Medical Journal of the Islamic Republic of Iran最新文献

{"title":"A Scoping Review of Quasi-experimental Studies on Simulation-Based Learning in Medical Education: Trends and Insights from the Last Decade.","authors":"Zohreh Sohrabi, Samane Ghasemi, Zahra Nouri Khaneghah, Azizeh Barry, Akram Zhianifard, Sohrab Nosrati","doi":"10.47176/mjiri.39.70","DOIUrl":"10.47176/mjiri.39.70","url":null,"abstract":"<p><strong>Background: </strong>Simulation-based learning (SBL) has become a key tool in medical education for developing practical skills and clinical decision-making. Despite the widespread use of this method, there remains a lack of comprehensive reviews of quasi-experimental studies in this area. Therefore, this study aimed to survey the trends and insights from quasi-experimental studies conducted over the past decade on simulation-based learning in medical education.</p><p><strong>Methods: </strong>This scoping review was conducted using the framework outlined by Arksey and O'Malley, involving 5 key stages: (1) defining the research questions; (2) identifying relevant studies; (3) selecting studies; (4) extracting relevant data; and (5) summarizing and synthesizing the extracted data. Several databases were used to search for articles. These databases include PubMed, Scopus, Web of Science (WOS), ERIC, and Emerald. The search period spanned from January 1, 2014, to December 31, 2024.</p><p><strong>Results: </strong>In this scoping review, 3052 articles were retrieved. After screening and applying the inclusion and exclusion criteria, 95 quasi-experimental articles were selected for final analysis. Basic medical education dominates research focus, and surgical training and obstetric care had the lowest concentration of studies. Simulation effectiveness is measured via Kirkpatrick's hierarchy, showing improvements in clinical skills and confidence.</p><p><strong>Conclusion: </strong>This scoping review demonstrated that simulation-based learning is a growing educational method in medical education, contributing to the development of practical and clinical skills. The findings of this study can be beneficial for policymakers, educators, and researchers in medical education to enhance educational programs and utilize this method more effectively. It is recommended that adequate resources and proper training be allocated to maximize the effectiveness of simulation-based learning for both educators and students.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":"39 ","pages":"70"},"PeriodicalIF":0.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors related to weight gain in pregnancy in Deli Serdang District, North Sumatera, Indonesia.","authors":"Nur Mala Sari, Nur Indrawaty Lipoeto, Adang Bachtiar, Ari Adi, Rizanda Machmud, Def Rin, Mud Jiran, Delmi Sulastri","doi":"10.47176/mjiri.39.69","DOIUrl":"10.47176/mjiri.39.69","url":null,"abstract":"<p><strong>Background: </strong>Appropriate weight gain during pregnancy is crucial for maternal and fetal health. This study aimed to identify factors associated with achieving recommended weight gain among pregnant women in Deli Serdang Regency, North Sumatra, Indonesia.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in 2023 involving 248 pregnant women in the third trimester at five health centers in Deli Serdang Regency, North Sumatra. Data were collected through structured interviews and questionnaires covering demographic factors, knowledge, behavior, and nutritional intake. Weight gain during pregnancy was recommended based on IOM recommendations. Analysis was performed using the Chi-square test and multinomial logistic regression with 95% confidence intervals using SPSS version 26.</p><p><strong>Results: </strong>The study looked at how gestational weight gain was affected by various factors. Significant factors linked to recommended weight gain included energy, protein, fat, and carbohydrate intake, physical activity, knowledge, perception, and family support (all with p-values less than 0.05). However, maternal age, education, job, income, number of previous births, and smoking habits did not significantly affect weight gain. Pregnant women who consumed enough energy (AOR = 0.188, <i>P</i> = 0.006), low-fat (AOR = 0.204, <i>P</i> = 0.031), and enough carbohydrates (AOR = 0.065, <i>P</i> = 0.045) were less likely to gain too little or too much weight. Physical activity was very important: light (AOR = 0.133, <i>P</i> < 0.001) and moderate (AOR = 0.250, <i>P</i> = 0.001) exercise lowered the risk of gaining less weight than recommended. Low physical activity increased the risk of gaining too much weight (AOR = 3.458, <i>P</i> = 0.039), and was the strongest factor affecting weight gain. Additionally, poor pregnancy planning increased the risk of gaining too much weight (AOR = 2.328, p = 0.048), and low family support raised the risk of gaining too little weight (AOR = 2.571, <i>P</i> = 0.023).