Evidence map›Paper›PMID 22114527›Full record

ArticleInternational journal of women's health2011

Comparison of Dilapan-S and laminaria for cervical priming before surgical pregnancy termination at 17-22 weeks' gestation.

Dennis G Chambers, Robin J Willcourt, Anthony R Laver, Jane K Baird, Wye Y Herbert

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in International journal of women's health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02098382 completednot on this mapstarted 2013, after this paper: background citation

Prospective Collection of Data About the Use of the Dilapan-S Osmotic Dilator in Pre-induction of Labor in Women With/Without Caesarean Section in Their History

TypeobservationalSponsorMedicem International CR s.r.o.Ran2013 to 2014Enrolled125ConditionsUterine Cervical IncompetenceArmsDilapan-S
NCT02318212 completednot on this mapstarted 2015, after this paper: background citation

International Observational E-Registry on the Use of Dilapan-S/Dilasoft Osmotic Dilators for Cervical Priming Prior to Induced Abortion

TypeobservationalSponsorMedicem International CR s.r.o.Ran2015 to 2016Enrolled439ConditionsAbortion, InducedArmsDilapan-S
NCT04529837 completednot on this mapstarted 2020, after this paper: background citation

Longitudinal Ultrasound Evaluation of Dilapan-S During Cervical Ripening

TypeobservationalSponsorEastern Virginia Medical SchoolRan2020 to 2021Enrolled44ConditionsCervical Dilation, Induction of Labor, Ultrasound EvaluationArmsGauze, No gauze
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Dennis G ChambersThe Queen Elizabeth Hospital, Pregnancy Advisory Centre, Woodville Park, Adelaide, South Australia, Australia.
Robin J Willcourt
Anthony R Laver
Jane K Baird
Wye Y Herbert
Queen Elizabeth Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

methodsA retrospective analysis of medical records of three consecutive cohorts of women. All cohorts received a digoxin feticide injection on Day 1. Two cohorts were treated with laminaria, cohort A of 151 women over 1-2 days and cohort B of 52 women over 1-3 days, and cohort C of 151 women was treated with Dilapan-S over 1-3 days.

resultsAdequate cervical priming for dilatation and evacuation (D&E) on Day 2 was achieved in 98% of the Dilapan-S cohort and 56% of cohort A and 40% of the cohort B laminaria cohorts. Return to theater for D&E 3-4 hours after dilator insertion on Day 2 occurred in 62.3% of Dilapan-S cohort C and 9.3% of cohort A and 4% of cohort B laminaria cohorts (P = 0.001). A mean D&E theater time of 19 minutes for laminaria cohort A was reduced by 10.1% in the Dilapan-S cohort C (P = 0.02). The incidence of unscheduled overnight delivery outside the clinic was 0% for Dilapan-S and 1.3% for cohort A and 3.8% for cohort B laminaria cohorts (P = 0.14).

conclusionDilapan-S osmotic dilators are superior to laminaria in producing more cervical priming and dilatation in a shorter time. This enables 17-22 week D&E procedures to be carried out in fewer days and in shorter theater times. They also eliminate the risk of an unscheduled overnight delivery outside the clinic.

Indexed as

cervical primingDilapan-Sdilatation and evacuationlaminaria tentslate second-trimester surgical abortionosmotic dilators

Identifiers

PMID22114527
PMCPMC3220316
OpenAlexW2051068808

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.