S'abonner

The environmental risk factors prior to conception associated with placenta accreta spectrum: An umbrella review - 16/05/22

Doi : 10.1016/j.jogoh.2022.102406 
Ensiyeh Jenabi 1 , Zohreh Salimi 2 , Amir Mohammad Salehi 3, , Salman Khazaei 4
1 Autism Spectrum Disorders Research Center, Hamadan University of Medical Sciences, Hamadan, Iran 
2 Autism Spectrum Disorder Research Center, Hamedan University of Medical Sciences, Hamedan, Iran 
3 Medical Student, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran 
4 Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran 

Corresponding Author: Amir Mohammad Salehi. Medical Student, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.Medical Student, School of MedicineHamadan University of Medical SciencesHamadanIran
Sous presse. Manuscrit accepté. Disponible en ligne depuis le Monday 16 May 2022
Cet article a été publié dans un numéro de la revue, cliquez ici pour y accéder

Highlights

invitro fertilization was graded as a risk factor with suggestive evidence.
multiple gestations was graded as a risk factor with weak evidence.
Hypertension disorders, low socioeconomic status, and male fetus were the protective factors

Le texte complet de cet article est disponible en PDF.

Abstract

Background

The present umbrella review evaluated the environmental risk factors prior to conception associated with placenta accrete spectrum(PAS) based on meta-analyses and systematic reviews.

Materials and methods

We searched PubMed, Scopus, and Web of Science until October 14, 2021. All meta-analyses that had focused on assessing the risk factors associated with the PAS were included. We calculated summary effect estimates, 95% CI, heterogeneity I², 95% prediction interval, small-study effects, excess significance biases, and sensitive analysis. The quality of the meta-analyses was evaluated with A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR 2).

Result

The risk factor of in-vitro fertilization (IVF) (OR 5.03, 95% CI: 3.34, 7.56) was graded as suggestive evidence (class III). The multiple gestation (OR 1.90, 95% CI: 1.26, 2.88) was graded as the risk factor with weak evidence (class IV). Hypertension disorders (OR 0.5, 95% CI: 0.30, 0.82), low socioeconomic status (SES) (OR 0.51, 95% CI: 0.37, 0.71) (class IV) and male fetus (OR 0.79, 95% CI: 0.74, 0.84) (class III) were as the protective factors (class IV). The methodological quality of four of the included meta-analyses, based on AMSTAR 2, was low and three meta-analyses were critically low.

Conclusion

The multifetal gestation and IVF were environmental risk factors for the PAS, while hypertension disorders, low SES, and male fetus were the protective factors.

Abstract

The present umbrella review evaluated the environmental risk factors prior to conception associated with placenta accrete spectrum based on meta-analysis and systematic reviews. We searched PubMed, Scopus, and Web of Science until October 14, 2021. All meta-analyses that had focused on assessing the risk factors associated with placenta accrete spectrum were included. We calculated summary effect estimates, 95% CI, heterogeneity I², 95% prediction interval, small-study effects, excess significance biases, and sensitive analysis. The quality of the meta-analyses was evaluated with A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR 2). The risk factors of in-vitro fertilization (IVF) (OR 5.03, 95% CI: 3.34, 7.56) was graded as suggestive evidence (class III). The multiple gestations (OR 1.90, 95% CI: 1.26, 2.88) was graded as risk factor with weak evidence (class IV). Hypertension disorders (OR 0.5, 95% CI: 0.30, 0.82), low socioeconomic status (SES) (OR 0.51, 95% CI: 0.37, 0.71) (class IV) and male fetus (OR 0.79, 95% CI: 0.74, 0.84) (class III) were as the protective factors (class IV). The quality of five of the included meta-analyses, based on AMSTAR 2, was low and one meta-analysis was critically low (Table 3 and S3). The multifetal gestations and IVF were environmental risk factors for placenta accrete spectrum, while hypertension disorders, low socioeconomic status and male fetus were as the protective factors.

Le texte complet de cet article est disponible en PDF.

Keywords : Placenta accrete spectrum, risk factor, Umbrella review


Plan


© 2022  Publié par Elsevier Masson SAS.
Ajouter à ma bibliothèque Retirer de ma bibliothèque Imprimer
Export

    Export citations

  • Fichier

  • Contenu

Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.

Déjà abonné à cette revue ?

Mon compte


Plateformes Elsevier Masson

Déclaration CNIL

EM-CONSULTE.COM est déclaré à la CNIL, déclaration n° 1286925.

En application de la loi nº78-17 du 6 janvier 1978 relative à l'informatique, aux fichiers et aux libertés, vous disposez des droits d'opposition (art.26 de la loi), d'accès (art.34 à 38 de la loi), et de rectification (art.36 de la loi) des données vous concernant. Ainsi, vous pouvez exiger que soient rectifiées, complétées, clarifiées, mises à jour ou effacées les informations vous concernant qui sont inexactes, incomplètes, équivoques, périmées ou dont la collecte ou l'utilisation ou la conservation est interdite.
Les informations personnelles concernant les visiteurs de notre site, y compris leur identité, sont confidentielles.
Le responsable du site s'engage sur l'honneur à respecter les conditions légales de confidentialité applicables en France et à ne pas divulguer ces informations à des tiers.


Tout le contenu de ce site: Copyright © 2024 Elsevier, ses concédants de licence et ses contributeurs. Tout les droits sont réservés, y compris ceux relatifs à l'exploration de textes et de données, a la formation en IA et aux technologies similaires. Pour tout contenu en libre accès, les conditions de licence Creative Commons s'appliquent.