Evidence map›Paper›PMID 38511075›Full record

ArticleFrontiers in surgery2024

Roadmap to safety: a single center study of evidence-informed approach to placenta accreta spectrum.

Rachel A Levy, Prisca C Diala, Harriet T Rothschild, Jasmine Correa, Evan Lehrman, John C Markley, Liina Poder, Joseph Rabban, Lee-May Chen, Jo Gras and 3 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
3.3field-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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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

13 authors at 1 institution in 1 country.

Rachel A LevyDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, CA, United States.
Prisca C DialaSchool of Medicine, University of California, San Francisco, CA, United States.
Harriet T RothschildSchool of Medicine, University of California, San Francisco, CA, United States.
Jasmine CorreaDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, CA, United States.
Evan LehrmanDepartment of Interventional Radiology, University of California, San Francisco, CA, United States.
John C MarkleyDepartment of Anesthesia and Perioperative Care, University of California, San Francisco, CA, United States.
Liina PoderDepartment of Diagnostic Radiology, University of California, San Francisco, CA, United States.
Joseph RabbanDepartment of Pathology, University of California, San Francisco, CA, United States.
Lee-May ChenDivision of Gynecologic Oncology, Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, CA, United States.
Jo GrasDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, CA, United States.
Nasim C SobhaniDivision of Maternal Fetal Medicine, Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, CA, United States.
Arianna G CassidyDivision of Maternal Fetal Medicine, Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, CA, United States.
Jocelyn S ChapmanDivision of Gynecologic Oncology, Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, CA, United States.
University of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To assess the impact of an evidence-informed protocol for management of placenta accreta spectrum (PAS). Methods: This was a retrospective cohort study of patients who underwent cesarean hysterectomy (c-hyst) for suspected PAS from 2012 to 2022 at a single tertiary care center. Perioperative outcomes were compared pre- and post-implementation of a standardized Multidisciplinary Approach to the Placenta Service (MAPS) protocol, which incorporates evidence-informed perioperative interventions including preoperative imaging and group case review. Intraoperatively, the MAPS protocol includes placement of ureteral stents, possible placental mapping with ultrasound, and uterine artery embolization by interventional radiology. Patients suspected to have PAS on prenatal imaging who underwent c-hyst were included in the analysis. Primary outcomes were intraoperative complications and postoperative complications. Secondary outcomes were blood loss, need for ICU, and length of stay. Proportions were compared using Fisher's exact test, and continuous variables were compared used Results: There were no differences in baseline demographics between the pre- ( Conclusion: An evidence-informed approach to management of PAS was associated with decreased complication rate, EBL >1l, ICU admission and length of hospitalization, particularly for patients with severe pathology.

Indexed as

accreta spectrumcesarean hysterectomyintraoperative complicationmultidisciplinary approachuterine artery embolization

Identifiers

PMID38511075
PMCPMC10950927
OpenAlexW4392515143

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.