{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:54:57Z","timestamp":1791464097808,"version":"4.3.4"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T00:00:00Z","timestamp":1674086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There is a need to decipher the effect of pelvic fractures (PFs) upon female fertility and live birth rate, as data including treatment regimens in large, unselected populations remain scarce.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess the effect of high energy PFs upon female fertility and live birth rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search strategy<\/jats:title><jats:p>Literature search for relevant studies was performed up to March 2022 in five databases: Embase, MEDLINE, CAB Abstracts, ClinicalTrials.gov, and Google Scholar.<\/jats:p><\/jats:sec><jats:sec><jats:title>Selection criteria<\/jats:title><jats:p>Retrospective studies assessing live birth, infertility, and dyspareunia rates following PFs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data collection and analysis<\/jats:title><jats:p>Data were extracted from studies independently by two authors. The quality of the included studies was assessed using the Newcastle\u2010Ottawa Scale (NOS) for observational studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main results<\/jats:title><jats:p>A total of 763 female patients of median age 27.8\u2009years (95% CI 22\u201338\u2009years) were included with median follow up of 5\u2009years. Among PF patients, infertility hazard ratio (HR) 1.18 (95% CI 0.76\u20131.84, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.47; <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a018%) and dyspareunia HR 0.60 (95% CI 0.34\u20131.08, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.09; <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a066%), did not significantly differ from the age\u2010matched literature\u2010reported rates among non\u2010PF patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>No significant differences of live birth, infertility, and dyspareunia rates across patients with PFs were found compared with non\u2010PF counterparts.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14652","type":"journal-article","created":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T07:05:49Z","timestamp":1672988749000},"page":"440-448","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Fertility and reproductive outcomes following high\u2010energy pelvic fractures: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"162","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4470-5267","authenticated-orcid":false,"given":"Stavroula L.","family":"Kastora","sequence":"first","affiliation":[{"name":"EGA Institute for Women's Health University College London  London UK"},{"name":"Barnet Hospital, Royal Free NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Eley","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Aberdeen Royal Infirmary  Aberdeen UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1580-2917","authenticated-orcid":false,"given":"Georgios","family":"Kounidas","sequence":"additional","affiliation":[{"name":"School of Medicine, Medical Sciences &amp; Nutrition University of Aberdeen  Aberdeen UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Dighero","sequence":"additional","affiliation":[{"name":"Barnet Hospital, Royal Free NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0975-7341.134007"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2021.03.013"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199702000-00001"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1289-5"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.5455\/medarh.2011.65.278-282"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016348309156259"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197206000-00004"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2022.01.008"},{"key":"e_1_2_8_10_1","unstructured":"PRISMA.Prisma\u2010statement.org.http:\/\/prisma\u2010statement.org\/PRISMAStatement\/Checklist. Published 2022. Accessed February 3 2022."},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197611000-00006"},{"key":"e_1_2_8_12_1","unstructured":"Preterm labour and birth.Guidance NICE. Niceorgukhttps:\/\/www.nice.org.uk\/guidance\/ng25. Published 2022. Accessed February 5 2022."},{"key":"e_1_2_8_13_1","unstructured":"The Newcastle\u2010Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta\u2010analyses.Ottawa Hospital Research Institute.http:\/\/wwwohrica\/programs\/clinical_epidemiology\/oxfordaspPublished 2022. Accessed February 5 2022."},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119536604.ch24"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.2307\/2533446"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-019-2839-y"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0174733"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199007000-00015"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197411000-00002"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.aog.0000100153.24061.45"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dew066"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2009.91.5.448b"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/17453674.2020.1771827"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-021-05153-8"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000242259.67486.15"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01892.x"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2015.1059806"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200105000-00023"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.14652","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.14652","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.14652","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,30]],"date-time":"2024-08-30T11:30:05Z","timestamp":1725017405000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.14652"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,19]]},"references-count":27,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1002\/ijgo.14652"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.14652","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,19]]},"assertion":[{"value":"2022-07-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}