Uitkomst raming

Toelichting

Vochtbeleid bij OHSS patiënten

geen financiële gevolgen

Uit de toetsing volgt dat de aanbeveling(en) niet breed toepasbaar zijn (<5.000 patiënten) en zal daarom naar verwachting geen substantiële financiële gevolgen hebben voor de collectieve uitgaven.

Cluster/richtlijn: Richtlijn Modulaire actualisatie richtlijn Ovarieel Hyperstimulatiesyndroom (OHSS) – UV7

Uitgangsvraag/modules: Welk infuusbeleid is zinvol bij opgenomen OHSS patiënten?

Database(s): Embase.com, Ovid/Medline

Datum: 10-10-2023

Periode: vanaf 2000

Talen: n.v.t.

Literatuurspecialist: Alies van der Wal en Esther van der Bijl

BMI-zoekblokken: voor verschillende opdrachten wordt (deels) gebruik gemaakt van de zoekblokken van BMI-Online https://blocks.bmi-online.nl/ Bij gebruikmaking van een volledig zoekblok zal naar de betreffende link op de website worden verwezen.

Toelichting:

Voor deze vraag is gezocht op de elementen

Ovarieel Hyperstimulatiesyndroom (OHSS)  

Vochtbeleid (infuus/ oraal)

De drie sleutelartikelen worden niet gevonden, omdat de interventie of comparison niet in titel, abstract of keywords is genoemd.

De resultaten staan in Rayyan en zijn te bereiken via https://rayyan.ai/reviews/804101 

Te gebruiken voor richtlijntekst:

In de databases Embase.com en Ovid/Medline is op 10 oktober 2023 systematisch gezocht naar systematische reviews, RCTs en observationele studies over infuusbeleid bij OHSS patiënten. De literatuurzoekactie leverde 221 unieke treffers op.

EMBASE

OVID/MEDLINE

Ontdubbeld

SR

19

16

29

RCT

33

46

75

Observationele studies

48

82

117

Totaal

100

144

221*

No.

Query

Results

#1

'ovary hyperstimulation'/exp OR (((ovar* OR ovulation) NEAR/3 (hyperstimulation OR stimulation OR overstimulation OR induc*)):ti,ab,kw) OR ohss:ti,ab,kw OR 'in vitro fertilization'/exp OR ((('in vitro' OR extracorporeal) NEAR/3 (fertilisation OR fertilization)):ti,ab,kw) OR 'intracytoplasmic sperm injection'/exp OR 'intracytoplasmic sperm injection*':ti,ab,kw OR 'intra cytoplasmic sperm injection*':ti,ab,kw OR icsi:ti,ab,kw OR 'ovulation induction'/exp OR 'superovulation'/exp OR superovulation:ti,ab,kw OR 'super ovulation':ti,ab,kw OR hyperovulation:ti,ab,kw OR 'hyper ovulation':ti,ab,kw OR 'infertility therapy'/exp OR (('assisted reproduct*' NEAR/3 (techn* OR therap* OR treatment*)):ti,ab,kw) OR (((fertilit* OR infertilit*) NEAR/3 (therap* OR treatment* OR patient*)):ti,ab,kw) OR (((oocyte* OR egg*) NEAR/3 (preparat* OR process* OR vitrificat* OR retriev*)):ti,ab,kw)

#2

'fluid therapy'/de OR 'rehydration'/exp OR 'fluid resuscitation'/exp OR 'fluid intake'/exp OR 'fluid balance'/exp OR 'infusion fluid'/exp OR 'glucose infusion'/exp OR 'ringer solution'/exp OR 'ringer lactate solution'/exp OR 'ringer glucose solution'/exp OR 'ringer acetate'/exp OR 'oral rehydration solution'/exp OR (((fluid OR glucose OR nacl* OR ringer* OR sodiumchlorid*) NEAR/3 (administration OR bolus OR infusion* OR intravenous OR iv OR therap*)):ti,ab,kw) OR (((rehydrat* OR hydrat*) NEAR/3 (infusion* OR intravenous OR iv OR therap*)):ti,ab,kw) OR (((fluid* OR rehydrat* OR hydrat*) NEAR/3 (oral OR 'per os' OR po)):ti,ab,kw) OR 'fluid intake':ti,ab,kw

