Observational studyWomen's health (London, England)
Ectopic pregnancy management and treatment strategies: A nationwide survey of Czech gynecological facilities.
Observational study in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundEctopic pregnancy (EP) remains a significant cause of maternal morbidity and mortality, with diverse clinical presentations and substantial variability in treatment strategies.
objectivesTo assess current EP management approaches across gynecological inpatient departments of all sizes in the Czech Republic.
designA nationwide cross-sectional observational questionnaire study.
methodsA survey was conducted in January 2025. All 92 registered inpatient gynecological wards in the Czech Republic were invited to participate in an anonymous online questionnaire on EP diagnosis and treatment. A total of 89 departments (96.7%) responded. Facilities were grouped into four categories based on annual hysterectomy volume. Statistical analyses included chi-squared and Fisher's exact tests with adjustments for multiple comparisons.
resultsMethotrexate (MTX) was available in 82.8% of high-volume centers, compared with 48.3% of smaller facilities (
conclusionEP management, even within a country with a homogeneous healthcare system, may demonstrate considerable heterogeneity, strongly influenced by institutional size. These findings highlight the need for national guidelines to ensure standardized and evidence-based care.
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