</p><p><strong>Conclusion: </strong>Physical activity is the most influential factor in achieving recommended weight gain; the more active the pregnant woman is, the greater the chance of achieving the appropriate weight.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":"39 ","pages":"69"},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Transpalatal Arch (TPA) in Molar Movement: A Systematic Review and Meta-analysis.","authors":"Matine Gharavi, Alireza Jafari-Naeimi, Seyyed Amir Yasin Ahmadi","doi":"10.47176/mjiri.39.68","DOIUrl":"10.47176/mjiri.39.68","url":null,"abstract":"<p><strong>Background: </strong>Molar movement control is a fundamental aspect of orthodontic treatment, particularly in managing anchorage and achieving desired occlusal outcomes. The transpalatal arch (TPA) is a commonly used passive or active appliance designed to provide anchorage reinforcement and facilitate specific molar movements. Despite its widespread application, there is limited consensus regarding its quantitative effectiveness. This systematic review and meta-analysis assesses the effectiveness of the TPA in molar movement during orthodontic treatment.</p><p><strong>Methods: </strong>An extensive search of major electronic databases was conducted up to the year 2023 to identify studies evaluating the application of the TPA in molar movement. Data regarding study design, participant characteristics, types of TPA used, and numerical outcomes related to molar displacement were systematically extracted. For each outcome, point estimates and corresponding 95% confidence intervals were computed to assess pre- and post-treatment changes.</p><p><strong>Results: </strong>Fourteen studies underwent detailed qualitative synthesis, with 2 classified as low risk, 7 with some concerns, and 5 as high risk of bias. Nine studies were included in the meta-analysis. The pooled change in mesial movement U6-PTV (mm) for the TPA group was 2.73 (95% CI: 1.90-3.50), vertical movement U6-PP (mm) was 1.24 (95% CI: 0.96-1.52), vertical movement U6-FH (mm) was 1.34 (95% CI: 0.36-2.32), and mesial tipping U6-FH (°) was 2.94 (95% CI: 1.51-4.37).</p><p><strong>Conclusion: </strong>This review underscores the TPA's versatility and effectiveness as an anchorage device. Evaluating TPA's full range of applications, beyond comparisons with skeletal devices, is crucial. Future research should incorporate three-dimensional digital models and consider pubertal growth stages for more accurate assessments.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":"39 ","pages":"68"},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Health System Responsiveness in Iraq: A Comprehensive Evaluation through Cross-Sectional Study.","authors":"Zainab Mhmood Abdulhasan, Ghobad Moradi, Hayedeh Hoorsan, Amjad Mohamadi Bolbanabad","doi":"10.47176/mjiri.39.67","DOIUrl":"10.47176/mjiri.39.67","url":null,"abstract":"<p><strong>Background: </strong>Responsiveness is an indicator by the World Health Organization (WHO) to evaluate the performance of health systems on nonmedical expectations of consumers. This study aimed to assess the responsiveness of the health system in Iraq, focusing on urban and rural populations across 6 provinces: Baghdad, Wasit, Karbala, An-Najaf, Babil, and Maysan.</p><p><strong>Methods: </strong>A cross-sectional study design was employed, involving a total population of 2400 individuals from 400 households in each province. Cluster sampling was utilized to select participants, with data collected using the World Health Organization's \"Global Health Survey\" questionnaire, which assesses 7 dimensions of health system responsiveness. These data were analyzed using Stata Version 17 to examine statistical relationships, while Microsoft Excel was used to generate visualizations. Descriptive statistics included frequencies and percentages for qualitative variables, and means with standard deviations for quantitative variables.