Evidence map›Paper›PMID 31939566›Full record

ArticleSao Paulo medical journal = Revista paulista de medicina

Fetal structural anomalies diagnosed during the first, second and third trimesters of pregnancy using ultrasonography: a retrospective cohort study.

Fernando Felix Dulgheroff, Alberto Borges Peixoto, Caetano Galvão Petrini, Taciana Mara Rodrigues da Cunha Caldas, Daniela Rocha Ramos, Fernanda Oliveira Magalhães, Edward Araujo Júnior

Open access · diamondAbstract read
In one paragraph

Article in Sao Paulo medical journal = Revista paulista de medicina. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
8.0field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 36 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Fernando Felix DulgheroffMD. Physician, Department of Obstetrics and Gynecology, Mário Palmério Hospital Universitário (MPHU), School of Medicine, Universidade de Uberaba (UNIUBE), Uberaba (MG), Brazil.ORCID http://orcid.org/0000-0002-2949-4601
Alberto Borges PeixotoMD, PhD. Adjunct Professor, Department of Obstetrics and Gynecology, Mário Palmério Hospital Universitário (MPHU), School of Medicine, Universidade de Uberaba (UNIUBE), Uberaba (MG); and Adjunct Professor, Department of Obstetrics and Gynecology, Universidade Federal do Triângulo Mineiro (UFTM), Uberaba (MG), Brazil.ORCID http://orcid.org/0000-0002-1655-3609
Caetano Galvão PetriniMD. Physician, Department of Obstetrics and Gynecology Mário Palmério Hospital Universitário (MPHU), School of Medicine, Universidade de Uberaba (UNIUBE), Uberaba (MG), Brazil.ORCID http://orcid.org/0000-0002-9589-0004
Taciana Mara Rodrigues da Cunha CaldasMD. Physician, Department of Obstetrics and Gynecology, Mário Palmério Hospital Universitário (MPHU), School of Medicine, Universidade de Uberaba (UNIUBE), Uberaba (MG), Brazil.ORCID http://orcid.org/0000-0001-5330-5260
Daniela Rocha RamosMD. Medical Resident, Department of Obstetrics and Gynecology, Mário Palmério Hospital Universitário (MPHU), School of Medicine, Universidade de Uberaba (UNIUBE), Uberaba (MG), Brazil.ORCID http://orcid.org/0000-0002-0833-537X
Fernanda Oliveira MagalhãesMD, PhD. Adjunct Professor, Department of Internal Medicine, Mário Palmério Hospital Universitário (MPHU), School of Medicine, Universidade de Uberaba (UNIUBE), Uberaba (MG), Brazil.ORCID http://orcid.org/0000-0002-0581-4279
Edward Araujo JúniorMD, PhD. Associate Professor, Department of Obstetrics, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0002-6145-2532
Universidade de Uberaba · BRUniversidade Federal de São Paulo · BRUniversidade Federal do Triângulo Mineiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of congenital abnormalities in general populations is approximately 3-5%. One of the most important applications of obstetric ultrasound is in detection of fetal structural defects.

objectiveTo assess fetal structural anomalies diagnosed using ultrasound in the three trimesters of pregnancy. DESIGN AND

settingRetrospective cohort study at the Mário Palmério University Hospital of the University of Uberaba (Universidade de Uberaba, UNIUBE), from March 2014 to December 2016.

methodsUltrasound data at gestational weeks 11-13 + 6, 20-24 and 32-36 were recorded to identify fetal anomalies in each trimester and in the postnatal period. The primary outcome measurements were sensitivity, specificity, positive predictive value and negative predictive value for detection of fetal anomalies and their prevalence.

resultsThe prevalence of anomalies detected using ultrasound was 2.95% in the prenatal period and 7.24% in the postnatal period. The fetal anomalies most frequently diagnosed using ultrasound in the three trimesters were genitourinary tract anomalies, with a prevalence of 27.8%. Cardiac anomalies were diagnosed more often in the postnatal period, accounting for 51.0% of all cases. High specificity, negative predictive value and accuracy of ultrasound were observed in all three trimesters of pregnancy.

conclusionUltrasound is safe and has utility for detecting fetal anomalies that are associated with high rates of morbidity and mortality. However, the low sensitivity of ultrasound for detecting fetal anomalies in unselected populations limits its utility for providing reassurance to examiners and to pregnant women with normal results.

Indexed as

AdolescentAdultBrazilCongenital AbnormalitiesFemaleFetal DiseasesFetusHumansPregnancyPregnancy Trimester, FirstPregnancy Trimester, SecondPregnancy Trimester, ThirdPrevalenceRetrospective StudiesUltrasonography, PrenatalYoung Adult

Identifiers

PMID31939566
PMCPMC9745821
OpenAlexW3000297414

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.