A critical appraisal of the evidence for using cardiotocography plus ECG ST interval analysis for fetal surveillance in labor. Part II: the meta-analyses.
(2014) In Acta Obstetricia et Gynecologica Scandinavica 93(6). p.571-586- Abstract
- We appraised the methodology, execution and quality of the five published meta-analyses that are based on the five randomized controlled trials (RCTs) which compared cardiotocography (CTG) +ST analysis to CTG. The meta-analyses contained errors, either created de novo in handling of original data, or from a failure to recognize essential differences among the RCTs, particularly in their inclusion criteria and outcome parameters. No meta-analysis contained complete and relevant data from all five RCTs. We believe that one RCT excluded in two of the meta-analyses should have been included, while one RCT that was included in all meta-analyses, should have been excluded. After correction of the uncovered errors and exclusion of the RCT that we... (More)
- We appraised the methodology, execution and quality of the five published meta-analyses that are based on the five randomized controlled trials (RCTs) which compared cardiotocography (CTG) +ST analysis to CTG. The meta-analyses contained errors, either created de novo in handling of original data, or from a failure to recognize essential differences among the RCTs, particularly in their inclusion criteria and outcome parameters. No meta-analysis contained complete and relevant data from all five RCTs. We believe that one RCT excluded in two of the meta-analyses should have been included, while one RCT that was included in all meta-analyses, should have been excluded. After correction of the uncovered errors and exclusion of the RCT that we deemed inappropriate, our new meta-analysis showed that CTG+ST monitoring significantly reduces the fetal scalp blood sampling usage (risk ratio 0.64; 95% confidence interval 0.47-0.88), total operative delivery rate (0.93; 0.88-0.99), and metabolic acidosis rate (0.61; 0.41-0.91). This article is protected by copyright. All rights reserved. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4455849
- author
- Olofsson, Per LU ; Ayres-de-Campos, Diogo ; Kessler, Jörg ; Tendal, Britta ; Yli, Branka M and Devoe, Lawrence
- organization
- publishing date
- 2014
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Acta Obstetricia et Gynecologica Scandinavica
- volume
- 93
- issue
- 6
- pages
- 571 - 586
- publisher
- Wiley-Blackwell
- external identifiers
-
- pmid:24797318
- wos:000337566200010
- scopus:84901641480
- ISSN
- 1600-0412
- DOI
- 10.1111/aogs.12412
- language
- English
- LU publication?
- yes
- id
- 545f2dfb-acdb-4adc-aace-9805bfae02a1 (old id 4455849)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/24797318?dopt=Abstract
- date added to LUP
- 2016-04-01 10:19:23
- date last changed
- 2022-01-25 22:07:24
@article{545f2dfb-acdb-4adc-aace-9805bfae02a1,
abstract = {{We appraised the methodology, execution and quality of the five published meta-analyses that are based on the five randomized controlled trials (RCTs) which compared cardiotocography (CTG) +ST analysis to CTG. The meta-analyses contained errors, either created de novo in handling of original data, or from a failure to recognize essential differences among the RCTs, particularly in their inclusion criteria and outcome parameters. No meta-analysis contained complete and relevant data from all five RCTs. We believe that one RCT excluded in two of the meta-analyses should have been included, while one RCT that was included in all meta-analyses, should have been excluded. After correction of the uncovered errors and exclusion of the RCT that we deemed inappropriate, our new meta-analysis showed that CTG+ST monitoring significantly reduces the fetal scalp blood sampling usage (risk ratio 0.64; 95% confidence interval 0.47-0.88), total operative delivery rate (0.93; 0.88-0.99), and metabolic acidosis rate (0.61; 0.41-0.91). This article is protected by copyright. All rights reserved.}},
author = {{Olofsson, Per and Ayres-de-Campos, Diogo and Kessler, Jörg and Tendal, Britta and Yli, Branka M and Devoe, Lawrence}},
issn = {{1600-0412}},
language = {{eng}},
number = {{6}},
pages = {{571--586}},
publisher = {{Wiley-Blackwell}},
series = {{Acta Obstetricia et Gynecologica Scandinavica}},
title = {{A critical appraisal of the evidence for using cardiotocography plus ECG ST interval analysis for fetal surveillance in labor. Part II: the meta-analyses.}},
url = {{http://dx.doi.org/10.1111/aogs.12412}},
doi = {{10.1111/aogs.12412}},
volume = {{93}},
year = {{2014}},
}