Evidence map›Paper›PMID 28057388›Full record

ArticleCurrent problems in diagnostic radiology

Evaluation of Focused Obstetric Ultrasound Examinations by Health Care Personnel in the Democratic Republic of Congo, Guatemala, Kenya, Pakistan, and Zambia.

Robert O Nathan, Jonathan O Swanson, David L Swanson, Elizabeth M McClure, Victor Lokomba Bolamba, Adrien Lokangaka, Irma Sayury Pineda, Lester Figueroa, Walter López-Gomez, Ana Garces and 12 more

Open access · hybridAbstract read
In one paragraph

Article in Current problems in diagnostic radiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
1.9field-weighted citation impact, top 14% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
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  4. Routine ultrasound for fetal assessment before 24 weeks' gestation.The Cochrane database of systematic reviews · 2021
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  12. Deep learning to estimate gestational age from fly-to cineloop videos: A novel approach to ultrasound quality control.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2024
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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

22 authors at 10 institutions in 6 countries.

Robert O NathanDepartment of Radiology, Harborview Medical Center, University of Washington Medical Center, Seattle, WA. Electronic address: ronathan@uw.edu.
Jonathan O SwansonDepartment of Radiology, Harborview Medical Center, University of Washington Medical Center, Seattle, WA. Electronic address: Swanson5@uw.edu.
David L SwansonDepartment of Radiology, Harborview Medical Center, University of Washington Medical Center, Seattle, WA. Electronic address: dladleyswanson@gmail.com.
Elizabeth M McClureDepartment of Statistics and Epidemiology, RTI International, Durham, NC. Electronic address: mcclure@rti.org.
Victor Lokomba BolambaDepartment of Obstetrics, Kinshasa University, Kinshasa, Democratic Republic of the Congo. Electronic address: vlokomba@yahoo.fr.
Adrien LokangakaSchool of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo. Electronic address: adrienloks@gmail.com.
Irma Sayury PinedaFundación para la Alimentación y Nutrición de Centro América y Panamá (FANCAP), Guatemala City, Guatemala. Electronic address: spineda@fancap.org.
Lester FigueroaFundación para la Alimentación y Nutrición de Centro América y Panamá (FANCAP), Guatemala City, Guatemala. Electronic address: lfigueroa@fancap.org.
Walter López-GomezDepartment of Obstetrics and Gynecology, San Carlos University Medical School, Guatemala City, Guatemala. Electronic address: drwlopezgomez@gmail.com.
Ana GarcesFundación para la Alimentación y Nutrición de Centro América y Panamá (FANCAP), Francisco Marroquin University, Guatemala City, Guatemala. Electronic address: agarces@fancap.org.
David MuyodiDepartment of Pediatrics, Moi University School of Medicine, Eldoret, Kenya. Electronic address: dmuyodi6@gmail.com.
Fabian EsamaiDepartment of Pediatrics, Moi University School of Medicine, Eldoret, Kenya. Electronic address: fesamaki2007@gmail.com.
Nancy KanaizaSonographer, Department of Radiology, Moi University School of Medicine, Eldoret, Kenya. Electronic address: n_kanaiza@yahoo.com.
Waseem MirzaDepartment of Radiology, Aga Khan University, Karachi, Pakistan. Electronic address: waseem.mirza@aku.edu.
Farnaz NaqviDepartment of Community Health Sciences, Aga Khan University, Karachi, Pakistan. Electronic address: farnaz.naqvi@aku.edu.
Sarah SaleemDepartment of Community Health Sciences, Aga Khan University, Karachi, Pakistan. Electronic address: sarah.saleem@aku.edu.
Musaku MwenechanyaDepartment of Pediatrics, University Teaching Hospital, Lusaka, Zambia. Electronic address: mmusaku@gmail.com.
Melody ChiwilaProject Coordinator, Global Network for Women's and Children's Health Research, University Teaching Hospital, Lusaka, Zambia. Electronic address: Melodykunda2004@yahoo.com.
Dorothy HamsumondeLead Sonographer, Radiology Department, University Teaching Hospital, Lusaka, Zambia. Electronic address: dhamsumonde@gmail.com.
Dennis D WallaceDepartment of Statistics and Epidemiology, RTI International, Durham, NC. Electronic address: dwallace@rti.org.
Holly FranklinDepartment of Statistics and Epidemiology, RTI International, Durham, NC. Electronic address: hfranklin@rti.org.
Robert L GoldenbergDepartment of Obstetrics and Gynecology, Columbia University, New York, NY. Electronic address: rlg88@cumc.columbia.edu.
Aga Khan University · PKMoi University · KERTI International · USUniversity of Washington Medical Center · USUniversity Teaching Hospital · ZMInstitute of Nutrition of Central America and Panama · GTUniversity of Kinshasa · CDColumbia University · USUniversidad Francisco Marroquín · GTUniversity of San Carlos of Guatemala · GT

Funding

Zika in Pregnancy Supplemental Funding requestU01HD040636 · NICHD · RESEARCH TRIANGLE INSTITUTE · PI MCCLURE, ELIZABETH M · 2001 to 2017
$37.5M
Global Network for Women's and Children's Health Research Data Coordinating CenterU24HD092094 · NICHD · RESEARCH TRIANGLE INSTITUTE · PI Elizabeth M McClure · 2017 to 2026
$17.8M
Columbia University/Aga Khan University Global Network Research UnitU10HD078438 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GOLDENBERG, ROBERT L · 2013 to 2017
$3.2M
NICHD NIH HHS U01 HD040636NICHD NIH HHS U10 HD078438NICHD NIH HHS U24 HD092094
6 · The paper itself

Abstract

Prior studies have suggested that obstetrical (OB) ultrasound in low- and middle-income countries has aided in detection of high-risk conditions, which in turn could improve OB management. We are participating in a cluster-randomized clinical trial of OB ultrasound, which is designed to assess the effect of basic OB ultrasound on maternal mortality, fetal mortality, neonatal mortality, and maternal near-miss in 5 low-income countries. We designed a 2-week course in basic OB ultrasound, followed by 12 weeks of oversight, to train health care professionals with no prior ultrasound experience to perform basic OB ultrasound to screen for high-risk pregnancies. All patients with high-risk pregnancies identified by the trainees were referred to higher-level health facilities where fully trained sonographers confirmed the diagnoses before any actions were taken. Although there have been several published studies on basic OB ultrasound training courses for health care workers in low- and middle-income countries, quality control reporting has been limited. The purpose of this study is to report on quality control results of these trainees. Health care workers trained in similar courses could have an adjunctive role in ultrasound screening for high-risk OB conditions where access to care is limited. After completion of the ultrasound course, 41 trainees in 5 countries performed 3801 ultrasound examinations during a 12-week pilot period. Each examination was reviewed by ultrasound trainers for errors in scanning parameters and errors in diagnosis, using predetermined criteria. Of the 32,480 images comprising the 3801 examinations, 94.8% were rated as satisfactory by the reviewers. There was 99.4% concordance between trainee and reviewer ultrasound diagnosis. The results suggest that trained health care workers could play a role in ultrasound screening for high-risk OB conditions.

Indexed as

Inservice TrainingPregnancy, High-RiskAdultDemocratic Republic of the CongoFemaleFetal MortalityGuatemalaHumansInfantInfant MortalityKenyaMaternal MortalityObstetric Labor ComplicationsPakistanPregnancyPregnancy Outcome

Identifiers

PMID28057388
PMCPMC5413583
OpenAlexW2556437348

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.