{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T03:17:06Z","timestamp":1762917426593},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,11,21]],"date-time":"2012-11-21T00:00:00Z","timestamp":1353456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prenatal Diagnosis"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Prognostic assessment in twin\u2010to\u2010twin transfusion syndrome (TTTS) is ill\u2010defined. The objective of this study is to define a perioperative prognostic score for TTTS treated by percutaneous laser coagulation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Consecutive cases of TTTS treated by percutaneous fetoscopic laser coagulation over a 6\u2010year period were reviewed. Twin survival at 28\u2009days was considered using a 3\u2010level polytomous variable defined by 0, 1, or 2 fatal events. A multivariate prognostic analysis with internal validation was conducted using gestational age at diagnosis, weight discordance, umbilical artery, and ductus venosus abnormalities in the donor and the recipient respectively, cervical length, selectivity of surgery, and transplacental approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>On the basis of 507 cases, the perinatal survival rate of 2 and 1 twin was 46.2% and 31.5%, respectively. Statistically significant factors included umbilical artery abnormalities in the donor, gestational age, and transplacental approach, but with different effects regarding survival of 0, 1, or 2 twins. A scoring chart was subsequently constructed together with a nomogram for both a preoperative and immediate post\u2010operative prognostic assessment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Part of the prognosis can be anticipated by perioperative findings. Although further validation is required, the presented nomogram should help unify the prognostic assessment in TTTS. \u00a9 2012 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pd.4015","type":"journal-article","created":{"date-parts":[[2012,11,21]],"date-time":"2012-11-21T16:16:21Z","timestamp":1353514581000},"page":"103-108","source":"Crossref","is-referenced-by-count":16,"title":["A nomogram for perioperative prognostic risk\u2010assessment in twin\u2013twin transfusion syndrome"],"prefix":"10.1002","volume":"33","author":[{"given":"J. J.","family":"Stirnemann","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Fetal Medicine, GHU Necker Enfants\u2010Malades University Paris Descartes  Paris France"},{"name":"Department of Statistics and Applied Mathematics, MAP5, UMR CNRS 8145 University Paris Descartes  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Nasr","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Fetal Medicine, GHU Necker Enfants\u2010Malades University Paris Descartes  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Essaoui","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Fetal Medicine, GHU Necker Enfants\u2010Malades University Paris Descartes  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Bussieres","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Fetal Medicine, GHU Necker Enfants\u2010Malades University Paris Descartes  Paris France"},{"name":"Department of Clinical Research, URC Paris\u2010Ouest, Ambroise Par\u00e9 Hospital University Versailles Saint\u2010Quentin  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"Ville","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Fetal Medicine, GHU Necker Enfants\u2010Malades University Paris Descartes  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,11,21]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7200292"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.292"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa032597"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.08.054"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.06.055"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7488"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.08.013"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7713"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.06.009"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1798"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0258(19960229)15:4<361::AID-SIM168>3.0.CO;2-4"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(19990315)85:6<1331::AID-CNCR16>3.0.CO;2-I"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.00913.x"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1999.14060380.x"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01659.x"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.02.032"}],"container-title":["Prenatal Diagnosis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fpd.4015","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fpd.4015","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pd.4015","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T18:46:56Z","timestamp":1698691616000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/pd.4015"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,11,21]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,2]]}},"alternative-id":["10.1002\/pd.4015"],"URL":"https:\/\/doi.org\/10.1002\/pd.4015","archive":["Portico"],"relation":{},"ISSN":["0197-3851","1097-0223"],"issn-type":[{"value":"0197-3851","type":"print"},{"value":"1097-0223","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,11,21]]}}}