</p><p><strong>Results: </strong>The findings revealed a high prioritization among respondents for the following aspects of health system responsiveness: quality of facilities (95%), confidentiality of personal information (93.71%), and prompt attention (90.72%). Clarity of communication (61.79%) and autonomy (60.91%) were rated as the most favorable dimensions, while prompt attention (58.94%) and quality of facilities (55.46%) received the lowest ratings. Experiences of discrimination were prevalent, with 34.50% reporting discrimination based on financial status, 26.87% based on social class, and 21.37% based on sex.</p><p><strong>Conclusion: </strong>The study underscores the urgent need for improvements in health system responsiveness in Iraq, particularly in areas such as prompt response and service quality. Addressing these issues is crucial for enhancing the overall effectiveness and equity of healthcare services in the region.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":"39 ","pages":"67"},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Policy Analysis of Institutionalization of the Social Approach to Health in Iran.","authors":"Ataollah Asadi Louyeh, Amirhossein Takian, Batoul Ahmadi, Mohammad Arab, Ali Davoudi Kiakalayeh","doi":"10.47176/mjiri.39.66","DOIUrl":"10.47176/mjiri.39.66","url":null,"abstract":"<p><strong>Background: </strong>The social approach to health (TSATH) is necessary for maintaining and promoting health status in societies toward achieving sustainable development goals (SDGs). Despite various attempts, the health sector in Iran is behind in the meaningful implementation of TSATH. This study analyzed the policy of TSATH in Iran.</p><p><strong>Methods: </strong>This was a qualitative study. The participants in the research included 36 experts and senior managers of health-related organizations in Iran who were selected using a targeted and snowball method. We used 3 methods for data collection: in-depth interviews, focus group discussions, and document review. Inspired by Walt & Gilson's policy triangle and stage heuristic framework, we conducted a thematic analysis and used MAXQDA software Version 19 for data management.</p><p><strong>Results: </strong>TSATH was an immediate political decision in Iran. We found insufficient social participation and intersectoral collaboration, conflict of interest, inadequate evidence-based policy-making as well as necessary resources among the most important barriers to implementing the policy of TSATH.</p><p><strong>Conclusion: </strong>Institutionalizing TSATH requires long-term, evidence-based planning and effective participation of all stakeholders. Providing the necessary resources and infrastructure, appropriate context and good steering, accountability, and creating a sustainable livelihood program, especially for the lowest-income deciles of society, are key measures to improve TSATH.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":"39 ","pages":"66"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilization of Rehabilitation Services by Disabled People under the Iranian Health Insurance Organization.","authors":"Samira Arabi, Mohammad Mahdi Nasehi, Zahra Shahali, Ali Shojaee, Mohsen Dehghani, Mehdi Rezaee, Hossein Ranjbaran, Parvaneh Keyhani, Rajabali Daroudi","doi":"10.47176/mjiri.39.65","DOIUrl":"10.47176/mjiri.39.65","url":null,"abstract":"<p><strong>Background: </strong>People with disabilities have greater unmet needs and need health care. These people are acknowledged as a global development priority. This study aimed to investigate the utilization of rehabilitation services by people with disabilities covered by the Iran Health Insurance Organization.</p><p><strong>Methods: </strong>This was a cross-sectional descriptive study at the national level. A total of 3676 out of 315,626 insured people with disabilities covered by the Iran Health Insurance Organization were selected from all provinces of the country using a simple random sampling method proportional to the size of the insured population.</p><p><strong>Results: </strong>A total of 53% of people reported needing rehabilitation services in 2021. Of those requiring rehabilitation services, 51% required physical therapy, 50% occupational therapy, 22% speech therapy, 19% optometry, 13% audiometry, and less than 1% orthotics and prosthetics. Also, only 41% of people who needed rehabilitation services received them. The main reasons for not receiving needed services were financial inability to pay for treatment (76%), physical inability to follow treatment (16%), and the spread of the coronavirus disease 2019 pandemic (8%).