{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T21:26:44Z","timestamp":1791581204349,"version":"4.3.4"},"reference-count":78,"publisher":"Walter de Gruyter GmbH","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To determine the accuracy of cervical elastography in predicting labor induction success.<\/jats:p><jats:p>A systematic search, review, and meta-analysis of observational studies published in English language between January 2000 and October 2014 was performed. It included studies considering cervix sonoelastography as the index test and successful labor or vaginal delivery as the reference standard. As cervix length and Bishop score were considered comparator tests, the quality of the included studies was assessed using quality assessment tool for diagnostic accuracy studies (QUADAS) tool.<\/jats:p><jats:p>A total of four studies assessing 323 women before medical induction of labor were included. Cervical elastography, cervical length, and Bishop score showed a diagnostic odds ratio (DOR) with 95% confidence interval (CI) for successful labor prediction of 3.50 (1.93\u20136.35), 3.35 (1.94\u20135.77), and 1.45 (0.33\u20136.41), respectively. In addition, cervical elastography, cervical length, and Bishop score showed a DOR with 95% CI for successful vaginal delivery prediction of 5.24 (3.23\u20138.50), 4.94 (2.72\u20138.98), and 4.62 (0.69\u201330.94), respectively. Considering the summary of receiver operating characteristic curves we show that cervical elastography or length are similarly reliable, and both are more reliable to predict successful labor than the Bishop score. Two studies were excluded because it was not possible to retrieve data for the meta-analysis. Among the excluded studies, one found no significant contribution from elastography for prediction of successful labor induction.<\/jats:p><jats:p>Even though there is a limited number of studies included and the heterogeneity of the methods used, cervical elastography seems to be a promising tool for predicting successful labor induction and vaginal delivery in women treated by medical induction of labor.<\/jats:p>","DOI":"10.1515\/jpm-2015-0035","type":"journal-article","created":{"date-parts":[[2015,5,26]],"date-time":"2015-05-26T14:04:22Z","timestamp":1432649062000},"source":"Crossref","is-referenced-by-count":48,"title":["Diagnostic accuracy of cervical elastography in predicting labor induction success: a systematic review and meta-analysis"],"prefix":"10.1515","volume":"44","author":[{"given":"Ambrogio P.","family":"Londero","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralf","family":"Schmitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Bertozzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenza","family":"Driul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arrigo","family":"Fruscalzo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","reference":[{"key":"ref321","first-page":"283","article-title":"Meta - 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risk women : a prospective observational study BMC Pregnancy Childbirth","volume":"14","author":"Wozniak","year":"2014"},{"key":"ref421","first-page":"107","article-title":"Practice No induction of labor","volume":"2","author":"ACOG","year":"2009","journal-title":"Bulletin Obstet Gynecol"},{"key":"ref191","first-page":"684","article-title":"Quantitative sonoelastography of the uterine cervix prior to induction of labor as a predictor of cervical dilation time","author":"Rasmussen","year":"2014","journal-title":"Acta Obstet Gynecol Scand"},{"key":"ref311","first-page":"101","article-title":"Operating characteristics of a rank correlation test for publication bias","author":"Begg","year":"1994","journal-title":"Biometrics"},{"key":"ref641","first-page":"468","article-title":"Successful induction of labor : prediction by preinduction cervical length angle of progression and cervical elastography Ultrasound","author":"Pereira","year":"2014","journal-title":"Obstet Gynecol"},{"key":"ref151","first-page":"2015","article-title":"Cervical HI elastography and pregnancy outcome a prospective study","author":"Sabiani","journal-title":"Eur Obstet Gynecol Reprod Biol"},{"key":"ref481","first-page":"197","article-title":"AS Sonographic cervical assessment to predict the success of labor induction : a systematic review with metaanalysis","author":"Hatfield","year":"2007","journal-title":"AM Am J Obstet Gynecol"},{"key":"ref71","first-page":"207","article-title":"Beyond cervical length : emerging technologies for assessing the pregnant cervix","author":"Feltovich","year":"2012","journal-title":"Am J Obstet Gynecol"},{"key":"ref431","first-page":"191","article-title":"DA Cesarean delivery after elective induction in nulliparous women : the physician effect","author":"Luthy","year":"2004","journal-title":"Am J Obstet Gynecol"},{"key":"ref261","article-title":"Quantitative elastography for cervical stiffness assessment during pregnancy","author":"Fruscalzo","year":"2014","journal-title":"Res Int"},{"key":"ref671","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1515\/jpm-2012-0180","article-title":"Reliability of quantitative elastography of the uterine cervix in at - term pregnancies","author":"Fruscalzo","year":"2013","journal-title":"J Perinat Med"},{"key":"ref291","first-page":"327","article-title":"Measuring inconsistency in meta - analyses","author":"Higgins","year":"2003","journal-title":"Med"},{"key":"ref591","first-page":"38","article-title":"Preis Elastography of the uterine cervix : implications for success of induction of labor Ultrasound","author":"Swiatkowska","year":"2011","journal-title":"Obstet Gynecol"},{"key":"ref181","first-page":"2015","article-title":"Quantitative elastography of the cervix for predicting labor induction success","author":"Fruscalzo","journal-title":"Ultraschall Med"},{"key":"ref541","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1515\/jpm-2013-0277","article-title":"Cervical strain determined by ultrasound elastography and its association with spontaneous preterm delivery","author":"Hernandez","year":"2014","journal-title":"J Perinat Med"},{"key":"ref661","first-page":"1","article-title":"Reliability of cervix elastography in late first and second trimester of pregnancy","volume":"33","author":"Fruscalzo","year":"2012","journal-title":"Ultraschall Med"},{"key":"ref121","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1515\/jpm-2013-0277","article-title":"Cervical strain determined by ultrasound elastography and its association with spontaneous preterm delivery","author":"Hernandez","year":"2014","journal-title":"J Perinat Med"}],"container-title":["Journal of Perinatal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpm-2015-0035\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T22:04:46Z","timestamp":1691705086000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpm-2015-0035\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1,1]]},"references-count":78,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.1515\/jpm-2015-0035","relation":{},"ISSN":["1619-3997","0300-5577"],"issn-type":[{"value":"1619-3997","type":"electronic"},{"value":"0300-5577","type":"print"}],"subject":[],"published":{"date-parts":[[2016,1,1]]}}}