BJOG: An International Journal of Obstetrics & Gynaecology最新文献

{"title":"Correction to Hospital surgical volume–outcome relationship in caesarean hysterectomy for placenta accreta spectrum","authors":"","doi":"10.1111/1471-0528.17728","DOIUrl":"https://doi.org/10.1111/1471-0528.17728","url":null,"abstract":"<p>Matsuo, K, Youssefzadeh, AC, Mandelbaum, RS, Sangara, RN, Matsuzaki, S, Matsushima, K, Klar, M, Ouzounian, JG, Wright, JD. Hospital surgical volume–outcome relationship in caesarean hysterectomy for placenta accreta spectrum. <i>BJOG</i> 2022; 129: 986–993. https://doi.org/10.1111/1471-0528.16993</p>\u0000<p>The authors would like to correct the analytic approach in their investigation that assessed the association between hospital volume for caesarean hysterectomy and surgical morbidity in pregnant patients with placenta accreta spectrum. In the previous analysis, they calculated the relative hospital surgical volume as the summation of number of patients who had caesarean hysterectomy for placenta accreta spectrum over the 3-year study period by using the anonymized hospital classifiers. They would like to clarify that this analytic schema is to be corrected as the annualized number. In this annualized fashion, the relative hospital volume for caesarean hysterectomy was calculated in each year. The remaining patient-level analysis was unchanged.</p>\u0000<div>The authors identified the following errors: <ol start=\"1\">\u0000<li>Prior Figure 1 was incorrect and the distribution of patients according to the revised relative caesarean hysterectomy hospital volume is shown in corrected Figure 1 below. Nearly two-thirds of patients in the study underwent caesarean hysterectomy where the relative hospital surgical volume was five cases a year. Nearly 10% of patients in the study population had caesarean hysterectomy at centers where the relative surgical volume was 15 or more cases a year.</li>\u0000</ol>\u0000</div>\u0000<figure><picture>\u0000<source media=\"(min-width: 1650px)\" srcset=\"/cms/asset/f3023b1f-1a50-43bb-8413-1499dfa1d055/bjo17728-fig-0001-m.jpg\"/><img alt=\"Details are in the caption following the image\" data-lg-src=\"/cms/asset/f3023b1f-1a50-43bb-8413-1499dfa1d055/bjo17728-fig-0001-m.jpg\" loading=\"lazy\" src=\"/cms/asset/8a1580ad-98cb-4f5c-a747-5edf402f2ea3/bjo17728-fig-0001-m.png\" title=\"Details are in the caption following the image\"/></picture><figcaption>\u0000<div><strong>FIGURE 1</strong><div>Open in figure viewer<i aria-hidden=\"true\"></i><span>PowerPoint</span></div>\u0000</div>\u0000<div>Distribution of relative cesarean hysterectomy hospital volume. Distribution of annualized relative hospital cesarean hysterectomy volume for placental accreta spectrum a year in the weighted model is shown. SV, annualized relative hospital surgical volume for cesarean hysterectomy.</div>\u0000</figcaption>\u0000</figure>\u0000<div>\u0000<ol start=\"2\">\u0000<li>Prior Figure 2 was incorrect and the results of revised relative surgical volume cutpoint analysis for the measured surgical morbidity, predefined as haemorrhage, coagulopathy, shock, urinary tract injury, and death are shown in corrected Figure 2 below. Relative hospital surgical volume of 25 cases or more was associated with a statistically significantly lower rate of surgical morbidity (56.7% vs. 63.6%, <i>p</i> = 0.002). Based on this, patients in the study p","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138578389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}