Predictive value of serum βHCG level in ectopic pregnancy: A cross sectional study
Abstract Background and Aims Ectopic pregnancy (EP) is a potentially life‐threatening emergency. We investigate the predictive value of serum βHCG level and it's changes from the baseline to the 4th and 7th days after single dose (SD) methotrexate (MTX) treatment in successful treatment of tuba...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-09-01
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| Series: | Health Science Reports |
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| Online Access: | https://doi.org/10.1002/hsr2.1442 |
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| author | Mandana Mansour Ghanaie Sanaz Hoshyarmanesh Seyedeh Maryam Asgari Seyed Mohammad Asgari Galebin Fereshteh Fakor |
| author_facet | Mandana Mansour Ghanaie Sanaz Hoshyarmanesh Seyedeh Maryam Asgari Seyed Mohammad Asgari Galebin Fereshteh Fakor |
| author_sort | Mandana Mansour Ghanaie |
| collection | DOAJ |
| description | Abstract Background and Aims Ectopic pregnancy (EP) is a potentially life‐threatening emergency. We investigate the predictive value of serum βHCG level and it's changes from the baseline to the 4th and 7th days after single dose (SD) methotrexate (MTX) treatment in successful treatment of tubal EP. It is important for early diagnosis of EP. Methods In this cross‐sectional study, 690 women with tubal EP and under treatment with SD MTX were evaluated. Successful and failed groups were analyzed on the baseline, 4th and 7th days of MTX treatment. Data were analyzed using SPSS22 software. All p values of less than 0/05 were considered satistically significant. Results SD MTX treatment was successful in 584 (84.7%) patients. The mean baseline ßHCG value was 882.35 ± 430.76 in the successful group and 1083.99 ± 1080.25 in the failed group. There was a 19.53% decrease in ßHCG values between the baseline and 4th days in the successful group and a 12.94% increase in the failed group (p < 0.001). On days baseline, 4 and 7; receiver operating characteristic curve analysis's value was 504.5, 429, 279 for cut off; 58%, 73%, 81% for sensitivity and 51%, 52%, 55% for specificity, respectively. Conclusion A decrease in the ßHCG value and/or a cut‐off decrease of 59.9% on the baseline, 4th day and 81.6% between the baseline and 7th days, can predict the successful treatment of tubal EP with SD MTX. |
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| format | Article |
| id | doaj.art-411798e3b92f462ba34873b61f0a6fdc |
| institution | Directory Open Access Journal |
| issn | 2398-8835 |
| language | English |
| last_indexed | 2024-03-11T21:30:39Z |
| publishDate | 2023-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj.art-411798e3b92f462ba34873b61f0a6fdc2023-09-27T09:16:35ZengWileyHealth Science Reports2398-88352023-09-0169n/an/a10.1002/hsr2.1442Predictive value of serum βHCG level in ectopic pregnancy: A cross sectional studyMandana Mansour Ghanaie0Sanaz Hoshyarmanesh1Seyedeh Maryam Asgari2Seyed Mohammad Asgari Galebin3Fereshteh Fakor4Department of Obstetrics & Gynecology, Reproductive Health Research Center, Alzahra Hospital, School of Medicine Guilan University of Medical Sciences Rasht IranDepartment of Obstetrics & Gynecology, Reproductive Health Research Center, Alzahra Hospital, School of Medicine Guilan University of Medical Sciences Rasht IranGuilan University of Medical Sciences Rasht IranGuilan University of Medical Sciences Rasht IranDepartment of Obstetrics & Gynecology, Reproductive Health Research Center, Alzahra Hospital, School of Medicine Guilan University of Medical Sciences Rasht IranAbstract Background and Aims Ectopic pregnancy (EP) is a potentially life‐threatening emergency. We investigate the predictive value of serum βHCG level and it's changes from the baseline to the 4th and 7th days after single dose (SD) methotrexate (MTX) treatment in successful treatment of tubal EP. It is important for early diagnosis of EP. Methods In this cross‐sectional study, 690 women with tubal EP and under treatment with SD MTX were evaluated. Successful and failed groups were analyzed on the baseline, 4th and 7th days of MTX treatment. Data were analyzed using SPSS22 software. All p values of less than 0/05 were considered satistically significant. Results SD MTX treatment was successful in 584 (84.7%) patients. The mean baseline ßHCG value was 882.35 ± 430.76 in the successful group and 1083.99 ± 1080.25 in the failed group. There was a 19.53% decrease in ßHCG values between the baseline and 4th days in the successful group and a 12.94% increase in the failed group (p < 0.001). On days baseline, 4 and 7; receiver operating characteristic curve analysis's value was 504.5, 429, 279 for cut off; 58%, 73%, 81% for sensitivity and 51%, 52%, 55% for specificity, respectively. Conclusion A decrease in the ßHCG value and/or a cut‐off decrease of 59.9% on the baseline, 4th day and 81.6% between the baseline and 7th days, can predict the successful treatment of tubal EP with SD MTX.https://doi.org/10.1002/hsr2.1442ectopic pregnancyhuman chorionic gonadotropin (ΒHCG)methotrexatetreatmenttubal pregnancy |
| spellingShingle | Mandana Mansour Ghanaie Sanaz Hoshyarmanesh Seyedeh Maryam Asgari Seyed Mohammad Asgari Galebin Fereshteh Fakor Predictive value of serum βHCG level in ectopic pregnancy: A cross sectional study Health Science Reports ectopic pregnancy human chorionic gonadotropin (ΒHCG) methotrexate treatment tubal pregnancy |
| title | Predictive value of serum βHCG level in ectopic pregnancy: A cross sectional study |
| title_full | Predictive value of serum βHCG level in ectopic pregnancy: A cross sectional study |
| title_fullStr | Predictive value of serum βHCG level in ectopic pregnancy: A cross sectional study |
| title_full_unstemmed | Predictive value of serum βHCG level in ectopic pregnancy: A cross sectional study |
| title_short | Predictive value of serum βHCG level in ectopic pregnancy: A cross sectional study |
| title_sort | predictive value of serum βhcg level in ectopic pregnancy a cross sectional study |
| topic | ectopic pregnancy human chorionic gonadotropin (ΒHCG) methotrexate treatment tubal pregnancy |
| url | https://doi.org/10.1002/hsr2.1442 |
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