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Fallopian tube anatomy predicts pregnancy and pregnancy outcomes after tubal reversal surgery
de Souza, Rafael S.1; Berger, Gary S.2
2021-07-07
Source PublicationSTATISTICAL METHODS IN MEDICAL RESEARCH
ISSN0962-2802
Pages11
AbstractWe conducted this study to determine whether fallopian tube anatomy can predict the likelihood of pregnancy and pregnancy outcomes after tubal sterilization reversal. We built a flexible, non-parametric, multivariate model via generalized additive models to assess the effects of the following tubal parameters observed during tubal reparative surgery: tubal lengths; differences in tubal segment location and diameters at the anastomosis sites; and fibrosis of the tubal muscularis. In this study, population, age, and tubal length-in that order-were the primary factors predicting the likelihood of pregnancy. For pregnancy outcomes, tubal length was the most influential predictor of birth and ectopic pregnancy, while age was the primary predictor of miscarriage. Segment location and diameters contributed slightly to the odds of miscarriage and ectopic pregnancy. Tubal muscularis fibrosis had little apparent effect. This study is the first to show that a statistical learning predictive model based on fallopian tube anatomy can predict pregnancy and pregnancy outcome probabilities after tubal reversal surgery.
KeywordPregnancy methods sterilization
DOI10.1177/09622802211023543
WOS KeywordGENERALIZED LINEAR-MODELS ; ASTRONOMY ; REGRESSION ; PACKAGE
Language英语
WOS Research AreaHealth Care Sciences & Services ; Mathematical & Computational Biology ; Medical Informatics ; Mathematics
WOS SubjectHealth Care Sciences & Services ; Mathematical & Computational Biology ; Medical Informatics ; Statistics & Probability
WOS IDWOS:000680124800001
PublisherSAGE PUBLICATIONS LTD
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Document Type期刊论文
Identifierhttp://ir.bao.ac.cn/handle/114a11/76133
Collection中国科学院国家天文台
Corresponding Authorde Souza, Rafael S.
Affiliation1.Chinese Acad Sci, Shanghai Astron Observ, Key Lab Res Galaxies & Cosmol, Shanghai, Peoples R China
2.Univ N Carolina, Dept Obstet & Gynaecol, Chapel Hill, NC 27515 USA
Recommended Citation
GB/T 7714
de Souza, Rafael S.,Berger, Gary S.. Fallopian tube anatomy predicts pregnancy and pregnancy outcomes after tubal reversal surgery[J]. STATISTICAL METHODS IN MEDICAL RESEARCH,2021:11.
APA de Souza, Rafael S.,&Berger, Gary S..(2021).Fallopian tube anatomy predicts pregnancy and pregnancy outcomes after tubal reversal surgery.STATISTICAL METHODS IN MEDICAL RESEARCH,11.
MLA de Souza, Rafael S.,et al."Fallopian tube anatomy predicts pregnancy and pregnancy outcomes after tubal reversal surgery".STATISTICAL METHODS IN MEDICAL RESEARCH (2021):11.
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