{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T22:22:44Z","timestamp":1792794164434,"version":"4.5.0"},"reference-count":22,"publisher":"Walter de Gruyter GmbH","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2024-0121_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To report the diagnostic accuracy of ultrasound in identifying fetuses with macrosomia in pregnancies complicated by gestational or pregestational diabetes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2024-0121_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Medline, Embase and Cochrane databases were searched. Inclusion criteria were singleton pregnancies complicated by diabetes undergoing third-trimester ultrasound evaluation. The index test was represented by ultrasound estimation of fetal macrosomia (estimated fetal weight EFW or abdominal circumference AC &gt;90th or 95th percentile). Subgroup analyses were also performed. Sensitivity, specificity, positive and negative likelihood ratios, and diagnostic odds ratio were computed using the hierarchical summary receiver\u2013operating characteristics model.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2024-0121_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Twenty studies were included in the systematic review including 8,530 pregnancies complicated by diabetes. Ultrasound showed an overall moderate accuracy in identifying fetuses with macrosomia with a sensitivity of 71.2\u202f% (95\u202f% CI 63.1\u201378.2), a specificity of 88.6\u202f% (95\u202f% CI 83.9\u201392.0). The interval between ultrasound and birth of two weeks showed the highest sensitivity and specificity (71.6\u202f%, 95\u202f% CI 47.9\u201387.3 and 91.7, 95\u202f% CI 86.2\u201395.5). EFW sensitivity and specificity were 76.6\u202f% (95\u202f% CI 70.1\u201382.3) and 82.9\u202f% (95\u202f% CI 80.9\u201384.8), while AC 84.8\u202f% (95\u202f% CI 78.2\u201390.0) and 73.7\u202f% (95\u202f% CI 71.0\u201376.4).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2024-0121_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Ultrasound demonstrates an overall good diagnostic accuracy in detecting fetal macrosomia in pregnancies with diabetes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2024-0121","type":"journal-article","created":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T16:10:30Z","timestamp":1718122230000},"page":"623-632","source":"Crossref","is-referenced-by-count":10,"title":["Ultrasound prediction of fetal macrosomia in pregnancies complicated by diabetes mellitus: a systematic review and meta-analysis"],"prefix":"10.1515","volume":"52","author":[{"given":"Chiara","family":"Panunzi","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology , Fondazione IRCCS Policlinico San Matteo , Pavia , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Cardinali","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Fondazione IRCCS Policlinico San Matteo , Pavia , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asma","family":"Khalil","sequence":"additional","affiliation":[{"name":"Fetal Medicine Unit , Saint George\u2019s Hospital , London , UK"},{"name":"Vascular Biology Research Centre , Molecular and Clinical Sciences Research Institute, St George\u2019s University of London , London , UK"},{"name":"Fetal Medicine Unit , Liverpool Women\u2019s Hospital, University of Liverpool , Liverpool , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiba J.","family":"Mustafa","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine , Indiana University School of Medicine , Indianapolis , IN , USA"},{"name":"The Fetal Center at Riley Children\u2019s Hospital , Indianapolis , IN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arsenio","family":"Spinillo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Fondazione IRCCS Policlinico San Matteo , Pavia , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5525-4353","authenticated-orcid":false,"given":"Giuseppe","family":"Rizzo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Fondazione Policlinico Tor Vergata , Rome , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Elena","family":"Flacco","sequence":"additional","affiliation":[{"name":"Department of Environmental and Preventive sciences , University of Ferrara , Ferrara , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Maruotti","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , University of Naples , Naples , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"D\u2019Antonio","sequence":"additional","affiliation":[{"name":"Center for Fetal Care and High-risk Pregnancy, Department of Obstetrics and Gynecology , University of Chieti Via Dei Vestini , Chieti , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2024,6,12]]},"reference":[{"key":"2024071212145404518_j_jpm-2024-0121_ref_001","doi-asserted-by":"crossref","unstructured":"Yang, GR, Dye, TD, Li, D. 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