emphasised. The last SFAR and CNGOF guidelines on the management of women with severe pre-eclampsia were published in 2009. The literature is now sufficient for an update. The aim of this expert panel guidelines is to evaluate the impact of different aspects of the management of women with severe preeclampsia on maternal and neonatal morbidities separately. The experts studied questions within 7 domains. Each question was formulated according to the PICO (Patients Intervention Comparison Outcome) model and the evidence profiles were produced. An extensive literature review and recommendations were carried out and analysed according to the GRADE(r) methodology. The SFAR/CNGOF experts panel provided 25 recommendations: 8 have a high level of evidence (GRADE 1+/−), 9 have a moderate level of evidence (GRADE 2+/−), and for 7 recommendations, the GRADE method could not be applied, resulting in expert opinions. No recommendation was provided for 3 questions. After one scoring round, strong agreement was reached between the experts for all the recommendations. Conclusions: There was strong agreement among experts who made 25 recommendations to improve practices for the management of women with severe pre-eclampsia.

Dates et versions

hal-03434547 , version 1 (18-11-2021)

Identifiants

Citer

Marie-Pierre Bonnet, Marc Garnier, Hawa Keita, Vincent Compère, Chloé Arthuis, et al.. Republication de : Recommandations Formalisées d’Experts. Prise en charge de la patiente avec une pré-éclampsie sévère - RFE Communes Société Française d’Anesthésie-Réanimation (SFAR) - Collège National des Gynécologues et Obstétriciens Français (CGNOF). Gynécologie Obstétrique Fertilité & Sénologie, 2021, ⟨10.1016/j.gofs.2021.10.001⟩. ⟨hal-03434547⟩
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