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Table 4 Examples of recommendations integrated into the multidisciplinary guideline

From: A patient-centered network approach to multidisciplinary-guideline development: a process evaluation

Medical-technical recommendations

Origin or guideline

Chapter of the MuG

The physician should only physically examine the man if his semen analysis is irregular. LOE C

General infertility for physicians

Family physician (physical examination)

The gynecologist should not test ovarian reserve capacity to predict probability of pregnancy (with or without treatment). LOE A

Unexplained infertility

Gynecologist (assessments)

Organizational recommendations

  

The physician should order a semen analysis from an accredited laboratory (ISO15189) or from a referral hospital. LOE D

MuG

Organization of fertility care

In accordance with the Dutch IVF planning decree, every licensed IVF center and their corresponding transport and satellite centers must provide annual reports on treatment outcomes for uniform national IVF registration. LOE D

MuG

Organization of fertility care (registration)

Patient-centered recommendations

  

Both partners of the couple should be involved in the assessment and management of infertility because it is a joint problem. LOE C

MuG

Physician, gynecologist, and urologist (basic principles)

The gynecologist should offer couples with fertility problems psychological support throughout all phases of fertility care. LOE D

MuG

Gynecologist (information provision)

Patient recommendations

  

Patients want their gynecologist to inform them about the different phases of treatment and their expected time spans. LOE P

MuG

Gynecologist (information provision)

Patients want their physician to make a referral immediately after they have been trying to conceive for 1 year. LOE P

MuG

physician (referral)

  1. MuG = Multidisciplinary Guideline, IVF = in vitro fertilization, LOE = level of evidence.