Evidence map›Paper›PMID 36776473›Full record

ReviewFrontiers in surgery2022

Hysteroscopic metroplasty for the treatment of the dysmorphic uterus: A SWOT analysis.

Maria Carrera, Luis Alonso, Jose Antonio Domínguez, Juan Luis Alcázar, Jose Carugno, Enrique Moratalla, Federico Pérez Milán, Miguel Caballero

Abstract readReview
In one paragraph

Review in Frontiers in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
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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

8 authors.

Maria CarreraHospital Universitario Doce de Octubre, Madrid, Spain.
Luis AlonsoSpecial Interest Group on Benign Reproductive Pathology of the Spanish Fertility Society, Spain.
Jose Antonio DomínguezSpecial Interest Group on Benign Reproductive Pathology of the Spanish Fertility Society, Spain.
Juan Luis AlcázarSpecial Interest Group on Benign Reproductive Pathology of the Spanish Fertility Society, Spain.
Jose CarugnoObstetrics, Gynecology and Reproductive Sciences Department, Minimally Invasive Gynecology Division, University of Miami, Miller School of Medicine, Miami, FL, United States.
Enrique MoratallaSpecial Interest Group on Benign Reproductive Pathology of the Spanish Fertility Society, Spain.
Federico Pérez MilánSpecial Interest Group on Benign Reproductive Pathology of the Spanish Fertility Society, Spain.
Miguel CaballeroSpecial Interest Group on Benign Reproductive Pathology of the Spanish Fertility Society, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Dysmorphic uterus or T-shaped uterus is an increasingly frequent diagnosis among the infertile population that has been associated to worse reproductive results. Hysteroscopic metroplasty is a safe and simple procedure that can improve the reproductive outcomes in this group of patients, although the benefits of this procedure remains controversial due to the lack of adequate scientific evidence. Objective: To analyze the hysteroscopic metroplasty using the SWOT (Strengths, Weaknesses, Opportunities and Threats) methodology. Data sources: An electronic search from inception each database up to December 2021 including the following databases was conducted: PubMed-MEDLINE, EMBASE, Web of Science, The Cochrane Library, and Google Scholar. Methods of study selection: Studies reporting outcomes of patients undergoing hysteroscopic metroplasty were included. Tabulation: Not applicable. Integration and Results: Clinical evidence from the included studies suggests an improvement in reproductive results after performing hysteroscopic metroplasty especially in women with recurrent pregnancy loss and previous infertility, but all of them have relevant methodological limitations. For this reason, benefits, risks and alternatives of this intervention should be considered with caution. Conclusions: Evidence from published data shows a probable association between dysmorphic uterus and poor reproductive outcomes. Hysteroscopic metroplasty in patients with dysmorphic uterus could improve pregnancy outcomes, but there is need of properly designed prospective controlled studies to determine the benefits of this technique.

Indexed as

dysmorphic uterushysteroscopic metroplastyinfertilityinfertility dysmorphic uterusmiscarriagerecurrent pregnancy lossSWOT analysist-shaped uterus

Identifiers

PMID36776473
PMCPMC9909195

What OpenQuestion holds

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Registered trials

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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.