Care pathways for ectopic pregnancy: a population-based cost-effectiveness analysis

Seror, Valérie; Gelfucci, Florent; Gerbaud, Laurent; Pouly, Jean-Luc; Fernandez, H.; Job‐Spira, Nadine; Bouyer, Jean; Coste, Joël

doi:10.1016/j.fertnstert.2006.11.005

Cited by 25 publications

(11 citation statements)

References 23 publications

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“…Seror et al reported that MTX treatment appeared to be costeffective in EP cases where the preservation of fertility was important (10). About 40% of women with ectopic pregnancy are treated medically (11), and 90% of them are successfully treated without any surgical intervention at all (12). Medical treatment can be carried out on an outpatient basis, thus making MTX cheaper than the cost of surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

MTX Could Be First-Line Therapy Even in Cases Where hCG Level is Greater than 5,000 IU/ml

Yamashita¹,

Katoh²,

Yoshida³

et al. 2011

Ectopic Pregnancy - Modern Diagnosis and Management

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Section: Discussionmentioning

confidence: 99%

MTX Could Be First-Line Therapy Even in Cases Where hCG Level is Greater than 5,000 IU/ml

Yamashita¹,

Katoh²,

Yoshida³

et al. 2011

Ectopic Pregnancy - Modern Diagnosis and Management

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“…The treatment option of EP involves surgical treatment by laparotomy or laparoscopy, and medical treatment is usually systemic or through local route, or by expectant treatment [73,74].…”

Section: Medical Management Of Ectopic Pregnancymentioning

confidence: 99%

Ectopic Pregnancy: Diagnosis, Prevention and Management

Abdulkareem¹,

Eidan²

2017

Obstetrics

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An ectopic pregnancy (EP) falls within the area of the gynecological emergency and/or reproductive management of women, which is the implantation of fertilized ovum outside the endometrial cavity. The etiology of EP concentrated mainly on factor causes delayed transport of the fertilized ovum through the fallopian tube (favors implantation in tubal mucosa), thus giving rise to EP. This chapter describes the causes, diagnosis, prevention and the guidelines to improve the management of women who may have an EP, a major gynecological emergency that is a cause of morbidity or even mortality of women in first trimester. Three types of EP are diagnosed: tubal, cervical and ovarian; tubal is the main type. Identification of the signs and symptoms of acute and chronic EP in women, involving classical clinical trials or other symptoms common to early pregnancy, as well as evaluating the most important congenital and acquired factors related with EP, were discussed. Explanation of the most accurate methods used to diagnose the pregnancy including serum beta hCG and progesterone levels, medical history, ultrasonography, pregnancy tests and laparoscopy was also clarified. The evaluation of the most effective management tools of EP, including methotrexate administration and surgery (laparotomy and laparoscopy), was obviously explained.

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“…Women with a nondiagnostic ultrasound (no definitive gestation seen inside or outside of the uterus) will need further evaluation, including serum beta-human chorionic gonadotropin (B-hCG) levels. As about one in two ultrasound examinations is nondiagnostic [17], it is usually timesaving to send the blood tests [B-hCG, complete blood count (CBC), type-and-screen, liver function tests (LFTs), blood urea nitrogen (BUN), and creatinine] off at the time the ultrasound is ordered. By the time the ultrasound results are available, the bloodwork results are often available, and then clinical correlation may be performed.…”

Section: Diagnosismentioning

confidence: 99%