Evidence-based medicine and a model for an algorithm to choose the best hormonal contraceptive
- Authors: Rukhlyada N.N1
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Affiliations:
- I.I. Dzhanelidze Saint Petersburg Research Institute of Emergence Care
- Issue: No 4 (2016)
- Pages: 107-111
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/247682
- DOI: https://doi.org/10.18565/aig.2016.4.107-111
- ID: 247682
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Abstract
Objective. To carry out a systematic analysis of the data that may predict the tolerability of various hormonal contraceptives in order to elaborate an algorithm to choose the best hormonal contraceptive. Material and methods. A meta-analysis of literature data on the tolerability of hormonal contraceptives was made. Results. A computerized MyContraception algorithm to choose hormonal contraception and a specific contraceptive was elaborated using a mathematical model of multivariate analysis of their tolerability, acceptability, and side-effectprofile. Conclusion. It is necessary to accumulate a knowledge base using the recipient-application feedback that will be able to dynamically improve the mathematical algorithm with consideration for information accumulation, as well as the possibility of complementing novel hormone-containing contraceptives to the knowledge base.
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About the authors
N. N Rukhlyada
I.I. Dzhanelidze Saint Petersburg Research Institute of Emergence Care
Email: nickolasr@mail.ru
MD, PhD, professor, head of the gynecology clinic
References
- Liao P.V., Dollin J. Half a century of the oral contraceptive pill: historical review and view to the future. Can. Fam. Physician. 2012; 58(12): e757-60.
- Blumenthal P.D., Voedisch A., Gemzell-Danielsson K. Strategies to prevent unintended pregnancy: increasing use of long-acting reversible contraception. Hum. Reprod. Update. 2011; 17(1): 121-37.
- Sitruk-Ware R., Nath A. Metabolic effects of contraceptive steroids. Rev. Endocr. Metab. Disord. 2011; 12(2): 63-75.
- Molloy G.J., Sweeney L.A., Byrne M., Hughes C.M., Ingham R., Morgan K., Murphy A.W. Prescription contraception use: a cross-sectional population study of psychosocial determinants. BMJ Open. 2015; 5(8): e007794.
- Westhoff C., Kaunitz A.M., Korver T., Sommer W., Bahamondes L., Darney P., Verhoeven C. Efficacy, safety, and tolerability of a monophasic oral contraceptive containing nomegestrol acetate and 17ß-estradiol: a randomized controlled trial. Obstet. Gynecol. 2012; 119(5): 989-99.
- Egarter C., Frey Tirri B., Bitzer J., Kaminskyy V., Oddens B.J., Prilepskaya V. et al. Women’s perceptions and reasons for choosing the pill, patch, or ring in the CHOICE study: a cross-sectional survey of contraceptive method selection after counseling. BMC Womens Health. 2013; 13: 9.
- World Health Organization. Medical eligibility criteria for contraceptive use. 3rd ed. Geneva: World Health Organization; 2004.
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