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Comparison of reliability between uterocervical angle and cervical length measurements by various experienced operators using transvaginal ultrasound.
Pruksanusak, Ninlapa; Sawaddisan, Rapphon; Kor-Anantakul, Ounjai; Suntharasaj, Thitima; Suwanrath, Chitkasaem; Geater, Alan.
Afiliação
  • Pruksanusak N; Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
  • Sawaddisan R; Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
  • Kor-Anantakul O; Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
  • Suntharasaj T; Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
  • Suwanrath C; Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
  • Geater A; Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
J Matern Fetal Neonatal Med ; 33(8): 1419-1426, 2020 Apr.
Article em En | MEDLINE | ID: mdl-30176754
ABSTRACT

Purpose:

To compare the reliability between uterocervical angle (UCA) and cervical length (CL) measurements by various experienced operators.

Methods:

Transvaginal ultrasonographies (TVS) were performed in 102 pregnant women between 16°/7-24°/7 gestational weeks by different levels of experienced operators. For both CL and UCA measurements, intraobserver variability was assessed for each operator by examining the range between maximum and minimum measurements in each participant, compared to the mean of all three measurements. Interobserver variabilities were explored using Bland-Altman analysis. Intraclass correlation coefficients were used for both intraobserver and interobserver reliability.

Results:

For intraobserver variability of the UCA, the ranges between maximum and minimum UCA measurements in operator 1 and 3 were 1.5º-34º and 2º-36º (n = 51), and in operators 2 and 3 were 0º-61º and 1º-25º (n = 51). Intraclass correlation coefficients (ICC) for intraobserver reliability were 0.90 for operator 1, 0.67 for operator 2 and 0.93 for operator 3. For interobserver variability of the UCA, the limits of agreement for mean UCA were -37.53º-38.41º and -36.27º-26.17º, and for maximum UCA were -39.47º-41.38º and -44.24º-22.9º in comparisons between operators 1 and 3, and operator 2 and 3, respectively. Intraclass correlation coefficients for mean UCA were 0.73 and 0.74, and for maximum UCA were 0.71 and 0.67 in comparisons between operators 1 and 3, and operator 2 and 3, respectively.

Conclusions:

The UCA measurements had a higher intra- and interobserver reliabilities than the CL measurements.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Variações Dependentes do Observador / Colo do Útero / Medida do Comprimento Cervical Tipo de estudo: Observational_studies Limite: Adult / Female / Humans / Pregnancy Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Variações Dependentes do Observador / Colo do Útero / Medida do Comprimento Cervical Tipo de estudo: Observational_studies Limite: Adult / Female / Humans / Pregnancy Idioma: En Ano de publicação: 2020 Tipo de documento: Article