Evidence map›Paper›PMID 33778976›Full record

ArticlePrenatal diagnosis2021

Fetoscopic myelomeningocoele closure: Is the scientific evidence enough to challenge the gold standard for prenatal surgery?

E Joanne Verweij, Martine C de Vries, Esther J Oldekamp, Alex J Eggink, Dick Oepkes, Femke Slaghekke, Jochem K H Spoor, Jan A Deprest, Jena L Miller, Ahmet A Baschat and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Prenatal diagnosis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Review
  3. The Intrauterine Treatment of Open Spinal Dysraphism.Deutsches Arzteblatt international · 2025
    Review
  4. Review
  5. Myelomeningocele: Long-Term Neurosurgical Management.Advances and technical standards in neurosurgery · 2024
    Review
  6. Article
  7. Minimally Invasive Bimanual Fetal Surgery-A Review.Children (Basel, Switzerland) · 2022
    Review
  8. Resuscitation decisions in fetal myelomeningocele repair should center on parents' values: a counter analysis.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  9. Maternal-Fetal Surgery: Does Recognising Fetal Patienthood Pose a Threat to Pregnant Women's Autonomy?Health care analysis : HCA : journal of health philosophy and policy · 2021
    Article
  10. 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

11 authors at 4 institutions in 3 countries.

E Joanne VerweijDepartment of Obstetrics and Gynecology, Division of Obstetrics and Fetal Medicine, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-9343-9957
Martine C de VriesDepartment of Medical Ethics & Health Law, Leiden University Medical Center, Leiden, The Netherlands.
Esther J OldekampDepartment of Medical Ethics & Health Law, Leiden University Medical Center, Leiden, The Netherlands.
Alex J EgginkDepartment of Obstetrics and Gynecology, Division of Obstetrics and Fetal Medicine, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.
Dick OepkesDepartment of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands.
Femke SlaghekkeDepartment of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands.
Jochem K H SpoorDepartment of Neurosurgery, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.
Jan A DeprestAcademic Department of Development and Regeneration, Biomedical Sciences, KU Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-4920-945X
Jena L MillerJohns Hopkins Center for Fetal Therapy, Department of Gynecology & Obstetrics, Johns Hopkins University, Baltimore, Maryland, USA.
Ahmet A BaschatJohns Hopkins Center for Fetal Therapy, Department of Gynecology & Obstetrics, Johns Hopkins University, Baltimore, Maryland, USA.
Philip L J DeKoninckDepartment of Obstetrics and Gynecology, Division of Obstetrics and Fetal Medicine, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.
Leiden University Medical Center · NLErasmus MC · NLJohns Hopkins University · USRega Institute for Medical Research · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since the completion of the Management of Myelomeningocoele Study, maternal-fetal surgery for spina bifida has become a valid option for expecting parents. More recently, multiple groups are exploring a minimally invasive approach and recent outcomes have addressed many of the initial concerns with this approach. Based on a previously published framework, we attempt to delineate the developmental stage of the surgical techniques. Furthermore, we discuss the barriers of performing randomized controlled trials comparing two surgical interventions and suggest that data collection through registries is an alternative method to gather high-grade evidence.

Indexed as

AdultFemaleFetoscopyHumansMeningomyeloceleNeurosurgical ProceduresPregnancySpinal Dysraphism

Identifiers

PMID33778976
PMCPMC8360048
OpenAlexW3144075579

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.