Geographic variation in management of patients with placenta accreta spectrum: An international survey of experts (GPASS).

Journal: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

Volume: 158

Issue: 1

Year of Publication: 2022

Affiliated Institutions:  Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA. Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt. Fundación Valle Del Lili, Cali, Colombia. St George's University of London, London, UK. Canberra Hospital, Australian National University, Canberra, Australia. Guangzhou Medical University, Guangzhou, China. Universidad de Buenos Aires, Buenos Aires, Argentina. Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France. University of Pretoria, Pretoria, South Africa. Universitas Airlangga, Surabaya, Indonesia. Tehran University of Medical Sciences, Tehran, Iran. Shandong First Medical University, Tai'an, China. Baylor College of Medicine, Houston, Texas, USA.

Abstract summary 

To describe global geographic variations in the diagnosis and management of placenta accreta spectrum (PAS).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.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.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.

Authors & Co-authors:  Brown Alec D AD Hart Jessica M JM Modest Anna M AM Hess Philip E PE Abbas Ahmed M AM Nieto-Calvache Albaro J AJ Bhide Amarnath A Lim Boon B Dunjin Chen C Palacios-Jaraquemada José J Sentilhes Loïc L Soma-Pillay Priya P Aryananda Rozi A RA Hantoushzadeh Sedigheh S Wang Shan S Shamshirsaz Alireza A AA Shainker Scott A SA

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Solheim KN, Esakoff TF, Little SE, Cheng YW, Sparks TN, Caughey AB. The effect of cesarean delivery rates on the future incidence of placenta previa, placenta accreta, and maternal mortality. J Matern Neonatal Med. 2011;24:1341-1346.
Authors :  17
Identifiers
Doi : 10.1002/ijgo.13960
SSN : 1879-3479
Study Population
Male,Female
Mesh Terms
Cross-Sectional Studies
Other Terms
cesarean hysterectomy;geographic variation in care;placenta accreta spectrum;prenatal diagnosis
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
United States