Imperial College London
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DrMariaParaskevaidi

Faculty of Medicine, Department of Metabolism, Digestion and Reproduction

Research Fellow
 
 
 
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Contact

 

m.paraskevaidi

 
 
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Location

 

Institute of Reproductive and Developmental BiologyHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Athanasiou:2019:10.1136/bmjopen-2018-028009,
author = {Athanasiou, A and Veroniki, AA and Efthimiou, O and Kalliala, I and Naci, H and Bowden, S and Paraskevaidi, M and Martin-Hirsch, P and Bennett, P and Paraskevaidis, E and Salanti, G and Kyrgiou, M},
doi = {10.1136/bmjopen-2018-028009},
journal = {BMJ Open},
title = {Comparative fertility and pregnancy outcomes after local treatment for cervical intra-epithelial neoplasia and stage 1a1 cervical cancer: protocol for a systematic review and network meta-analysis from the CIRCLE Group},
url = {http://dx.doi.org/10.1136/bmjopen-2018-028009},
volume = {9},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Introduction: There are several local treatment methods for cervical intra-epithelial neoplasia that remove or ablate a cone-shaped part of the uterine cervix. There is evidence to suggest that these increase the risk of preterm birth and that this is higher for techniques that remove larger parts of the cervix, although the data is conflicting. We present a protocol for a systematic review and network meta-analysis that will update the evidence and compare all treatments in terms of fertility and pregnancy complications. Methods and Analysis: We will search electronic databases (CENTRAL, MEDLINE, EMBASE) from inception till October 2019, in order to identify randomised controlled trials (RCTs) and cohort studies comparing the fertility and pregnancy outcomes amongst different excisional and ablative treatment techniques and/or to untreated controls. The primary outcome will be preterm birth (PTB; <37weeks). Secondary outcomes will include severe or extreme PTB, prelabour rupture of membranes, low birth weight (<2500gr), neonatal intensive care unit admission, perinatal mortality, total pregnancy rates, 1st and 2nd trimester miscarriage. We will search for published and unpublished studies in electronic databases, trial registries and we will hand-search references of published papers. We will assess the risk of bias in RCTs and cohort studies using tools developed by the Cochrane Collaboration. Two investigators will independently assess the eligibility, abstract the data and assess the risk of bias of the identified studies. For each outcome, we will perform a meta-analysis for each treatment comparison and a network meta-analysis once the transitivity assumption holds, using the odds ratio for dichotomous data. We will use CINEMA to assess the quality of the evidence for the primary outcome.Ethics and dissemination: Ethical approval is not required. Results will be disseminated to academic beneficiaries, medical practitioners, patients and the public.PROSPE
AU  - Athanasiou,A
AU  - Veroniki,AA
AU  - Efthimiou,O
AU  - Kalliala,I
AU  - Naci,H
AU  - Bowden,S
AU  - Paraskevaidi,M
AU  - Martin-Hirsch,P
AU  - Bennett,P
AU  - Paraskevaidis,E
AU  - Salanti,G
AU  - Kyrgiou,M
DO  - 10.1136/bmjopen-2018-028009
PY  - 2019///
SN  - 2044-6055
TI  - Comparative fertility and pregnancy outcomes after local treatment for cervical intra-epithelial neoplasia and stage 1a1 cervical cancer: protocol for a systematic review and network meta-analysis from the CIRCLE Group
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2018-028009
UR  - http://hdl.handle.net/10044/1/73390
VL  - 9
ER  -
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