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

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dc.authoridMELEKOGLU, RAUF/0000-0001-7113-6691
dc.authoridSagol, Sermet/0000-0002-4693-4090
dc.authoridSHIH, JIN-CHUNG/0000-0002-0296-4327
dc.authoridSuardi, Dodi/0000-0003-3084-8101
dc.authoridIrianti, Setyorini/0000-0003-0865-2620
dc.authoridAkhmadeev, Nariman/0000-0003-0908-7256
dc.authoridAtes, Cagri/0000-0001-5341-4950
dc.authorwosidKang, Jessica/GZA-6384-2022
dc.authorwosidyeniel, ahmet özgür/E-8459-2011
dc.authorwosidkaraman, erbil/AFU-7129-2022
dc.authorwosidMELEKOGLU, RAUF/AAF-1614-2019
dc.authorwosidMachado, Ana/HLV-9704-2023
dc.authorwosidSagol, Sermet/GSN-9501-2022
dc.authorwosidSHIH, JIN-CHUNG/AAQ-8651-2021
dc.contributor.authorShazly, Sherif A.
dc.contributor.authorHortu, Ismet
dc.contributor.authorShih, Jin-Chung
dc.contributor.authorMelekoglu, Rauf
dc.contributor.authorFan, Shangrong
dc.contributor.authorul Ain Ahmed, Farhat
dc.contributor.authorKaraman, Erbil
dc.date.accessioned2024-08-04T20:49:23Z
dc.date.available2024-08-04T20:49:23Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective 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.en_US
dc.identifier.doi10.1002/ijgo.13518
dc.identifier.endpage311en_US
dc.identifier.issn0020-7292
dc.identifier.issn1879-3479
dc.identifier.issue2en_US
dc.identifier.pmid33278833en_US
dc.identifier.scopus2-s2.0-85101923674en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage304en_US
dc.identifier.urihttps://doi.org/10.1002/ijgo.13518
dc.identifier.urihttps://hdl.handle.net/11616/99798
dc.identifier.volume154en_US
dc.identifier.wosWOS:000625155000001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofInternational Journal of Gynecology & Obstetricsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectcompression suturesen_US
dc.subjecthysterectomyen_US
dc.subjectmorbidly adherent placentaen_US
dc.subjectobstetric hemorrhageen_US
dc.subjectuterine wall resectionen_US
dc.titlePrediction of success of uterus-preserving management in women with placenta accreta spectrum (CON-PAS score): A multicenter international studyen_US
dc.typeArticleen_US

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