Evidence map›Paper›PMID 41311782›Full record

ArticleCureus2025

Clinical Management and Outcomes of Ectopic Pregnancies: Experience From Sohar Hospital Over Three Years.

Samiha Samad, Kaukab Tashfeen, Naseema Anjum, Sabira Khuda Bakhsh, Sheeba Burney, Sakina Noushad Saleem

Abstract read
In one paragraph

Article in Cureus, 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. Article
  2. Observational
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.

Samiha SamadObstetrics and Gynaecology, Sohar Hospital, Sohar, OMN.
Kaukab TashfeenObstetrics and Gynaecology, Sohar Hospital, Sohar, OMN.
Naseema AnjumObstetrics and Gynaecology, Bugshan Hospital, Jeddah, SAU.
Sabira Khuda BakhshObstetrics and Gynaecology, Sohar Hospital, Sohar, OMN.
Sheeba BurneyMedicine, Dow University of Health Sciences, Karachi, PAK.
Sakina Noushad SaleemMedicine, Tbilisi State Medical University, Tbilisi, GEO.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Ectopic pregnancy is a potentially life-threatening condition requiring timely diagnosis and appropriate management. This study aims to evaluate the clinical presentation, management strategies, and treatment outcomes of women with ectopic pregnancy at a tertiary care hospital in Oman over a three-year period. Materials and methods We retrospectively reviewed 404 ectopic pregnancy cases from 2020 to 2022. Patients received methotrexate or surgical treatment. Patients were evaluated for success rate, complications, hospital stay, and need for further intervention using t-tests, chi-square, and multivariate models. Results No significant differences were found between groups regarding age, gravidity, parity, prior ectopic pregnancy, pelvic inflammatory disease, or pelvic surgery. Clinical presentations were similar, though hemodynamic instability was more frequent in the surgical group (15.3% vs. 6.4%, p = 0.01), independently predicting surgical intervention (adjusted odds ratio (AOR) = 2.65, 95% CI: 1.22-5.75). Surgical management yielded a higher success rate (97.6% vs. 85.9%, p < 0.001; AOR = 4.85, 95% CI: 2.01-11.7). Laparoscopy was the predominant surgical method (79.8%), while 28.8% of medically treated patients received multidose methotrexate. Complication rates were comparable (7.7% vs. 7.3%, p = 0.88), but hospital stay was longer in the surgical group (4.8 vs. 2.4 days, p < 0.001). Additional interventions were more common in the medical group (5.1% vs. 0.8%, p = 0.016; AOR = 6.78, 95% CI: 1.35-33.9). Tubal ectopic pregnancies predominated (81.2%), with treatment modality significantly associated with ectopic site (p = 0.0239). Management type was significantly linked to treatment outcome (χ² = 14.5, p < 0.001). Conclusion Surgical management demonstrates higher efficacy and reduced need for retreatment, particularly in hemodynamically unstable or non-tubal ectopic pregnancies. Treatment decisions should be guided by clinical stability and anatomical site to optimize outcomes.

Indexed as

ectopic pregnancyfertilitymedical managementsurgical managementtreatment outcome

Identifiers

PMID41311782
PMCPMC12648441

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LicenceCC BY
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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.