{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T04:23:45Z","timestamp":1787631825991,"version":"build-2736575974"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T00:00:00Z","timestamp":1614816000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To create a model for prediction of success of uterine\u2010preserving procedures in women with placenta accreta spectrum (PAS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>PAS\u2010ID is a multicenter study that included 11 centers from 9 countries. Women with PAS, who were managed between January 1, 2010 and December 31, 2019, were retrospectively included. Data were split into model development and validation cohorts, and a prediction model was created using logistic regression. Main outcome was success of uterine preservation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 797 women with PAS, 587 were eligible. Uterus\u2010preserving procedures were successful in 469 patients (79.9%). Number of previous cesarean sections (CS) was inversely associated with management success (adjusted odds ratio [aOR] 0.02, 95% confidence interval [CI] 0.001\u20133.63 with five previous CS). Other variables were complete placental invasion (aOR 0.14, 95% CI 0.05\u20130.43), type of CS incision (aOR 0.04, 95% CI 0.01\u20130.25 for classical incision), compression sutures (aOR 2.48, 95% CI 1.00\u20136.16), accreta type (aOR 3.76, 95% CI 1.13\u201312.53), incising away from placenta (aOR 5.09, 95% CI 1.52\u201316.97), and uterine resection (aOR 102.57, 95% CI 3.97\u20132652.74).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The present study provides a prediction model for success of uterine preservation, which may assist preoperative and intraoperative decisions, and promote incorporation of uterine preservation procedures in comprehensive PAS protocols.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13518","type":"journal-article","created":{"date-parts":[[2020,12,6]],"date-time":"2020-12-06T00:30:01Z","timestamp":1607214601000},"page":"304-311","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Prediction of success of uterus\u2010preserving management in women with placenta accreta spectrum (CON\u2010PAS score): A multicenter international study"],"prefix":"10.1002","volume":"154","author":[{"given":"Sherif A.","family":"Shazly","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Assiut University Assiut Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismet","family":"Hortu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ege University School of Medicine Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin\u2010Chung","family":"Shih","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology National Taiwan University College of Medicine Taipei City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rauf","family":"Melekoglu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Inonu University Malatya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shangrong","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Peking University Shenzhen Hospital Guangdong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farhat ul Ain","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Fatima Memorial Hospital Punjab Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erbil","family":"Karaman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Yuzuncu Yil University Van Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ildar","family":"Fatkullin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Kazan State Medical University Kazan, Republic of Tatarstan Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro V.","family":"Pinto","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ginecologia e Obstetr\u00edcia Centro Hospitalar S\u00e3o Jo\u00e3o Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Setyorini","family":"Irianti","sequence":"additional","affiliation":[{"name":"Taskforce of Placenta Accreta Spectrum Universitas Padjadjaran Bandung West Jawa Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel Noutakdie","family":"Tochie","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine and Biomedical Sciences University of Yaound\u00e9 I Yaound\u00e9 Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amr S.","family":"Abdelbadie","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Aswan University Hospital Aswan Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed A.","family":"Salah","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Assiut University Assiut Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hossam Aldein S. Abd","family":"Elazeem","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Assiut University Assiut Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud M.","family":"Saad","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Assiut University Assiut Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet M.","family":"Ergenoglu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ege University School of Medicine Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet O.","family":"Yeniel","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ege University School of Medicine Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sermet","family":"Sagol","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ege 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