Priority 9 from the Hyperemesis Gravidarum PSP
| UNCERTAINTY: What clinical measurements and markers are most useful in assessing, diagnosing, managing and monitoring hyperemesis? (JLA PSP Priority 9) | |
|---|---|
| Overall ranking | 9 |
| JLA question ID | 0090/9 |
| Explanatory note | Not available for this PSP |
| Evidence |
Niemeijer, M. N.; Grooten, I. J.; Vos, N.; Bais, J. M.; van der Post, J. A.; Mol, B. W.; Roseboom, T. J.; Leeflang, M. M.; Painter, R. C.; 2014 Diagnostic markers for hyperemesis gravidarum: a systematic review and metaanalysis American Journal of Obstetrics & Gynecology - Volume 211, Issue 2, pp. 150.e1-150.15: Systematic review concludes no support for the use of ketonuria in the diagnosis of HG. H pylori serology might be useful in specific patients. |
| Health Research Classification System category | Reproductive health and childbirth |
| Extra information provided by this PSP | |
|---|---|
| Original uncertainty examples | What anthropometric measures and nutritonal markers are most useful in assessing and monitoring hyperemesis management? (??weight, mid upper arm circumference, transferrin, amylase etc?????) ~ What clinical indicators determine the threshold for hospital admission in women with HG? ~ What diagnostic criteria/guidelines would provide the best treatment/outcomes? i.e. instead of waiting for significant weight loss and dehydration or “penalizing”proactive care that reduces these indicators |
| Submitted by | Patients x 7 ~ Healthcare professionals x 3 ~ Offspring x 1 ~ Unknown x 1 |
| PSP information | |
|---|---|
| PSP unique ID | 0090 |
| PSP name | Hyperemesis Gravidarum |
| Total number of uncertainties identified by this PSP. | 65 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website) |
| Date of priority setting workshop | 9 October 2019 |