Fetoscopic myelomeningocoele closure: Is the scientific evidence enough to challenge the gold standard for prenatal surgery?

E. Joanne Verweij; Martine C. de Vries; Esther J. Oldekamp; Alex J. Eggink; Dick Oepkes; Femke Slaghekke; Jochem K.H. Spoor; Jan A. Deprest; Jena L. Miller; Ahmet A. Baschat; Philip L.J. DeKoninck

doi:10.1002/pd.5940

Fetoscopic myelomeningocoele closure: Is the scientific evidence enough to challenge the gold standard for prenatal surgery?

E. Joanne Verweij, Martine C. de Vries, Esther J. Oldekamp, Alex J. Eggink, Dick Oepkes, Femke Slaghekke, Jochem K.H. Spoor, Jan A. Deprest, Jena L. Miller, Ahmet A. Baschat, Philip L.J. DeKoninck^*

^*Corresponding author for this work

Research output: Contribution to journal › Review article › Academic › peer-review

15 Citations (Scopus)

Abstract

Since the completion of the Management of Myelomeningocoele Study, maternal-fetal surgery for spina bifida has become a valid option for expecting parents. More recently, multiple groups are exploring a minimally invasive approach and recent outcomes have addressed many of the initial concerns with this approach. Based on a previously published framework, we attempt to delineate the developmental stage of the surgical techniques. Furthermore, we discuss the barriers of performing randomized controlled trials comparing two surgical interventions and suggest that data collection through registries is an alternative method to gather high-grade evidence.

Original language	English
Pages (from-to)	949-956
Number of pages	8
Journal	Prenatal Diagnosis
Volume	41
Issue number	8
DOIs	https://doi.org/10.1002/pd.5940
Publication status	Published - 1 Jul 2021

Bibliographical note

Funding Information:
We would like to thank Dr Wybo Dondorp for his comments on the?adjustments of the framework previously published. 48

Publisher Copyright:
© 2021 The Authors. Prenatal Diagnosis published by John Wiley & Sons Ltd.

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Verweij, E. J., de Vries, M. C., Oldekamp, E. J., Eggink, A. J., Oepkes, D., Slaghekke, F., Spoor, J. K. H., Deprest, J. A., Miller, J. L., Baschat, A. A., & DeKoninck, P. L. J. (2021). Fetoscopic myelomeningocoele closure: Is the scientific evidence enough to challenge the gold standard for prenatal surgery? Prenatal Diagnosis, 41(8), 949-956. https://doi.org/10.1002/pd.5940

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title = "Fetoscopic myelomeningocoele closure: Is the scientific evidence enough to challenge the gold standard for prenatal surgery?",

abstract = "Since the completion of the Management of Myelomeningocoele Study, maternal-fetal surgery for spina bifida has become a valid option for expecting parents. More recently, multiple groups are exploring a minimally invasive approach and recent outcomes have addressed many of the initial concerns with this approach. Based on a previously published framework, we attempt to delineate the developmental stage of the surgical techniques. Furthermore, we discuss the barriers of performing randomized controlled trials comparing two surgical interventions and suggest that data collection through registries is an alternative method to gather high-grade evidence.",

author = "Verweij, {E. Joanne} and {de Vries}, {Martine C.} and Oldekamp, {Esther J.} and Eggink, {Alex J.} and Dick Oepkes and Femke Slaghekke and Spoor, {Jochem K.H.} and Deprest, {Jan A.} and Miller, {Jena L.} and Baschat, {Ahmet A.} and DeKoninck, {Philip L.J.}",

note = "Funding Information: We would like to thank Dr Wybo Dondorp for his comments on the?adjustments of the framework previously published. 48 Publisher Copyright: {\textcopyright} 2021 The Authors. Prenatal Diagnosis published by John Wiley & Sons Ltd.",

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T2 - Is the scientific evidence enough to challenge the gold standard for prenatal surgery?

AU - Verweij, E. Joanne

AU - de Vries, Martine C.

AU - Oldekamp, Esther J.

AU - Eggink, Alex J.

AU - Oepkes, Dick

AU - Slaghekke, Femke

AU - Spoor, Jochem K.H.

AU - Deprest, Jan A.

AU - Miller, Jena L.

AU - Baschat, Ahmet A.

AU - DeKoninck, Philip L.J.

N1 - Funding Information: We would like to thank Dr Wybo Dondorp for his comments on the?adjustments of the framework previously published. 48 Publisher Copyright: © 2021 The Authors. Prenatal Diagnosis published by John Wiley & Sons Ltd.

PY - 2021/7/1

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N2 - Since the completion of the Management of Myelomeningocoele Study, maternal-fetal surgery for spina bifida has become a valid option for expecting parents. More recently, multiple groups are exploring a minimally invasive approach and recent outcomes have addressed many of the initial concerns with this approach. Based on a previously published framework, we attempt to delineate the developmental stage of the surgical techniques. Furthermore, we discuss the barriers of performing randomized controlled trials comparing two surgical interventions and suggest that data collection through registries is an alternative method to gather high-grade evidence.

AB - Since the completion of the Management of Myelomeningocoele Study, maternal-fetal surgery for spina bifida has become a valid option for expecting parents. More recently, multiple groups are exploring a minimally invasive approach and recent outcomes have addressed many of the initial concerns with this approach. Based on a previously published framework, we attempt to delineate the developmental stage of the surgical techniques. Furthermore, we discuss the barriers of performing randomized controlled trials comparing two surgical interventions and suggest that data collection through registries is an alternative method to gather high-grade evidence.

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JO - Prenatal Diagnosis

JF - Prenatal Diagnosis

IS - 8

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Fetoscopic myelomeningocoele closure: Is the scientific evidence enough to challenge the gold standard for prenatal surgery?

Abstract

Bibliographical note

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