Comparing the accuracy of maternal, clinical, and ultrasound estimations to predict birthweight: a meta‐analysis

Goto Eita

摘要

Abstract <section xml:id="aogs13208-sec-0001"> <title type="main">Introduction >Accurate prediction of birthweight prior to delivery is necessary to establish periconceptional strategies to reduce the rates of adverse pregnancy outcomes. This study was performed to determine whether maternal, clinical, or ultrasound estimation provides the best predictor of birthweight. </section> <section xml:id="aogs13208-sec-0002"> <title type="main">Material and methods >Meta‐analysis was performed to summarize the relative ratios of the rate of one of maternal, clinical, and ultrasound estimation within 10% of actual birthweight to that of each of the others within the same range and the difference in correlation coefficient of actual birthweight between clinical and ultrasound estimations. Study quality was assessed with regard to the representativeness of participants, verification bias, and review bias. Publication bias was assessed using Egger's test. </section> <section xml:id="aogs13208-sec-0003"> <title type="main">Results > Thirty‐seven relatively good quality studies were included in the analysis. There was no significant difference in the rates of estimates within 10% of actual birthweight between clinical and maternal estimations ( n ?=?8 and p ?=?0.491) or between ultrasound and maternal estimations ( n ?=?6 and p ?=?0.568), or in the correlation coefficient of actual birthweight with ultrasound estimation compared with clinical estimation ( n ?=?5 and p ?=?0.621). However, the rate of ultrasound estimations within 10% of actual birthweight was significantly higher than that of clinical estimations ( n ?=?18 and p ?=?0.033). The data showed no publication bias ( p ?=?0.058–0.854). </section> <section xml:id="aogs13208-sec-0004"> <title type="main">Conclusions >Ultrasound estimation may be the best predictor of birthweight. </section> </abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><abstract xmlns =“http://www.wiley.com/namespaces/wiley”type =“main”xml：id =“aogs13208-abs-0001”> <标题类型=“main”>抽象</ title> <部分XML：ID =“AOGS13208-SEC-0001”> <标题类型=“main”>介绍</标题> >在交付之前的出生重量准确预测是必要的，以确定仔细的妊娠结果的挑战策略。进行该研究以确定孕产妇，临床或超声估计是否提供了出生重量的最佳预测因子。</ p> </ section> <section xml：id =“aogs13208-sec-0002”> <标题类型=“main” [/标题> > Meta分析是否进行了概述了母体，临床和超声波估计中的一种相对比例，以在实际出生中的10％以内的10％内与同一中的每种其他人的速度临床和超声估计与实际产重相关系数的范围和差异。关于参与者，核查偏见和审查偏见的代表性评估了研究质量。使用egger的测试评估出版物偏见。</ p> </ section> <section xml：id =“aogs13208-sec-0003”> <标题类型=“main”>结果</ title> > 37七十七分析中包含了优质的研究。临床和母体估计之间的实际产量的10％内的估算率没有显着差异（ n </ i>？=？8和 p </ i>？=？0.491）或之间超声和母体估计（ n </ i>？=α6和 p </ i>？=Δ0.568），或者在超声估计与临床估计相比的实际出生系数的相关系数（<i > n </ i>？=α5和 p </ i>？= 0.621）。然而，超声估计的10％内的实际产量中的超声估计率明显高于临床估计（ n </ i>？=α18和 p </ i>？= 0.033）。数据显示没有出版物偏压（ p </ i>？= 0.058-0.854）。 </ p> </ section> <section XML：ID =“AOGS13208-SEC-0004”> <标题类型=“main”>结论</标题> >超声估计可能是出生重量的最佳预测因子。</ p> </ section> </ abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-17780/'>《Acta Obstetricia et Gynecologica Scandinavica: Official Publication of the Nordisk Forening for Obstetrik och Gynekologi》</a> <b style="margin: 0 2px;">|</b><span>2017年第11期</span><b style="margin: 0 2px;">|</b><span>共11页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Goto Eita&option=202" target="_blank" rel="nofollow">Goto Eita;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>Department of Medicine and Public HealthNagoya Medical Science Research InstituteNagoya Japan;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/197.html" title="妇产科学">妇产科学;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Birthweight&option=203" rel="nofollow">Birthweight;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=delivery&option=203" rel="nofollow">delivery;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=pregnancy&option=203" rel="nofollow">pregnancy;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=prenatal care&option=203" rel="nofollow">prenatal care;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=ultrasound&option=203" rel="nofollow">ultrasound;</a> </p> <div class="translation"> 机译：出生重量;交付;怀孕;产前护理;超声波; 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href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=阳洪波&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">,阳洪波</a> <span> <a href="/conference-cn-67123/" target="_blank" rel="nofollow" class="tuijian_authcolor"> . 