190536

#3

#1 AND #2

587

#4

#3 NOT ('conference abstract'/it OR 'editorial'/it OR 'letter'/it OR 'note'/it) NOT (('animal'/exp OR 'animal experiment'/exp OR 'animal model'/exp OR 'nonhuman'/exp) NOT 'human'/exp)

327

#5

#4 AND [2000-2023]/py

273

#6

'meta analysis'/exp OR 'meta analysis (topic)'/exp OR metaanaly*:ti,ab OR 'meta analy*':ti,ab OR metanaly*:ti,ab OR 'systematic review'/de OR 'cochrane database of systematic reviews'/jt OR prisma:ti,ab OR prospero:ti,ab OR (((systemati* OR scoping OR umbrella OR 'structured literature') NEAR/3 (review* OR overview*)):ti,ab) OR ((systemic* NEAR/1 review*):ti,ab) OR (((systemati* OR literature OR database* OR 'data base*') NEAR/10 search*):ti,ab) OR (((structured OR comprehensive* OR systemic*) NEAR/3 search*):ti,ab) OR (((literature NEAR/3 review*):ti,ab) AND (search*:ti,ab OR database*:ti,ab OR 'data base*':ti,ab)) OR (('data extraction':ti,ab OR 'data source*':ti,ab) AND 'study selection':ti,ab) OR ('search strategy':ti,ab AND 'selection criteria':ti,ab) OR ('data source*':ti,ab AND 'data synthesis':ti,ab) OR medline:ab OR pubmed:ab OR embase:ab OR cochrane:ab OR (((critical OR rapid) NEAR/2 (review* OR overview* OR synthes*)):ti) OR ((((critical* OR rapid*) NEAR/3 (review* OR overview* OR synthes*)):ab) AND (search*:ab OR database*:ab OR 'data base*':ab)) OR metasynthes*:ti,ab OR 'meta synthes*':ti,ab

968478

#7

'clinical trial'/exp OR 'randomization'/exp OR 'single blind procedure'/exp OR 'double blind procedure'/exp OR 'crossover procedure'/exp OR 'placebo'/exp OR 'prospective study'/exp OR rct:ab,ti OR random*:ab,ti OR 'single blind':ab,ti OR 'randomised controlled trial':ab,ti OR 'randomized controlled trial'/exp OR placebo*:ab,ti

3889919

#8

'major clinical study'/de OR 'clinical study'/de OR 'case control study'/de OR 'family study'/de OR 'longitudinal study'/de OR 'retrospective study'/de OR 'prospective study'/de OR 'comparative study'/de OR 'cohort analysis'/de OR ((cohort NEAR/1 (study OR studies)):ab,ti) OR (('case control' NEAR/1 (study OR studies)):ab,ti) OR (('follow up' NEAR/1 (study OR studies)):ab,ti) OR (observational NEAR/1 (study OR studies)) OR ((epidemiologic NEAR/1 (study OR studies)):ab,ti) OR (('cross sectional' NEAR/1 (study OR studies)):ab,ti)

