{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T05:19:31Z","timestamp":1788931171954,"version":"build-2803163510"},"reference-count":24,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"12","license":[{"start":{"date-parts":[[2021,12,21]],"date-time":"2021-12-21T00:00:00Z","timestamp":1640044800000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003Currently, there are up to three different classifications for diagnosing septate uterus. The interobserver agreement among them has been poorly assessed.<\/jats:p><jats:p>\n          Objective\u2003To assess the interobserver agreement of nonexpert sonographers for classifying septate uterus using the European Society of Human Reproduction and Embryology\/European Society for Gynaecological Endoscopy (ESHRE\/ESGE), American Society for Reproductive Medicine (ASRM), and Congenital Uterine Malformations by Experts (CUME) classifications.<\/jats:p><jats:p>\n          Methods\u2003A total of 50 three-dimensional (3D) volumes of a nonconsecutive series of women with suspected uterine malformation were used. Two nonexpert examiners evaluated a single 3D volume of the uterus of each woman, blinded to each other. The following measurements were performed: indentation depth, indentation angle, uterine fundal wall thickness, external fundal indentation, and indentation-to-wall-thickness (I:WT) ratio. Each observer had to assign a diagnosis in each case, according to the three classification systems (ESHRE\/ESGE, ASRM, and CUME). The interobserver agreement regarding the ESHRE\/ESGE, ASRM, and CUME classifications was assessed using the Cohen weighted kappa index (k). Agreement regarding the three classifications (ASRM versus ESHRE\/ESGE, ASRM versus CUME, ESHRE\/ESGE versus CUME) was also assessed.<\/jats:p><jats:p>\n          Results\u2003The interobserver agreement between the 2 nonexpert examiners was good for the ESHRE\/ESGE (k\u2009=\u20090.74; 95% confidence interval [CI]: 0.55\u20130.92) and very good for the ASRM and CUME classification systems (k\u2009=\u20090.95; 95%CI: 0.86\u20131.00; and k\u2009=\u20090.91; 95%CI: 0.79\u20131.00, respectively). Agreement between the ESHRE\/ESGE and ASRM classifications was moderate for both examiners. Agreement between the ESHRE\/ESGE and CUME classifications was moderate for examiner 1 and good for examiner 2. Agreement between the ASRM and CUME classifications was good for both examiners.<\/jats:p><jats:p>\n          Conclusion\u2003The three classifications have good (ESHRE\/ESGE) or very good (ASRM and CUME) interobserver agreement. Agreement between the ASRM and CUME classifications was higher than that for the ESHRE\/ESGE and ASRM and ESHRE\/ESGE and CUME classifications.<\/jats:p>","DOI":"10.1055\/s-0041-1740271","type":"journal-article","created":{"date-parts":[[2021,12,21]],"date-time":"2021-12-21T23:32:30Z","timestamp":1640129550000},"page":"911-918","source":"Crossref","is-referenced-by-count":4,"title":["Diagnosing Septate Uterus Using Three-Dimensional Ultrasound Using Three Different Classifications: An Interobserver and Intraobserver Agreement Study"],"prefix":"10.61622","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5204-4994","authenticated-orcid":false,"given":"Carla","family":"Peixoto","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Centro Hospitalar S\u00e3o Jo\u00e3o, Porto, Portugal"},{"name":"Faculty of Medicine, University of Porto, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5585-8889","authenticated-orcid":false,"given":"Maite","family":"Castro","sequence":"additional","affiliation":[{"name":"Centro de Infertilidad y Reproduccion Humana, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3435-8559","authenticated-orcid":false,"given":"Isabel","family":"Carriles","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Cl\u00ednica Universidad de Navarra, University of Navarra, Pamplona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5635-8210","authenticated-orcid":false,"given":"Maria de","family":"Arriba","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University and Polytechnic Hospital La Fe, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7404-192X","authenticated-orcid":false,"given":"Victoria","family":"Lapresa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University Hospital, Salamanca, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9700-0853","authenticated-orcid":false,"given":"Juan Luis","family":"Alcazar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Cl\u00ednica Universidad de Navarra, University of Navarra, Pamplona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2021,12,21]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/BF00427181","article-title":"[Jean Cruveilhier, Carl v. 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