2018北京医学会儿科学分会学术年会暨北京医师协会儿内科医师分会学术年会 </a> <span> <span> . 2018</span> </span> </div> </li> <li> <div> <b>7. </b><a class="enjiyixqcontent" href="/academic-degree-domestic_mphd_thesis/020311707031.html">基于超声测量的足月新生儿出生体重预测模型的研究</a> <b>[A] </b> <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=廖淑欣&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . 廖淑欣</a> <span> . 2018</span> </span> </div> </li> </ul> <ul style="display: none;"> <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/patent-detail/06120113706752.html">孕21-23周预测足月新生儿出生体重的方法</a> <b>[P]</b> . <span> 中国专利： CN113855080A </span> <span> . 2021-12-31</span> </div> </li> <li> <div> <b>2. </b><a class="enjiyixqcontent" href="/patent-detail/06120113706751.html">孕37-42周预测足月新生儿出生体重的方法</a> <b>[P]</b> . <span> 中国专利： CN113855081A </span> <span> . 2021-12-31</span> </div> </li> <li> <div> <b>3. </b><a class="enjiyixqcontent" href="/patent-detail/06130401621135.html">SYSTEM TO IDENTIFY AND EXPLORE RELEVANT PREDICTIVE ANALYTICS TASKS OF CLINICAL VALUE AND CALIBRATE PREDICTIVE MODEL OUTPUTS TO A PRESCRIBED MINIMUM LEVEL OF PREDICTIVE ACCURACY</a> <b>[P]</b> . <span> 外国专利：  US2020050892A1 </span> <span> . 2020-02-13</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：鉴定和探索临床价值的相关预测分析任务和校正预测模型输出至预测最小准确性水平的系统 </span> </p> </li> <li> <div> <b>4. </b><a class="enjiyixqcontent" href="/patent-detail/06130409499825.html">method for determining if ec145 is indicated for the treatment of a patient with an ovarian tumor or a lung tumor; method for predicting a response from an ovarian tumor or a lung tumor of a patient to ec145 therapy; method of treating platinum-resistant ovarian cancer in a patient in need; use of ec145 in combination with pegylated liposomal doxorubicin; use of ec145 for the manufacture of a medicament; method for obtaining a clinical benefit compared to treatment with a therapeutic amount of pegylated liposomal doxorubicin in the treatment of platinum-resistant ovarian cancer in a patient in need thereof; method for selecting a patient for treatment; pharmaceutical composition; dosage unit, method for determining if a patient with a tumor has functionally active folate receptors present in the patient's tumor; method of treating a folate receptor expressing epithelial tumor in a patient in need thereof; and; method for obtaining a clinical benefit in the treatment of a folate recepto</a> <b>[P]</b> . <span> 外国专利：  BR112012002064A2 </span> <span> . 2017-05-09</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：确定ec145是否适合治疗卵巢肿瘤或肺肿瘤患者的方法;预测患者的卵巢肿瘤或肺肿瘤对ec145治疗的反应的方法;在有需要的患者中治疗铂耐药的卵巢癌的方法; ec145与聚乙二醇化阿霉素组合使用; ec145在制造药物中的用途;与治疗量的聚乙二醇化脂质体阿霉素治疗相比获得临床益处的方法，在有需要的患者中治疗铂耐药性卵巢癌;选择患者进行治疗的方法;药物组合物;剂量单位，用于确定患有肿瘤的患者是否具有存在于患者肿瘤中的功能活性叶酸受体的方法;在有需要的患者中治疗表达叶酸受体的上皮肿瘤的方法;和;治疗叶酸受体的临床方法 </span> </p> </li> <li> <div> <b>5. </b><a class="enjiyixqcontent" href="/patent-detail/06130406489925.html">Apparatus and procedure for processing clinical and biochemical data and three-dimensional ultrasound images to predict a woman's ovarian age and corresponding diagnostic ultrasound equipment</a> <b>[P]</b> . <span> 外国专利：  ES2645482T3 </span> <span> . 2017-12-05</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：用于处理临床和生化数据以及三维超声图像以预测女性卵巢年龄的设备和程序以及相应的诊断超声设备 </span> </p> </li> </ul> </div> </div> </div> <div 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