{"created":"2021-03-01T06:37:31.883002+00:00","id":29348,"links":{},"metadata":{"_buckets":{"deposit":"41fb36fd-6348-4c6e-aa99-73f4a8539e7d"},"_deposit":{"id":"29348","owners":[],"pid":{"revision_id":0,"type":"depid","value":"29348"},"status":"published"},"_oai":{"id":"oai:nagoya.repo.nii.ac.jp:00029348","sets":["499:508:509:2478"]},"item_9_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-02","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"23","bibliographicPageStart":"15","bibliographicVolumeNumber":"82","bibliographic_titles":[{"bibliographic_title":"Nagoya Journal of Medical Science"}]}]},"item_9_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Local injection of methotrexate (MTX) has been widely used for caesarean scar pregnancy (CSP),but the optimal candidate remains undetermined. The aim of this study is to determine the risk factors associated with treatment failure among patients who received a single dose of local MTX. This is a retrospective cohort study. Clinical information was compared between treatment success vs. failure groups. Risk factors related to treatment failure were also investigated with multivariate analysis. Of 47 patients diagnosed with CSP, 30 received local MTX injection. The initial serum ß- human chorionic gonadotropin (hCG) level in the failure group was significantly higher than in the success group (p = 0.048), and the cut-off value was 47,000 mIU/ml. The rate of type 2 position of the gestational sac in the failure group was significantly higher than in the treatment success group (p = 0.031). A high initial serum ß-hCG level (≥ 47,000 mIU/ml) was identified as the independent risk factor for treatment failure (adjusted odds ratio = 21.9; 95% confidence interval = 1.3–383.1). Type 2 gestational sac position and a higher level of ß-hCG at diagnosis appear to be associated with poor outcomes after local injection of a single dose of MTX.","subitem_description_type":"Abstract"}]},"item_9_description_5":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"This work was supported by JSPS KAKENHI (Grant Number: 15H02660).","subitem_description_type":"Other"}]},"item_9_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.18999/nagjms.82.1.15","subitem_identifier_reg_type":"JaLC"}]},"item_9_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Nagoya University Graduate School of Medicine, School of Medicine"}]},"item_9_relation_43":{"attribute_name":"異版である","attribute_value_mlt":[{"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/821.html ","subitem_relation_type_select":"URI"}}]},"item_9_select_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_select_item":"publisher"}]},"item_9_source_id_61":{"attribute_name":"ISSN（Online）","attribute_value_mlt":[{"subitem_source_identifier":"2186-3326","subitem_source_identifier_type":"ISSN"}]},"item_9_source_id_7":{"attribute_name":"ISSN（print）","attribute_value_mlt":[{"subitem_source_identifier":"0027-7622","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Le, Minh Tam"}],"nameIdentifiers":[{"nameIdentifier":"96266","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kotani, Tomomi"}],"nameIdentifiers":[{"nameIdentifier":"96267","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Tran, Manh Linh"}],"nameIdentifiers":[{"nameIdentifier":"96268","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Phan, Thi Minh Thu"}],"nameIdentifiers":[{"nameIdentifier":"96269","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Tran, Viet Khanh"}],"nameIdentifiers":[{"nameIdentifier":"96270","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Nguyen, Thi Kim Anh"}],"nameIdentifiers":[{"nameIdentifier":"96271","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Nguyen, Tran Thao Nguyen"}],"nameIdentifiers":[{"nameIdentifier":"96272","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Moriyama, Yoshinori"}],"nameIdentifiers":[{"nameIdentifier":"96273","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Yamamoto, Eiko"}],"nameIdentifiers":[{"nameIdentifier":"96274","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Nguyen, Vu Quoc Huy"}],"nameIdentifiers":[{"nameIdentifier":"96275","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Truong, Quang Vinh"}],"nameIdentifiers":[{"nameIdentifier":"96276","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Cao, Ngoc Thanh"}],"nameIdentifiers":[{"nameIdentifier":"96277","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kikkawa, Fumitaka"}],"nameIdentifiers":[{"nameIdentifier":"96278","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-02-26"}],"displaytype":"detail","filename":"03_Tam.pdf","filesize":[{"value":"638.6 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"03_Tam.pdf","url":"https://nagoya.repo.nii.ac.jp/record/29348/files/03_Tam.pdf"},"version_id":"5eec28ce-6242-4315-a807-fd3820e6c0c6"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"gestational sac","subitem_subject_scheme":"Other"},{"subitem_subject":"human chorionic gonadotropin","subitem_subject_scheme":"Other"},{"subitem_subject":"transvaginal ultrasound","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Outcome of cesarean scar pregnancy treated with local methotrexate injection","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Outcome of cesarean scar pregnancy treated with local methotrexate injection"}]},"item_type_id":"9","owner":"1","path":["2478"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-02-26"},"publish_date":"2020-02-26","publish_status":"0","recid":"29348","relation_version_is_last":true,"title":["Outcome of cesarean scar pregnancy treated with local methotrexate injection"],"weko_creator_id":"1","weko_shared_id":3},"updated":"2023-01-16T04:22:33.996515+00:00"}