OP06.01: Head‐to‐head comparisons of RMI and ADNEX model to diagnose ovarian malignancy: systematic review and meta‐analysis
Year: 2024
Type: review
Abstract: Short oral presentation abstractsto calculate the Cerebral Placental Ration (CPR) multiples of the median (MoM).CPR MoM < 5 th centile (0.67) is used as a threshold.Prior to tool introduction, clinicians interpreted a written guideline describing growth parameters and Doppler readings and acted upon these.After introduction, an algorithm output was used (see figure 1).Results: Prior to introduction of the tool, there was a scan rate of 0.53 (5483 births, 2896 growth scans) which increased in 2019 to 0.57 per birth (5351 births, 3048 growth scans).Scan outcomes were equivalent (normal growth/Doppler 81 (80%) vs 45 (76%), biometry >95 th centile (6 (6%) vs 8 (14%), growth tailing 6 (6%) vs 3 (5%), polyhydramnios 4 (4%) vs 1 (2%), inconclusive 2 (2%) vs 1 (2%).There was an increase in the adherence to the guideline from 94% to 98%.Conclusions: The decision aid improves adherence to guidelines and making consistent decisions.There was no reduction in the number of repeat growth scans.However, there was pressure from other indications leading to a rise in indications for and number of scans requested.
DOI: 10.1002/uog.27916
Authors: L. Barreñada, A. Ledger, P. Dhiman, G.S. Collins, L. Wynants, J.Y. Verbakel, D. Timmerman, L. Valentin, B. Van Calster
Language: English
Subfield: Reproductive Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4402357755