caa a22 4500 445310278 CHVBK 20180317142627.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1007/s00404-011-1892-z doi (NATIONALLICENCE)springer-10.1007/s00404-011-1892-z Additional effects of the cervical length measurement in women with preterm contractions: a systematic review [Elektronische Daten] [Jolande Vis, Rosanna Kuin, William Grobman, Ben Mol, Patrick Bossuyt, Brent Opmeer] Purpose: Transvaginal cervical length measurement in women with symptoms of preterm labor has been used to decide if treatment is necessary. Cervical length measurement may also have additional effects on patients, such as providing reassurance, although the evidence to support this is unclear. We explored and summarized to what extent additional effects of cervical length measurement in women with threatened preterm labor have been reported in the clinical literature and what the magnitude of these effects was. Methods: We performed a systematic review of the literature to identify articles reporting on cervical length measurements in women with symptoms of preterm labor. We assessed whether these articles reported patient outcomes other than preterm delivery. Results: The electronic and hand search resulted in 764 articles, of which 172 met initial criteria for further eligibility assessment. We found 12 articles that reported additional effects of cervical length measurement in symptomatic women, such as the reassurance or the sensory consequences related to the transvaginal procedure. None of the articles quantified such additional effects. Conclusions: There appears to be a gap between the presumed effects of cervical length measurement on patient outcomes, such as patients' reassurance, and the actual assessment of these effects during test evaluations. We suggest that future evaluations of prognostic preterm labor tests include a comprehensive assessment of patient outcomes. The Author(s), 2011 Cervical length nationallicence Preterm labor nationallicence Diagnostic test nationallicence Methodology nationallicence Reassurance nationallicence Patient perspective nationallicence Vis Jolande Department of Obstetrics and Gynecology, Academic Medical Center, Amsterdam, The Netherlands aut Kuin Rosanna Department of Obstetrics and Gynecology, Academic Medical Center, Amsterdam, The Netherlands aut Grobman William Department of Obstetrics and Gynecology, Northwestern University, Chicago, USA aut Mol Ben Department of Obstetrics and Gynecology, Academic Medical Center, Amsterdam, The Netherlands aut Bossuyt Patrick Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Center, Amsterdam, The Netherlands aut Opmeer Brent Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Center, Amsterdam, The Netherlands aut Archives of Gynecology and Obstetrics Springer-Verlag 284/3(2011-09-01), 521-526 0932-0067 284:3<521 2011 284 404 https://doi.org/10.1007/s00404-011-1892-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-011-1892-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Vis Jolande Department of Obstetrics and Gynecology, Academic Medical Center, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Kuin Rosanna Department of Obstetrics and Gynecology, Academic Medical Center, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Grobman William Department of Obstetrics and Gynecology, Northwestern University, Chicago, USA aut NATIONALLICENCE 700 1- Mol Ben Department of Obstetrics and Gynecology, Academic Medical Center, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Bossuyt Patrick Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Center, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Opmeer Brent Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Center, Amsterdam, The Netherlands aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/3(2011-09-01), 521-526 0932-0067 284:3<521 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer