Evidence map›Paper›PMID 37456142›Full record

ArticleAJOG global reports2023

Placenta accreta spectrum: treatment consensus in a resource-limited setting.

Albaro José Nieto-Calvache, José Enrique Sanín-Blair, Marcela Buitrago, Juliana Maya, Jesús Andrés Benavides, Colombian Consensus of Placenta Accreta Spectrum Development Group

Abstract read
In one paragraph

Article in AJOG global reports, 2023. 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
–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

4 citing papers in PubMed.

  1. Observational
  2. The Evolution of Management Strategies for Placenta Accreta Spectrum.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2024
    Article
  3. Article
  4. 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

6 authors.

Albaro José Nieto-CalvacheClínica de Espectro de Acretismo Placentario, Fundación Valle de Lili, Cali, Colombia (Dr Nieto-Calvache).
José Enrique Sanín-BlairUnidad de Medicina Materno Fetal, Clínica Universitaria Bolivariana / Clínica el Rosario, Medellín, Colombia (Dr Sanin-Blair).
Marcela BuitragoMedicina Materno Fetal - Epidemiología. División de Medicina Materno Fetal, Departamento de Gineco Obstetricia, Clínica de la Mujer Grupo Quirón Salud/Country/Colina, Coordinadora Comité Salud Materno Perinatal - ASBOG, Bogotá, Colombia (Dr Buitrago).
Juliana MayaFacultad de Ciencias de la Salud, Universidad ICESI, Cali, Colombia (Dr Maya).
Jesús Andrés BenavidesUnidad de Medicina Materno Fetal Perinatal Care IPS, Servicio de Ginecología y Obstetricia, Clínica San Rafael, Departamento de Ginecología y Obstetricia, Institución Universitaria Visión de las Américas, Pereira, Colombia (Dr Benavides).
Colombian Consensus of Placenta Accreta Spectrum Development Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundManagement options for placenta accreta spectrum disorder are multiple, without a clear picture of which one is superior. Management guidelines describe the use of a wide range of human and technological resources that are not always available in resource-limited settings.

objectiveThis consensus seeks agreement on general guidelines that facilitate the management of placenta accreta spectrum in low- and middle-income countries. STUDY

designConsensus was developed using the modified Delphi methodology, incorporating 3 successive rounds in which 6 dimensions of placenta accreta spectrum treatment were discussed: pathway for placenta accreta spectrum care, roles at different levels of care, organization of the interdisciplinary teams at the reference hospitals, training interdisciplinary teams, placenta accreta spectrum surgical treatment, and management of placenta accreta spectrum patients without prenatal diagnosis.

resultsConsensus was achieved on all questions on placenta accreta spectrum management. Specific low- and middle-income countries problems were addressed, trying to establish guidelines for the construction of trained placenta accreta spectrum interdisciplinary teams, as well as the rational use of the different therapeutic options available in a limited resources setting. In addition, it is highlighted the need to facilitate contact between patients affected by this disease and the interdisciplinary groups, overcoming administrative barriers typical of some health systems.

conclusionWe present a consensus on the treatment of placenta accreta spectrum in a low- and middle-income countries, based on local experts' opinions. Construction of high-quality scientific evidence is essential in settings with limited resources.

Indexed as

consensus development conferencelimited resourceslow- and middle-income populationplacenta accreta spectrum

Identifiers

PMID37456142
PMCPMC10344680

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.