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The prediction of surgical intervention in patients with tubo-ovarian abscess.
J Obstet Gynaecol. 2021 Feb 25 [Online ahead of print]JO

Abstract

The aim of this study was to compare the clinical characteristics of patients with tubo-ovarian abscess (TOA) who responded to medical treatment and those who underwent surgical intervention due to medical treatment failure. Electronic medical records were evaluated retrospectively to identify patients who were diagnosed with TOA. Demographic, clinical, and laboratory data including white blood cell (WBC) count, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) were compared between the medical treatment group and the surgical intervention group. Patient age, TOA diameter, WBC count, CRP, and ESR were significantly different between the groups. On multiple regression analysis, significant correlations were identified between age (p = .001), ESR (p = .045), and failure of medical treatment. TOA diameter (p = .065) showed a borderline association with surgical intervention. The risk of needing surgical intervention in TOA patients can be predicted using ESR in addition to age and TOA size as risk factors.IMPACT STATEMENTWhat is already known on this subject? For patients diagnosed with a tubo-ovarian abscess (TOA), the size of TOA and the patient's age are helpful for early identification of patients who are likely to need surgical treatment. Inflammatory markers such as C-reactive protein and white blood cell are also associated with the risk of surgical intervention.What do the results of this study add? Erythrocyte sedimentation rate (ESR) in addition to the size of TOA and the patient's age is a useful marker in determining whether to undergo surgery in patients with TOA.What are the implications of these findings for clinical practice and/or further research? ESR combined with the patient's age and the size of TOA is clinically useful in predicting the need for early surgical intervention in patients with TOA. Large prospective controlled studies are required to establish relationship between inflammatory markers and the risk of surgical intervention.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, South Korea.Department of Obstetrics and Gynecology, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, South Korea.Department of Obstetrics and Gynecology, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, South Korea.Department of Obstetrics and Gynecology, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, South Korea.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33629630

Citation

Hwang, Jong Ha, et al. "The Prediction of Surgical Intervention in Patients With Tubo-ovarian Abscess." Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology, 2021, pp. 1-10.
Hwang JH, Kim BW, Kim SR, et al. The prediction of surgical intervention in patients with tubo-ovarian abscess. J Obstet Gynaecol. 2021.
Hwang, J. H., Kim, B. W., Kim, S. R., & Kim, J. H. (2021). The prediction of surgical intervention in patients with tubo-ovarian abscess. Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology, 1-10. https://doi.org/10.1080/01443615.2020.1867965
Hwang JH, et al. The Prediction of Surgical Intervention in Patients With Tubo-ovarian Abscess. J Obstet Gynaecol. 2021 Feb 25;1-10. PubMed PMID: 33629630.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The prediction of surgical intervention in patients with tubo-ovarian abscess. AU - Hwang,Jong Ha, AU - Kim,Bo Wook, AU - Kim,Soo Rim, AU - Kim,Jang Heub, Y1 - 2021/02/25/ PY - 2021/2/25/entrez PY - 2021/2/26/pubmed PY - 2021/2/26/medline KW - C-reactive protein KW - erythrocyte sedimentation rate KW - surgical intervention KW - tubo-ovarian abscess KW - white blood cell SP - 1 EP - 10 JF - Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology JO - J Obstet Gynaecol N2 - The aim of this study was to compare the clinical characteristics of patients with tubo-ovarian abscess (TOA) who responded to medical treatment and those who underwent surgical intervention due to medical treatment failure. Electronic medical records were evaluated retrospectively to identify patients who were diagnosed with TOA. Demographic, clinical, and laboratory data including white blood cell (WBC) count, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) were compared between the medical treatment group and the surgical intervention group. Patient age, TOA diameter, WBC count, CRP, and ESR were significantly different between the groups. On multiple regression analysis, significant correlations were identified between age (p = .001), ESR (p = .045), and failure of medical treatment. TOA diameter (p = .065) showed a borderline association with surgical intervention. The risk of needing surgical intervention in TOA patients can be predicted using ESR in addition to age and TOA size as risk factors.IMPACT STATEMENTWhat is already known on this subject? For patients diagnosed with a tubo-ovarian abscess (TOA), the size of TOA and the patient's age are helpful for early identification of patients who are likely to need surgical treatment. Inflammatory markers such as C-reactive protein and white blood cell are also associated with the risk of surgical intervention.What do the results of this study add? Erythrocyte sedimentation rate (ESR) in addition to the size of TOA and the patient's age is a useful marker in determining whether to undergo surgery in patients with TOA.What are the implications of these findings for clinical practice and/or further research? ESR combined with the patient's age and the size of TOA is clinically useful in predicting the need for early surgical intervention in patients with TOA. Large prospective controlled studies are required to establish relationship between inflammatory markers and the risk of surgical intervention. SN - 1364-6893 UR - https://www.unboundmedicine.com/medline/citation/33629630/The_prediction_of_surgical_intervention_in_patients_with_tubo-ovarian_abscess. L2 - https://www.tandfonline.com/doi/full/10.1080/01443615.2020.1867965 DB - PRIME DP - Unbound Medicine ER -
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