Management of monochorionic diamniotic twin gestation affected by Type‐<scp>II</scp> selective fetal growth restriction: cost‐effectiveness analysis

On base-case analysis, RFA was found to be the most cost-effective strategy in the management of monochorionic diamniotic twin pregnancies affected by Type-II sFGR. However, these findings were not robust on sensitivity analysis, indicating the potential benefit of BCO and EM. In the absence of large clinical trials, these data should not be taken to guide management. Future studies should evaluate management strategies for Type-II sFGR related to long-term neonatal outcomes, inclusive of quality-of-life indicators, in a prospective multicenter cohort. © 2024 The Author(s). Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.

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Publication Details

Journal
Ultrasound in Obstetrics and Gynecology
Published
2024-11-27
DOI
https://doi.org/10.1002/uog.29135
Citations
2
Primary Topic
Assisted Reproductive Technology and Twin Pregnancy
Type
article
Field-Weighted Citation Impact
2.22

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article

Management of monochorionic diamniotic twin gestation affected by Type‐II selective fetal growth restriction: cost‐effectiveness analysis

Aimen F. Shaaban, Tanja Kahl, Andrew C. Rausch, Ryan E. Longman et al.
2 citations
Ultrasound in Obstetrics and Gynecology
Assisted Reproductive Technology and Twin Pregnancy
2.22
article

Management of monochorionic diamniotic twin gestation affected by Type‐II selective fetal growth restriction: cost‐effectiveness analysis

Aimen F. Shaaban, Tanja Kahl, Andrew C. Rausch, Ryan E. Longman, Ashish Premkumar, Jessica Morgan, Suwan Mehra, M. Prasad, Juan David Ríos
article en
2 citations

Abstract

On base-case analysis, RFA was found to be the most cost-effective strategy in the management of monochorionic diamniotic twin pregnancies affected by Type-II sFGR. However, these findings were not robust on sensitivity analysis, indicating the potential benefit of BCO and EM. In the absence of large clinical trials, these data should not be taken to guide management. Future studies should evaluate management strategies for Type-II sFGR related to long-term neonatal outcomes, inclusive of quality-of-life indicators, in a prospective multicenter cohort. © 2024 The Author(s). Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.

Ultrasound in Obstetrics and GynecologyVol. 65(1)
Northwestern University (US), Lurie Children's Hospital (US), University of Chicago (US), Advocate Children's Hospital (US)
University of Chicago, Pritzker School of Medicine
Openalex Percentile: Top 10%
Assisted Reproductive Technology and Twin Pregnancy
2.22
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