Geographic variation in management of patients with placenta accreta spectrum: An international survey of experts (GPASS).
Int J Gynaecol Obstet
; 158(1): 129-136, 2022 Jul.
Article
em En
| MEDLINE
| ID: mdl-34610154
ABSTRACT
OBJECTIVE:
To describe global geographic variations in the diagnosis and management of placenta accreta spectrum (PAS).METHODS:
An international cross-sectional study was conducted among PAS experts practicing at medical institutions in member states of the United Nations. Survey questions focused on diagnostic evaluation and management strategies for PAS.RESULTS:
A total of 134 centers participated. Participating centers represented each of the United Nations' designated regions. Of those, 118 (88%) reported practicing in a medium-volume or high-volume center. First-trimester PAS screen was reported in 35 (26.1%) centers. Respondents consistently implement guideline-supported care practices, including utilization of ultrasound as the primary diagnostic modality (134, 100%) and implementation of multidisciplinary care teams (115, 85.8%). Less than 10% of respondents reported routinely managing PAS without hysterectomy; these centers were predominantly located in Europe and Africa. Antepartum management and availability of mental health support for PAS patients varied widely.CONCLUSION:
Worldwide, there is a strong adherence to PAS care guidelines; however, regional variations do exist. Comparing variations in care to outcomes will provide insight into the clinically significant practice variability.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Placenta Acreta
Tipo de estudo:
Guideline
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Observational_studies
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Prevalence_studies
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Qualitative_research
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Risk_factors_studies
Limite:
Female
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Humans
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Pregnancy
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article