Cervical assessment certification and its impact on performance quality in the context of universal cervical screening
Objective To assess the impact of the introduction of universal transvaginal cervical screening and certification on the quality of cervical length ultrasound images. Methods The present study included a retrospective cohort of singleton pregnancies that underwent transvaginal cervical length measur...
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| Veröffentlicht in: | International journal of gynecology and obstetrics 2024-03, Vol.164 (3), p.951-958 |
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| container_title | International journal of gynecology and obstetrics |
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| creator | Stratulat, Vasilica Melamed, Nir Barrett, Jon Ladhani, Noor N. N. Anabusi, Saja Quaglietta, Paula Hack, Kalesha Ronzoni, Stefania |
| description | Objective
To assess the impact of the introduction of universal transvaginal cervical screening and certification on the quality of cervical length ultrasound images.
Methods
The present study included a retrospective cohort of singleton pregnancies that underwent transvaginal cervical length measurement at the anatomical scan (180/7 and 236/7 weeks) before (period A, 2015–2017) and after (period B, 2017–2019) the introduction of universal transvaginal cervical length screening. Independent observers blindly evaluated the images obtained for cervical length using a qualitative scoring method based on five criteria, according to the Fetal Medicine Foundation.
Results
In all, 6013 patients met the inclusion criteria, 3333 in period A and 2680 in period B. Maternal characteristics and risk factors for preterm birth were similar between the two periods. The acceptance of transvaginal cervical length measurement in period B was 95.5% in the overall cohort and 100% in the subgroup of high‐risk patients. The quality score was significantly higher in period B than in period A. Among the image quality criteria, the anterior/posterior ratio, the correct magnification of the images, and the calipers' placement contributed significantly to the improved quality score in period B. Most of the sonographers performed better in period B, irrespective of the years of experience, but certificate holders obtained higher scores than non‐certified sonographers, particularly those in mid‐career. The identification of short cervix was significantly higher in period B than in period A.
Conclusion
The implementation of universal transvaginal cervical length screening and the certification process are associated with improved quality of cervical length images, even among expert sonographers and in the presence of anatomical pitfalls.
Synopsis
The impact of the introduction of universal transvaginal cervical screening and certification on the quality of cervical length ultrasound images in both low‐ and high‐risk populations. |
| doi_str_mv | 10.1002/ijgo.15078 |
| format | Article |
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To assess the impact of the introduction of universal transvaginal cervical screening and certification on the quality of cervical length ultrasound images.
Methods
The present study included a retrospective cohort of singleton pregnancies that underwent transvaginal cervical length measurement at the anatomical scan (180/7 and 236/7 weeks) before (period A, 2015–2017) and after (period B, 2017–2019) the introduction of universal transvaginal cervical length screening. Independent observers blindly evaluated the images obtained for cervical length using a qualitative scoring method based on five criteria, according to the Fetal Medicine Foundation.
Results
In all, 6013 patients met the inclusion criteria, 3333 in period A and 2680 in period B. Maternal characteristics and risk factors for preterm birth were similar between the two periods. The acceptance of transvaginal cervical length measurement in period B was 95.5% in the overall cohort and 100% in the subgroup of high‐risk patients. The quality score was significantly higher in period B than in period A. Among the image quality criteria, the anterior/posterior ratio, the correct magnification of the images, and the calipers' placement contributed significantly to the improved quality score in period B. Most of the sonographers performed better in period B, irrespective of the years of experience, but certificate holders obtained higher scores than non‐certified sonographers, particularly those in mid‐career. The identification of short cervix was significantly higher in period B than in period A.
Conclusion
The implementation of universal transvaginal cervical length screening and the certification process are associated with improved quality of cervical length images, even among expert sonographers and in the presence of anatomical pitfalls.
