Evidence map›Paper›PMID 40641726›Full record

SynthesisSultan Qaboos University medical journal2025

Diagnostic Accuracy of Abdominal Ultrasonographic Sliding Sign in the Evaluation of Severe Intra-Abdominal Adhesions Involving the Uterus in Women Undergoing Repeat Caesarean Delivery:

Amira M Taha, Wesam A Moawad, Sara A A Saed, Tala J Alhejazi, Youstina A Sabri, Mohamed Abd-ElGawad, Juan L Alcazar, Nihal Al Riyami, Ayatallah Khafagy, Yasmine A Mohammed and 1 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Sultan Qaboos University medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Diagnostic Accuracy of Transvaginal Ultrasound for Detecting Pelvic Adhesions and Predicting Surgical Time in Benign Gynecologic Surgery.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
    Article
  2. 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.

Amira M TahaFaculty of Medicine, Fayoum University, Fayoum, Egypt.
Wesam A MoawadFaculty of Pharmacy, Al-Azhar University, Cairo, Egypt.
Sara A A SaedDepartment of Clinical Pharmacy, Ministry of Health, Egypt.
Tala J AlhejaziFaculty of Medicine, Aleppo University, Aleppo, Syria.
Youstina A SabriFaculty of Medicine, Fayoum University, Fayoum, Egypt.
Mohamed Abd-ElGawadFaculty of Medicine, Fayoum University, Fayoum, Egypt.
Juan L AlcazarDepartment of Obstetrics and Gynecology, Clinica Universidad de Navarra, Pamplona, Spain.
Nihal Al RiyamiDepartment of Obstetrics & Gynecology, Sultan Qaboos University, Muscat, Oman.
Ayatallah KhafagyStoneSprings Obgyn, Dulles, Virginia, USA.
Yasmine A MohammedFaculty of Medicine, Assiut University, Assiut, Egypt.
Ahmed H SaadDepartment of Obstetrics and Gynecology, Cairo University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review aimed to assess diagnostic accuracy of transabdominal ultrasonography (TAS) sliding sign in diagnosing severe intra-abdominal adhesions with repeated Caesarean delivery (CD). PubMed, Google Scholar, Web of Science and Scopus were searched for published studies until October 2022. Studies evaluating the sliding sign as a predictor of intra-abdominal adhesions after repeat CD were included. STATA and Comprehensive Meta-Analysis for meta-analysis was used. A total of 7 studies (1,318 patients) were included. For identifying severe intra-abdominal adhesions, sliding sign on TAS had a combined sensitivity (64%, 95% confidence interval [CI]: 55-71%), specificity (93%, 95% CI: 89-96%), positive likelihood ratio (9.5, 95% CI: 5.7-16), negative likelihood ratio (0.39, 95% CI: 0.31-0.49) and diagnostic odds ratio (24, 95% CI: 13-46). Prediction intervals for sensitivity and specificity were 0.444-0.786 and 0.711-0.985, respectively. Sliding sign on TAS is a simple, non-invasive, good negative and practical method to exclude severe intra-abdominal adhesions involving the uterus with low sensitivity and high specificity.

Indexed as

Cesarean Section, RepeatUterusAbdomenAdultFemaleHumansPregnancySensitivity and SpecificityTissue AdhesionsUltrasonographyCesarean SectionMedical SonographyUltrasound

Identifiers

PMID40641726
PMCPMC12244295

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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.