Prediction of success of uterus-preserving management in women with placenta accreta spectrum (CON-PAS score): A multicenter international study

• Type: Article in International Scientific Journal
• Date: 2021

Authors

Shazly, SA (Author) Other; Hortu, I (Author) Other; Shih, JC (Author) Other; Melekoglu, R (Author) Other; Fan, SR (Author) Other; ul Ain Ahmed, F (Author) Other; Karaman, E (Author) Other; Fatkullin, I (Author) Other; Pinto, PV (Author) FMUP; Irianti, S (Author) Other; Tochie, JN (Author) Other; Abdelbadie, AS (Author) Other; Salah, MA (Author) Other; Abd Elazeem, HAS (Author) Other; Saad, MM (Author) Other; Ergenoglu, AM (Author) Other; Yeniel, AO (Author) Other; Sagol, S (Author) Other; Itil, IM (Author) Other; Kang, J (Author) Other; Huang, KY (Author) Other; Yilmaz, E (Author) Other; Liang, YH (Author) Other; Aziz, H (Author) Other; Akhter, T (Author) Other; Ambreen, A (Author) Other; Ates, C (Author) Other; Karaman, Y (Author) Other; Khasanov, A (Author) Other; Fatkullina, L (Author) Other; Akhmadeev, N (Author) Other; Vatanina, A (Author) Other; Machado, AP (Author) Other; Montenegro, N (Author) Other; Effendi, JS (Author) Other; Suardi, D (Author) Other; Pramatirta, AY (Author) Other; Aziz, MA (Author) Other; Siddiq, A (Author) Other; Ofakem, I (Author) Other; Dohbit, JS (Author) Other; Fahmy, MS (Author) Other; Anan, MA (Author) Other

Journal

Title: International Journal of Gynecology and Obstetrics

Vol. 154

Pages: 304-311

ISSN: 0020-7292

Publisher: Wiley-Blackwell

Indexing

ISI Web of Knowledge - 4 Citations

Scopus - 5 Citations

Other information

Authenticus ID: P-00T-MMC

DOI: 10.1002/ijgo.13518

Abstract (EN): Objective To create a model for prediction of success of uterine-preserving procedures in women with placenta accreta spectrum (PAS). Methods PAS-ID is a multicenter study that included 11 centers from 9 countries. Women with PAS, who were managed between January 1, 2010 and December 31, 2019, were retrospectively included. Data were split into model development and validation cohorts, and a prediction model was created using logistic regression. Main outcome was success of uterine preservation. Results Out of 797 women with PAS, 587 were eligible. Uterus-preserving procedures were successful in 469 patients (79.9%). Number of previous cesarean sections (CS) was inversely associated with management success (adjusted odds ratio [aOR] 0.02, 95% confidence interval [CI] 0.001-3.63 with five previous CS). Other variables were complete placental invasion (aOR 0.14, 95% CI 0.05-0.43), type of CS incision (aOR 0.04, 95% CI 0.01-0.25 for classical incision), compression sutures (aOR 2.48, 95% CI 1.00-6.16), accreta type (aOR 3.76, 95% CI 1.13-12.53), incising away from placenta (aOR 5.09, 95% CI 1.52-16.97), and uterine resection (aOR 102.57, 95% CI 3.97-2652.74). Conclusion The present study provides a prediction model for success of uterine preservation, which may assist preoperative and intraoperative decisions, and promote incorporation of uterine preservation procedures in comprehensive PAS protocols.

Language: English

Type (Professor's evaluation): Dissemination

No. of pages: 8