NICE guidance on ectopic pregnancy and miscarriage restricts access and choice and may be clinically unsafe

BMJ (Online)

Volumn 346, Issue 7892, 2013, Pages

  Bourne, Tom ^a,b   Barnhart, Kurt ^c   Benson, Carol B ^d   Brosens, Jan ^e   Calster, Ben Van ^f   Condous, George ^g   Coomerasamy, Arri ^h   Doubilet, Peter M ^d   Goldstein, Steven R ⁱ   Gould, Deborah ^j   Kirk, Emma ^k   Mol, Ben Willem ^l   Raine Fenning, Nicholas ^m   Stalder, Catriona ^a   Timmerman, Dirk ^f  

^a QUEEN CHARLOTTE S AND CHELSEA HOSPITAL   (United Kingdom)

^b UNIVERSITY HOSPITALS LEUVEN   (Belgium)

^c UNIVERSITY OF PENNSYLVANIA   (United States)

^d HARVARD MEDICAL SCHOOL   (United States)

^e UNIVERSITY OF WARWICK   (United Kingdom)

^f UNIVERSITY OF LEUVEN   (Belgium)

^g UNIVERSITY OF SYDNEY   (Australia)

^h UNIVERSITY OF BIRMINGHAM   (United Kingdom)

ⁱ NEW YORK UNIVERSITY MEDICAL CENTER   (United States)

^j ST MARY S HOSPITAL   (United Kingdom)

^k WHITTINGTON HOSPITAL   (United Kingdom)

^l ACADEMIC MEDICAL CENTER   (Netherlands)

^m QUEEN S MEDICAL CENTRE   (United Kingdom)

more..

Author keywords

[No Author keywords available]

Indexed keywords

CHORIONIC GONADOTROPIN; METHOTREXATE;

ALGORITHM; DECISION MAKING; DIAGNOSTIC ERROR; DRUG INDICATION; ECHOGRAPHY; ECTOPIC PREGNANCY; FIRST TRIMESTER PREGNANCY; HEALTH CARE ACCESS; HEALTH SERVICE; HUMAN; LETTER; MEDICATION ERROR; PRACTICE GUIDELINE; PREGNANCY TEST; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; RISK FACTOR; SPONTANEOUS ABORTION;

ABORTION, SPONTANEOUS; FEMALE; HUMANS; PRACTICE GUIDELINES AS TOPIC; PREGNANCY; PREGNANCY, ECTOPIC;

EID: 84873023685     PISSN: None     EISSN: 17561833     Source Type: Journal    
DOI: 10.1136/bmj.f197     Document Type: Letter

References (5)

1. Newbatt E, Beckles Z, Ullman R, Lumsden MA; on behalf of the Guideline Development Group. Ectopic pregnancy and miscarriage: summary of NICE guidance. BMJ 2012;345:e8136. (12 December.).
2. Mol BW, Hajenius PJ, Engelsbel S, Ankum WM, van der Veen F, Hemrika DJ, Bossuyt PM. Are gestational age and endometrial thickness alternatives for serum human chorionic gonadotropin as criteria for the diagnosis of ectopic pregnancy? Fertil Steril 1999;72:643-5.
3. Van Calster B, Abdallah Y, Guha S, Kirk E, Van Hoorde K, Condous G, et al. Rationalizing the management of pregnancies of unknown location: temporal and external validation of a risk prediction model on 1962 pregnancies. Hum Reprod 2013; published online 4 Jan.
4. Barnhart KT. Early pregnancy failure: beware of the pitfalls of modern management. Fertil Steril 2012;98:1061-5.
5. Irish Health Service Executive (HSE). National miscarriage misdiagnosis review. 2011. www.hse.ie/eng/services/Publications/services/Hospitals/ miscarriagereview.html.