Synopsis
The impact of the introduction of universal transvaginal cervical screening and certification on the quality of cervical length ultrasound images in both low‐ and high‐risk populations.</description><identifier>ISSN: 0020-7292</identifier><identifier>EISSN: 1879-3479</identifier><identifier>DOI: 10.1002/ijgo.15078</identifier><identifier>PMID: 37675927</identifier><language>eng</language><publisher>United States</publisher><subject>certification ; preterm birth ; quality improvement ; short cervix ; transvaginal cervical length ; universal screening</subject><ispartof>International journal of gynecology and obstetrics, 2024-03, Vol.164 (3), p.951-958</ispartof><rights>2023 International Federation of Gynecology and Obstetrics.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3298-9ea9c98d8e23ff176e36e7a76b32708c2ee942ac51241df2dba2d389711944203</citedby><cites>FETCH-LOGICAL-c3298-9ea9c98d8e23ff176e36e7a76b32708c2ee942ac51241df2dba2d389711944203</cites><orcidid>0000-0002-0334-2861 ; 0000-0001-6290-5524 ; 0000-0002-2704-1385 ; 0000-0003-4373-1009</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fijgo.15078$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fijgo.15078$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37675927$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stratulat, Vasilica</creatorcontrib><creatorcontrib>Melamed, Nir</creatorcontrib><creatorcontrib>Barrett, Jon</creatorcontrib><creatorcontrib>Ladhani, Noor N. N.</creatorcontrib><creatorcontrib>Anabusi, Saja</creatorcontrib><creatorcontrib>Quaglietta, Paula</creatorcontrib><creatorcontrib>Hack, Kalesha</creatorcontrib><creatorcontrib>Ronzoni, Stefania</creatorcontrib><title>Cervical assessment certification and its impact on performance quality in the context of universal cervical screening</title><title>International journal of gynecology and obstetrics</title><addtitle>Int J Gynaecol Obstet</addtitle><description>Objective
To assess the impact of the introduction of universal transvaginal cervical screening and certification on the quality of cervical length ultrasound images.
Methods
The present study included a retrospective cohort of singleton pregnancies that underwent transvaginal cervical length measurement at the anatomical scan (180/7 and 236/7 weeks) before (period A, 2015–2017) and after (period B, 2017–2019) the introduction of universal transvaginal cervical length screening. Independent observers blindly evaluated the images obtained for cervical length using a qualitative scoring method based on five criteria, according to the Fetal Medicine Foundation.
Results
In all, 6013 patients met the inclusion criteria, 3333 in period A and 2680 in period B. Maternal characteristics and risk factors for preterm birth were similar between the two periods. The acceptance of transvaginal cervical length measurement in period B was 95.5% in the overall cohort and 100% in the subgroup of high‐risk patients. The quality score was significantly higher in period B than in period A. Among the image quality criteria, the anterior/posterior ratio, the correct magnification of the images, and the calipers' placement contributed significantly to the improved quality score in period B. Most of the sonographers performed better in period B, irrespective of the years of experience, but certificate holders obtained higher scores than non‐certified sonographers, particularly those in mid‐career. The identification of short cervix was significantly higher in period B than in period A.
Conclusion
The implementation of universal transvaginal cervical length screening and the certification process are associated with improved quality of cervical length images, even among expert sonographers and in the presence of anatomical pitfalls.
Synopsis
The impact of the introduction of universal transvaginal cervical screening and certification on the quality of cervical length ultrasound images in both low‐ and high‐risk populations.</description><subject>certification</subject><subject>preterm birth</subject><subject>quality improvement</subject><subject>short cervix</subject><subject>transvaginal cervical length</subject><subject>universal screening</subject><issn>0020-7292</issn><issn>1879-3479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kMtOwzAQRS0EglLY8AHIS4QU8CON7SWqoIAqdQPryHUmYJQ4wXYK_XsMKSxZjXTn6IzmInRGyRUlhF3bt5fuis6IkHtoQqVQGc-F2keTtCSZYIodoeMQ3gghVFB6iI64KMRMMTFBmzn4jTW6wToECKEFF7EBH22d0mg7h7WrsI0B27bXJuKU9ODrzrfaGcDvg25s3GLrcHwFbDoX4TNRNR6c3YAPSW1-bwTjAZx1LyfooNZNgNPdnKLnu9un-X22XC0e5jfLzHCmZKZAK6NkJYHxuqaiAF6A0KJYcyaINAxA5UybGWU5rWpWrTWruFTpS5XnjPApuhi9ve_eBwixbG0w0DTaQTeEksmCUSUZLxJ6OaLGdyF4qMve21b7bUlJ-d1z-d1z-dNzgs933mHdQvWH_habADoCH7aB7T-q8uFxsRqlX5mLimc</recordid><startdate>202403</startdate><enddate>202403</enddate><creator>Stratulat, Vasilica</creator><creator>Melamed, Nir</creator><creator>Barrett, Jon</creator><creator>Ladhani, Noor N. N.