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dc.contributor.authorAlameddine, Sara
dc.contributor.authorCapannolo, Giulia
dc.contributor.authorRizzo, Giuseppe
dc.contributor.authorKhalil, Asma
dc.contributor.authorDi Girolamo, Raffaella
dc.contributor.authorIacovella, Carlotta
dc.contributor.authorLiberati, Marco
dc.contributor.authorPatrizi, Lodovico
dc.contributor.authorAcharya, Ganesh
dc.contributor.authorOdibo, Anthony O
dc.contributor.authorD'Antonio, Francesco
dc.date.accessioned2024-02-27T14:59:23Z
dc.date.available2024-02-27T14:59:23Z
dc.date.issued2023-03-29
dc.description.abstractIntroduction - To systematically identify and critically assess the quality of clinical practice guidelines (CPGs) on management fetal growth restriction (FGR).<p> <p>Content - Medline, Embase, Google Scholar, Scopus and ISI Web of Science databases were searched to identify all relevant CPGs on FGR.<p> <p>Summary - Diagnostic criteria of FGR, recommended growth charts, recommendation for detailed anatomical assessment and invasive testing, frequency of fetal growth scans, fetal monitoring, hospital admission, drugs administrations, timing at delivery, induction of labor, postnatal assessment and placental histopathological were assessed. Quality assessment was evaluated by AGREE II tool. Twelve CPGs were included. Twenty-five percent (3/12) of CPS adopted the recently published Delphi consensus, 58.3% (7/12) an estimated fetal weight (EFW)/abdominal circumference (AC) EFW/AC <10th percentile, 8.3% (1/12) an EFW/AC <5th percentile while one CPG defined FGR as an arrest of growth or a shift in its rate measured longitudinally. Fifty percent (6/12) of CPGs recommended the use of customized growth charts to assess fetal growth. Regarding the frequency of Doppler assessment, in case of absent or reversed end-diastolic flow in the umbilical artery 8.3% (1/12) CPGs recommended assessment every 24–48, 16.7% (2/12) every 48–72 h, 1 CPG generically recommended assessment 1–2 times per week, while 25 (3/12) did not specifically report the frequency of assessment. Only 3 CPGs reported recommendation on the type of Induction of Labor to adopt. The AGREE II standardized domain scores for the first overall assessment (OA1) had a mean of 50%.<p> <p>Outlook - There is significant heterogeneity in the management of pregnancies complicated by FGR in published CPGs.en_US
dc.identifier.citationAlameddine, Capannolo, Rizzo, Khalil, Di Girolamo, Iacovella, Liberati, Patrizi, Acharya, Odibo, D'Antonio. A systematic review and critical evaluation of quality of clinical practice guidelines on fetal growth restriction. Journal of Perinatal Medicine. 2023
dc.identifier.cristinIDFRIDAID 2159901
dc.identifier.doi10.1515/jpm-2022-0590
dc.identifier.issn0300-5577
dc.identifier.issn1619-3997
dc.identifier.urihttps://hdl.handle.net/10037/33061
dc.language.isoengen_US
dc.publisherDe Gruyteren_US
dc.relation.journalJournal of Perinatal Medicine
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.titleA systematic review and critical evaluation of quality of clinical practice guidelines on fetal growth restrictionen_US
dc.type.versionacceptedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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