Assessing the diagnostic accuracy of postnatal clinical scoring methods and foot length measurement for estimating gestational age and birthweight of newborns in low- and middle-income countries: a systematic review and meta-analysis

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Sökning: WFRF:(Mårtensson Thomas) > Assessing the diagn...

Assessing the diagnostic accuracy of postnatal clinical scoring methods and foot length measurement for estimating gestational age and birthweight of newborns in low- and middle-income countries : a systematic review and meta-analysis

Tikmani Sunder, Shiyam (författare): Uppsala universitet,Internationell barnhälsa och nutrition,Aga Khan Univ, Dept Community Hlth Sci, Populat & Reprod Hlth Sect, Karachi, Pakistan.

Mårtensson, Thomas (författare): Uppsala universitet,Internationell barnhälsa och nutrition

Khalid, Sumaira (författare): Marshall Univ, Coll Hlth Profess, Dept Publ Hlth, Huntington, WV USA.

visa fler...

Uzair, Muhammad (författare): Aga Khan Univ, Dept Community Hlth Sci, Populat & Reprod Hlth Sect, Karachi, Pakistan.

Ali, Qammerulanissa (författare): Aga Khan Univ, Dept Community Hlth Sci, Populat & Reprod Hlth Sect, Karachi, Pakistan.

Rahim, Anum (författare): Aga Khan Univ, Dept Community Hlth Sci, Epidemiol & Biostat Sect, Karachi, Pakistan.

Mårtensson, Andreas, 1963- (författare): Uppsala universitet,Internationell barnhälsa och nutrition

Saleem, Sarah (författare): Aga Khan Univ, Dept Community Hlth Sci, Populat & Reprod Hlth Sect, Karachi, Pakistan.

Brown, Nick (författare): Uppsala universitet,Internationell barnhälsa och nutrition

visa färre...

(creator_code:org_t)

BMJ Publishing Group Ltd, 2024
2024
Engelska.
Ingår i: BMJ Paediatrics Open. - : BMJ Publishing Group Ltd. - 2399-9772. ; 8:1, s. 1-16

Relaterad länk:: https://doi.org/10.1...; visa fler...; https://uu.diva-port... (primary) (Raw object); https://urn.kb.se/re...; https://doi.org/10.1...; visa färre...

Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

Stäng

Background This study aimed to update systematic reviews and meta-analyses on the diagnostic accuracy of postnatal clinical scoring (PCS) methods and foot length (FL) measurement for assessing gestational age (GA) and birth weight in low-income and middle-income countries (LMICs). In addition, the quality of reference standards, including antenatal ultrasound (A-US), last menstrual period (LMP), PCS and newborn weighing scales, was also evaluated. Methods Studies from LMICs published between January 2000 and February 2024 were searched, using databases such as PubMed, Web of Science, Cochrane Library, CINAHL and Scopus. Studies that compared PCS and/or FL with LMP and/or A-US to estimate GA or used calibrated newborn weighing scales for birthweight estimation were included. The risk of bias was assessed using the Quality Assessment of Diagnostic Accuracy Studies-II tool and evaluated the quality of the reference standards. When sufficient data were available, pooled estimates were calculated using random-effects models. Results A total of 50 studies were included. A-US was a reasonable tool for GA assessment if conducted by physicians using fetal biometry and the Hadlock method for GA estimation. LMP was reasonable when women had regular cycles, knew their LMP, were not using contraceptives and LMP data were collected by healthcare providers. When A-US was used as the reference standard, PCS methods estimated GA with a precision of +/- 2.8 to +/- 3.2 weeks. FL measurement <7.5 cm showed a pooled sensitivity of 76.2% and specificity of 36.6% for identifying preterm birth. FL measurement <= 7.6 cm had a pooled sensitivity of 78.6% and specificity of 65.7% for identifying low birth weight (LBW). High heterogeneity across studies was observed. Conclusion This systematic review and meta-analysis highlights significant variability and methodological inconsistencies in using PCS methods and FL measurement for estimating GA and LBW in LMICs. The observed high heterogeneity across studies suggests a cautious interpretation of the results. PROSPERO registration number CRD42020209455.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)

Nyckelord

Neonatology

Publikations- och innehållstyp

ref (ämneskategori)
art (ämneskategori)

Hitta via bibliotek

BMJ Paediatrics Open (Sök värdpublikationen i LIBRIS)

Till lärosätets databas

Hitta mer i SwePub

Av författaren/redakt...: Tikmani Sunder, ...; Mårtensson, Thom ...; Khalid, Sumaira; Uzair, Muhammad; Ali, Qammerulani ...; Rahim, Anum; visa fler...; Mårtensson, Andr ...; Saleem, Sarah; Brown, Nick; visa färre...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Folkhälsovetensk ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Reproduktionsmed ...

Artiklar i publikationen: BMJ Paediatrics ...

Av lärosätet: Uppsala universitet

Sök utanför SwePub

Sök vidare i:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se