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The CROWN Initiative
Medical research is bedevilled by the difficulty in comparing the outcomes of different projects as the chosen research methods and endpoints can vary considerably, even when at first sight they appear to be the same. Professor Khalid Khan, the Editor-in-Chief of BJOG: An International Journal of Obstetrics & Gynaecology, has coordinated a plan to develop core outcome sets in gynaecology, obstetrics and reproductive health and this has been agreed to by almost 60 journals in our specialty worldwide, including the Journal of Family Planning and Reproductive Health Care. The Editorial in this issue sets out the aims of CROWN and will appear in all participating journals this autumn. The challenge now is for us to develop and agree on those outcome sets and to ensure that future research articles conform to them. The expression ‘herding cats’ comes the mind of your outgoing Acting Editor-in-Chief! See page 239
Contraception following bariatric surgery
Surgery to combat obesity is in the news, with draft NICE guidelines suggesting that the number of operations offered in the NHS should increase, and, perhaps more significantly for some of our clients, the host of Woman's Hour announcing that she plans to undergo bariatric surgery herself. The health benefits of surgery can be significant, but the rapid weight loss and changes in digestive physiology that follow surgery can have a profound influence on reproductive health, both in relation to contraception and to pregnancy. Graham et al.'s very timely commentary, Contraceptive needs of women following bariatric surgery, is a comprehensive review of the nature and consequences of bariatric surgical procedures and gives clear advice regarding optimal approaches to contraception for such patients. See page 241
This issue is a little unusual in that no less than five of our articles deal with men – or in the case of one …
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