</creator><creator>Anabusi, Saja</creator><creator>Quaglietta, Paula</creator><creator>Hack, Kalesha</creator><creator>Ronzoni, Stefania</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0334-2861</orcidid><orcidid>https://orcid.org/0000-0001-6290-5524</orcidid><orcidid>https://orcid.org/0000-0002-2704-1385</orcidid><orcidid>https://orcid.org/0000-0003-4373-1009</orcidid></search><sort><creationdate>202403</creationdate><title>Cervical assessment certification and its impact on performance quality in the context of universal cervical screening</title><author>Stratulat, Vasilica ; Melamed, Nir ; Barrett, Jon ; Ladhani, Noor N. N. ; Anabusi, Saja ; Quaglietta, Paula ; Hack, Kalesha ; Ronzoni, Stefania</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3298-9ea9c98d8e23ff176e36e7a76b32708c2ee942ac51241df2dba2d389711944203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>certification</topic><topic>preterm birth</topic><topic>quality improvement</topic><topic>short cervix</topic><topic>transvaginal cervical length</topic><topic>universal screening</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stratulat, Vasilica</creatorcontrib><creatorcontrib>Melamed, Nir</creatorcontrib><creatorcontrib>Barrett, Jon</creatorcontrib><creatorcontrib>Ladhani, Noor N. N.</creatorcontrib><creatorcontrib>Anabusi, Saja</creatorcontrib><creatorcontrib>Quaglietta, Paula</creatorcontrib><creatorcontrib>Hack, Kalesha</creatorcontrib><creatorcontrib>Ronzoni, Stefania</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stratulat, Vasilica</au><au>Melamed, Nir</au><au>Barrett, Jon</au><au>Ladhani, Noor N. N.</au><au>Anabusi, Saja</au><au>Quaglietta, Paula</au><au>Hack, Kalesha</au><au>Ronzoni, Stefania</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cervical assessment certification and its impact on performance quality in the context of universal cervical screening</atitle><jtitle>International journal of gynecology and obstetrics</jtitle><addtitle>Int J Gynaecol Obstet</addtitle><date>2024-03</date><risdate>2024</risdate><volume>164</volume><issue>3</issue><spage>951</spage><epage>958</epage><pages>951-958</pages><issn>0020-7292</issn><eissn>1879-3479</eissn><abstract>Objective
To assess the impact of the introduction of universal transvaginal cervical screening and certification on the quality of cervical length ultrasound images.
Methods
The present study included a retrospective cohort of singleton pregnancies that underwent transvaginal cervical length measurement at the anatomical scan (180/7 and 236/7 weeks) before (period A, 2015–2017) and after (period B, 2017–2019) the introduction of universal transvaginal cervical length screening. Independent observers blindly evaluated the images obtained for cervical length using a qualitative scoring method based on five criteria, according to the Fetal Medicine Foundation.
Results
In all, 6013 patients met the inclusion criteria, 3333 in period A and 2680 in period B. Maternal characteristics and risk factors for preterm birth were similar between the two periods. The acceptance of transvaginal cervical length measurement in period B was 95.5% in the overall cohort and 100% in the subgroup of high‐risk patients. The quality score was significantly higher in period B than in period A. Among the image quality criteria, the anterior/posterior ratio, the correct magnification of the images, and the calipers' placement contributed significantly to the improved quality score in period B. Most of the sonographers performed better in period B, irrespective of the years of experience, but certificate holders obtained higher scores than non‐certified sonographers, particularly those in mid‐career. The identification of short cervix was significantly higher in period B than in period A.
Conclusion
The implementation of universal transvaginal cervical length screening and the certification process are associated with improved quality of cervical length images, even among expert sonographers and in the presence of anatomical pitfalls.
Synopsis
The impact of the introduction of universal transvaginal cervical screening and certification on the quality of cervical length ultrasound images in both low‐ and high‐risk populations.</abstract><cop>United States</cop><pmid>37675927</pmid><doi>10.1002/ijgo.15078</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-0334-2861</orcidid><orcidid>https://orcid.org/0000-0001-6290-5524</orcidid><orcidid>https://orcid.org/0000-0002-2704-1385</orcidid><orcidid>https://orcid.org/0000-0003-4373-1009</orcidid></addata></record> |
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| language | eng |
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| source | Wiley Journals |
| subjects | certification preterm birth quality improvement short cervix transvaginal cervical length universal screening |
| title | Cervical assessment certification and its impact on performance quality in the context of universal cervical screening |
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