7873980

#9

'case control study'/de OR 'comparative study'/exp OR 'control group'/de OR 'controlled study'/de OR 'controlled clinical trial'/de OR 'crossover procedure'/de OR 'double blind procedure'/de OR 'phase 2 clinical trial'/de OR 'phase 3 clinical trial'/de OR 'phase 4 clinical trial'/de OR 'pretest posttest design'/de OR 'pretest posttest control group design'/de OR 'quasi experimental study'/de OR 'single blind procedure'/de OR 'triple blind procedure'/de OR (((control OR controlled) NEAR/6 trial):ti,ab,kw) OR (((control OR controlled) NEAR/6 (study OR studies)):ti,ab,kw) OR (((control OR controlled) NEAR/1 active):ti,ab,kw) OR 'open label*':ti,ab,kw OR (((double OR two OR three OR multi OR trial) NEAR/1 (arm OR arms)):ti,ab,kw) OR ((allocat* NEAR/10 (arm OR arms)):ti,ab,kw) OR placebo*:ti,ab,kw OR 'sham-control*':ti,ab,kw OR (((single OR double OR triple OR assessor) NEAR/1 (blind* OR masked)):ti,ab,kw) OR nonrandom*:ti,ab,kw OR 'non-random*':ti,ab,kw OR 'quasi-experiment*':ti,ab,kw OR crossover:ti,ab,kw OR 'cross over':ti,ab,kw OR 'parallel group*':ti,ab,kw OR 'factorial trial':ti,ab,kw OR ((phase NEAR/5 (study OR trial)):ti,ab,kw) OR ((case* NEAR/6 (matched OR control*)):ti,ab,kw) OR ((match* NEAR/6 (pair OR pairs OR cohort* OR control* OR group* OR healthy OR age OR sex OR gender OR patient* OR subject* OR participant*)):ti,ab,kw) OR ((propensity NEAR/6 (scor* OR match*)):ti,ab,kw) OR versus:ti OR vs:ti OR compar*:ti OR ((compar* NEAR/1 study):ti,ab,kw) OR (('major clinical study'/de OR 'clinical study'/de OR 'cohort analysis'/de OR 'observational study'/de OR 'cross-sectional study'/de OR 'multicenter study'/de OR 'correlational study'/de OR 'follow up'/de OR cohort*:ti,ab,kw OR 'follow up':ti,ab,kw OR followup:ti,ab,kw OR longitudinal*:ti,ab,kw OR prospective*:ti,ab,kw OR retrospective*:ti,ab,kw OR observational*:ti,ab,kw OR 'cross sectional*':ti,ab,kw OR cross?ectional*:ti,ab,kw OR multicent*:ti,ab,kw OR 'multi-cent*':ti,ab,kw OR consecutive*:ti,ab,kw) AND (group:ti,ab,kw OR groups:ti,ab,kw OR subgroup*:ti,ab,kw OR versus:ti,ab,kw OR vs:ti,ab,kw OR compar*:ti,ab,kw OR 'odds ratio*':ab OR 'relative odds':ab OR 'risk ratio*':ab OR 'relative risk*':ab OR 'rate ratio':ab OR aor:ab OR arr:ab OR rrr:ab OR ((('or' OR 'rr') NEAR/6 ci):ab)))

14483663

#10

#5 AND #6 - SR

19

#11

#5 AND #7 NOT #10 - RCT

33

#12

#5 AND (#8 OR #9) NOT (#10 OR #11) - Observationeel

48

#13

#10 OR #11 OR #12

100

#

Searches

Results

1

Ovarian Hyperstimulation Syndrome/ or ((ovar* or ovulation) adj3 (hyperstimulation or stimulation or overstimulation or induc*)).ti,ab,kf. or ohss.ti,ab,kf. or exp Fertilization in Vitro/ or ((in vitro or extracorporeal) adj3 (fertilisation or fertilization)).ti,ab,kf. or ivf.ti,ab,kf. or exp sperm injections, intracytoplasmic/ or intracytoplasmic sperm injection*.ti,ab,kf. or intra cytoplasmic sperm injection*.ti,ab,kf. or icsi.ti,ab,kf. or exp Ovulation Induction/ or exp superovulation/ or superovulation.ti,ab,kf. or super ovulation.ti,ab,kf. or hyperovulation.ti,ab,kf. or hyper ovulation.ti,ab,kf. or (assisted reproduct* adj3 (techn* or therap* or treatment*)).ti,ab,kf. or ((fertilit* or infertilit*) adj3 (therap* or treatment*)).ti,ab,kf. or ((oocyte* or egg*) adj3 (preparat* or process* or vitrificat* or retriev*)).ti,ab,kf.

101617

2

exp Fluid Therapy/ or Rehydration Solutions/ or Ringer's Lactate/ or Rehydration Solutions/ or exp Isotonic Solutions/ or ((fluid or glucose or nacl* or ringer* or sodiumchlorid*) adj3 (administration or bolus or infusion* or intravenous or iv or therap*)).ti,ab,kf. or ((rehydrat* or hydrat*) adj3 (infusion* or intravenous or iv or therap*)).ti,ab,kf. or ((fluid* or rehydrat* or hydrat*) adj3 (oral or 'per os' or po)).ti,ab,kf. or fluid intake.ti,ab,kf.

