Evidence map›Paper›PMID 37653249›Full record

ArticleArchives of gynecology and obstetrics2023

Outcomes of incomplete abortion related to treatment modality.

Merav Sharvit, Yael Yagur, Rebecca Shams, Yair Daykan, Zvi Klein, Ron Schonman

Abstract read
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In one paragraph

Article in Archives of gynecology and obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 4 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

6 authors at 2 institutions in 1 country.

Merav SharvitDepartment of Obstetrics and Gynecology, Assuta Ashdod University Hospital, Ashdod, Israel.
Yael YagurDepartment of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel. yaelyagur@gmail.com.ORCID 0000-0002-3560-6374
Rebecca ShamsSackler School of Medicine, New York State/American Program of Tel Aviv University, Tel Aviv, Israel.
Yair DaykanDepartment of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel.
Zvi KleinDepartment of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel.
Ron SchonmanDepartment of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel.
Tel Aviv University · ILBen-Gurion University of the Negev · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study evaluated the differences in treatment outcomes between misoprostol and surgical evacuation for the management of incomplete abortion.

methodsThis retrospective cohort study compared patients with a clinical diagnosis of incomplete abortion who underwent surgical or pharmaceutical (misoprostol) intervention, 2014-2017. Demographics, sonographic results, treatment follow-up, and post-intervention data on retained products of conception were retrieved. Women with incomplete abortion who underwent surgical versus pharmaceutical intervention were compared.

resultsAmong 589 spontaneous abortions, 198 were included in the study, of which 123 (62.1%) underwent surgical evacuation and 75 (37.9%) pharmaceutical intervention with misoprostol. Baseline characteristics were similar between groups. During 130.8 ± 91.7 days of follow-up, no patient who underwent surgical evacuation had retained products of conception or needed surgical hysteroscopy. Four cases (5.3%) in the misoprostol group had retained products of conception and needed hysteroscopy (p = 0.02). Patients who underwent surgical evacuation had higher hemoglobin levels during follow-up (12.1 mg/dL vs. 11.7 mg/dL, p = 0.05). There were no differences in post-treatment pregnancy rates between groups.

conclusionLong-term follow-up after incomplete abortion showed that hemodynamically stable patients treated with misoprostol achieved the desired results in 95% of cases without significant differences in pregnancy intervals compared to surgical management. Further prospective studies with larger sample sizes are required to confirm the outcomes described in this study.

Indexed as

Abortifacient Agents, NonsteroidalAbortion, IncompleteAbortion, InducedAbortion, SpontaneousMisoprostolFemaleHumansPharmaceutical PreparationsPregnancyProspective StudiesRetrospective StudiesAbortifacient Agents, NonsteroidalMisoprostolPharmaceutical PreparationsHysteroscopyIncomplete abortionMisoprostolRetained products of conception

Identifiers

PMID37653249
OpenAlexW4386347084

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.