Evidence map›Paper›PMID 42064905›Full record

ArticleAJOG global reports2026

Strategies for streamlining uterine topographic classification in placenta accreta spectrum.

Sarah P Walker, Helena C Bartels, Albaro J Nieto-Calvache, José M Palacios-Jaraquemada, Sally L Collins, Rozi Aryananda

Abstract read
In one paragraph

Article in AJOG global reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Sarah P WalkerBirmingham Women's and Children's NHS Foundation Trust, Birmingham, UK (Walker and Collins).
Helena C BartelsDept of UCD Obstetrics and Gynaecology, School of Medicine, University College Dublin, National Maternity Hospital, Dublin, Ireland (Bartels).
Albaro J Nieto-CalvacheDepartamento de Ginecología y obstetricia, Fundación Valle del Lili, Cali, Colombia (Nieto-Calvache).
José M Palacios-JaraquemadaDepartment of Obstetrics and Gynecology, CEMIC University Hospital, Buenos Aires, Argentina (Palacios-Jaraquemada).
Sally L CollinsBirmingham Women's and Children's NHS Foundation Trust, Birmingham, UK (Walker and Collins).
Rozi AryanandaDepartment of Obstetrics & Gynecology, Faculty of Medicine Universitas Airlangga, Dr Soetomo General Academic Hospital, Surabaya, Indonesia (Aryananda).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Effective management of anterior placenta previa, uterine dehiscence, and placenta accreta spectrum (PAS) requires a comprehensive understanding of uterine topography and vascular anatomy, knowledge that typically develops with time and through experience. This article aims to present a simplified, practical framework to support clinicians in PAS referral centers managing only a few cases per year, offering practical strategies to overcome challenges frequently encountered during the incorporation of individualized, topography-based surgical management. Recognizing anatomical patterns, anticipating complications based on topographical type, and tailoring vascular control strategies to each case allows for more confident, uterine-sparing surgical approaches when appropriate, and timely transition to hysterectomy when required. While most cases will fall within the more manageable upper peritoneal reflection placenta accreta types, clinicians must be prepared for the occasional complex or rare presentation. Ongoing collaboration between institutions, humility in seeking support, and integration of telecompanionship can help ensure that these rare cases are handled with the benefit of collective expertise.

Indexed as

one-step conservative surgeryplacenta accretauterine dehiscenceuterine topographic classificationuterine vasculature

Identifiers

PMID42064905
PMCPMC13126007

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.