76242

3

1 and 2

334

4

3 not (comment/ or editorial/ or letter/) not ((exp animals/ or exp models, animal/) not humans/)

278

5

limit 4 to yr=2000-2023

219

6

meta-analysis/ or meta-analysis as topic/ or (metaanaly* or meta-analy* or metanaly*).ti,ab,kf. or systematic review/ or cochrane.jw. or (prisma or prospero).ti,ab,kf. or ((systemati* or scoping or umbrella or "structured literature") adj3 (review* or overview*)).ti,ab,kf. or (systemic* adj1 review*).ti,ab,kf. or ((systemati* or literature or database* or data-base*) adj10 search*).ti,ab,kf. or ((structured or comprehensive* or systemic*) adj3 search*).ti,ab,kf. or ((literature adj3 review*) and (search* or database* or data-base*)).ti,ab,kf. or (("data extraction" or "data source*") and "study selection").ti,ab,kf. or ("search strategy" and "selection criteria").ti,ab,kf. or ("data source*" and "data synthesis").ti,ab,kf. or (medline or pubmed or embase or cochrane).ab. or ((critical or rapid) adj2 (review* or overview* or synthes*)).ti. or (((critical* or rapid*) adj3 (review* or overview* or synthes*)) and (search* or database* or data-base*)).ab. or (metasynthes* or meta-synthes*).ti,ab,kf.

699066

7

exp clinical trial/ or randomized controlled trial/ or exp clinical trials as topic/ or randomized controlled trials as topic/ or Random Allocation/ or Double-Blind Method/ or Single-Blind Method/ or (clinical trial, phase i or clinical trial, phase ii or clinical trial, phase iii or clinical trial, phase iv or controlled clinical trial or randomized controlled trial or multicenter study or clinical trial).pt. or random*.ti,ab. or (clinic* adj trial*).tw. or ((singl* or doubl* or treb* or tripl*) adj (blind$3 or mask$3)).tw. or Placebos/ or placebo*.tw.

2642778

8

Epidemiologic studies/ or case control studies/ or exp cohort studies/ or Controlled Before-After Studies/ or Case control.tw. or cohort.tw. or Cohort analy$.tw. or (Follow up adj (study or studies)).tw. or (observational adj (study or studies)).tw. or Longitudinal.tw. or Retrospective*.tw. or prospective*.tw. or consecutive*.tw. or Cross sectional.tw. or Cross-sectional studies/ or historically controlled study/ or interrupted time series analysis/ [Onder exp cohort studies vallen ook longitudinale, prospectieve en retrospectieve studies]

4552341

9

Case-control Studies/ or clinical trial, phase ii/ or clinical trial, phase iii/ or clinical trial, phase iv/ or comparative study/ or control groups/ or controlled before-after studies/ or controlled clinical trial/ or double-blind method/ or historically controlled study/ or matched-pair analysis/ or single-blind method/ or (((control or controlled) adj6 (study or studies or trial)) or (compar* adj (study or studies)) or ((control or controlled) adj1 active) or "open label*" or ((double or two or three or multi or trial) adj (arm or arms)) or (allocat* adj10 (arm or arms)) or placebo* or "sham-control*" or ((single or double or triple or assessor) adj1 (blind* or masked)) or nonrandom* or "non-random*" or "quasi-experiment*" or "parallel group*" or "factorial trial" or "pretest posttest" or (phase adj5 (study or trial)) or (case* adj6 (matched or control*)) or (match* adj6 (pair or pairs or cohort* or control* or group* or healthy or age or sex or gender or patient* or subject* or participant*)) or (propensity adj6 (scor* or match*))).ti,ab,kf. or (confounding adj6 adjust*).ti,ab. or (versus or vs or compar*).ti. or ((exp cohort studies/ or epidemiologic studies/ or multicenter study/ or observational study/ or seroepidemiologic studies/ or (cohort* or 'follow up' or followup or longitudinal* or prospective* or retrospective* or observational* or multicent* or 'multi-cent*' or consecutive*).ti,ab,kf.) and ((group or groups or subgroup* or versus or vs or compar*).ti,ab,kf. or ('odds ratio*' or 'relative odds' or 'risk ratio*' or 'relative risk*' or aor or arr or rrr).ab. or (("OR" or "RR") adj6 CI).ab.))

5530138

10

5 and 6 - SR

16

11

(5 and 7) not 10 - RCT

46

12

(5 and (8 or 9)) not (10 or 11) - Observationeel

82

13

10 or 11 or 12

144