Evidence map›Paper›PMID 29670041›Full record

ArticleInternational journal of environmental research and public health2018

Comparative Evaluation of Arabin Pessary and Cervical Cerclage for the Prevention of Preterm Labor in Asymptomatic Women with High Risk Factors.

Panagiotis Tsikouras, George Anastasopoulos, Vasileios Maroulis, Anastasia Bothou, Anna Chalkidou, Dorelia Deuteraiou, Xanthoula Anthoulaki, Georgios Tsatsaris, Arzou Halil Bourazan, George Iatrakis and 5 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. Observational
  4. Emergency Cervical Cerclage.Journal of clinical medicine · 2021
    Review
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

15 authors at 3 institutions in 2 countries.

Panagiotis TsikourasDepartment of Obstetrics and Gynecology, Democritus University of Thrace, 68100 Alexandroupolis, Greece. ptsikour@med.duth.gr.
George AnastasopoulosMedical Informatics Laboratory, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, Greece. anast@med.duth.gr.
Vasileios MaroulisDepartment of Obstetrics and Gynecology, Democritus University of Thrace, 68100 Alexandroupolis, Greece. gbmaroul@yahoo.com.
Anastasia BothouDepartment of Obstetrics and Gynecology, Rea Hospital, 17564 Athens, Greece. natashabothou@windowslive.com.
Anna ChalkidouDepartment of Obstetrics and Gynecology, Democritus University of Thrace, 68100 Alexandroupolis, Greece. annachalkidou@yahoo.gr.
Dorelia DeuteraiouDepartment of Obstetrics and Gynecology, Democritus University of Thrace, 68100 Alexandroupolis, Greece. Dr.dorelia@hotmail.com.
Xanthoula AnthoulakiDepartment of Obstetrics and Gynecology, Democritus University of Thrace, 68100 Alexandroupolis, Greece. xanthi_vatsidou@hotmail.com.
Georgios TsatsarisMedical Informatics Laboratory, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, Greece. tsatsarisg3@gmail.com.ORCID 0000-0001-8026-9795
Arzou Halil BourazanDepartment of Obstetrics and Gynecology, Democritus University of Thrace, 68100 Alexandroupolis, Greece. arzouhalil@hotmail.com.
George IatrakisDepartment of Obstetrics and Gynecology, Technological Educational Institute, 17564 Athens, Greece. giatrakis@teiath.gr.
Stefanos ZervoudisDepartment of Obstetrics and Gynecology, Rea Hospital, 17564 Athens, Greece. szervoud@otenet.gr.
Georgios GalaziosDepartment of Obstetrics and Gynecology, Democritus University of Thrace, 68100 Alexandroupolis, Greece. ggalaz@med.duth.gr.
Lola-Katerina InagamovaDepartment of Obstetrics and Gynecology, Democritus University of Thrace, 68100 Alexandroupolis, Greece. lola-katerina@hotmail.gr.
Roland CsorbaDepartment of Obstetrics and Gynecology, Clinicum Aschaffenburg, Teaching Hospital of University, 97070 Würzburg, Germany. drcsorbaroland@gmail.com.
Alexander-Tobias TeichmannDepartment of Obstetrics and Gynecology, Clinicum Aschaffenburg, Teaching Hospital of University, 97070 Würzburg, Germany. buero.teichmann@gmx.de.
Democritus University of Thrace · GRKlinikum Aschaffenburg · DETechnological Educational Institute of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePreterm labor is one of the most significant obstetric problems associated with high rate of actual and long-term perinatal complications. Despite the creation of scoring systems, uterine activity monitoring, cervical ultrasound and several biochemical markers, the prediction and prevention of preterm labor is still a matter of concern. The aim of this study was to examine cervical findings for the prediction and the comparative use of Arabin pessary or cerclage for the prevention of preterm birth in asymptomatic women with high risk factors for preterm labor. MATERIAL AND

methodsThe study group was composed of singleton pregnancies (spontaneously conceived) with high risk factors for preterm labor. Cervical length, dilatation of the internal cervical os and funneling, were estimated with transvaginal ultrasound during the first and the second trimesters of pregnancy.

resultsCervical funneling, during the second trimester of pregnancy, was the most significant factor for the prediction of preterm labor. The use of Arabin cervical pessary was found to be more effective than cerclage in the prolongation of pregnancy.

conclusionIn women at risk for preterm labor, the detection of cervical funneling in the second trimester of pregnancy may help to predict preterm labor and to apply the appropriate treatment for its prevention. Although the use of cervical pessary was found to be more effective than cerclage, more studies are needed to classify the effectiveness of different methods for such prevention.

Indexed as

Cerclage, CervicalPessariesFemaleHumansObstetric Labor, PrematurePregnancyPregnancy Trimester, FirstPregnancy Trimester, SecondRisk Factorscerclagecervical Arabin pessarysecond trimester of pregnancy

Identifiers

PMID29670041
PMCPMC5923833
OpenAlexW2802161239

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.