</p><p><strong>Conclusion: </strong>The inability to pay fees emerged as the most significant barrier to receiving essential rehabilitation services. Enhancing the financial coverage provided by basic health insurance funds is crucial. Expanding coverage will enable more patients to utilize the rehabilitation services they need, ensuring that financial constraints do not hinder access to vital care. This policy adjustment could be key in increasing the utilization of rehabilitation services and improving overall health outcomes for those in need.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":"39 ","pages":"65"},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methodological and Systematic Errors in Systematic Reviews in Health Domain: A Systematic Review.","authors":"Roya Vesal Azad, Nosrat Riahinia, Ali Azimi, Hamid Baradaran","doi":"10.47176/mjiri.39.64","DOIUrl":"10.47176/mjiri.39.64","url":null,"abstract":"<p><strong>Background: </strong>According to the pyramid of evidence, systematic reviews hold the highest position among studies used in healthcare systems and policy-making. Avoiding systematic and methodological errors are demanding responsibility for authors. Clearly, erroneous studies can have irreparable consequences on health and treatment decisions. Therefore, this study aims to identify potential errors in systematic reviews within the field of health.</p><p><strong>Methods: </strong>To systematically identify potential errors in systematic reviews, we conducted a comprehensive literature search using keywords such as \"Bias,\" \"Error,\" and \"Systematic Reviews\" across databases like PubMed, Web of Science, Scopus, Embase, Cochrane Library, and ProQuest without any time restrictions. This yielded 2333 articles and 11 books initially.After removing duplicates and unrelated sources based on predefined inclusion/exclusion criteria tailored for this study context (e.g., relevance to error identification in systematic reviews), we closely examined 88 relevant sources.</p><p><strong>Results: </strong>Upon analyzing the full texts of these sources with strict adherence to our criteria, we identified 77 distinct types of errors that could occur either within or between studies. These findings highlight the complexity of maintaining accuracy in systematic review methodologies.</p><p><strong>Conclusion: </strong>Given the critical role systemic reviews play in informing clinical decisions and health policies, ensuring their quality is paramount. Accurate methodology ensures validity; biased studies risk leading to suboptimal patient care outcomes. By pinpointing error sources-such as selection bias or information bias-and implementing strategies to mitigate them through rigorous methodologies like robust search protocols or transparent reporting standards (e.g., PRISMA guidelines), researchers can enhance review quality significantly.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":"39 ","pages":"64"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Efficacy of Longitudinal Coagulation Biomarkers to Predict in-Hospital Death in Comatose TBI Patients: A Time-Dependent Roc Curve Approach.","authors":"Fatemeh Ebrahimi-Nejad, Saeed Oraee-Yazdani, Mohsen Vahedi, Marzieh Peyravi Dehsorkhi, Nasrin Hosseini, Samaneh Hosseinzadeh","doi":"10.47176/mjiri.39.63","DOIUrl":"10.47176/mjiri.39.63","url":null,"abstract":"<p><strong>Background: </strong>Coagulopathy is a significant risk factor for in-hospital mortality in patients with traumatic brain injury (TBI). Timely monitoring of coagulation biomarkers (CB) may be crucial for predicting TBI patient prognosis. The objective of this study was to assess the time-dependent accuracy of conventional CB in predicting TBI patient outcomes using an ROC curve based on a joint longitudinal and survival data analysis.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted on 132 out of 604 TBI patients admitted to Shohada-E-Tajrish Hospital in Tehran, Iran, between 2018 and 2020. CB (INR, PT, and aPTT) every 24 hours, and patient outcomes (death or survival) up to 10 days after admission were recorded. After choosing the best joint model longitudinal and survival data, the time-dependent ROC curve analysis was used, and the AUC, sensitivity, and specificity values were calculated in R 4.1.0.</p><p><strong>Results: </strong>In this study, non-surviving TBI patients had significantly higher mean aPTT, PT, and INR values than survivors. In addition, aPTT demonstrated the strongest time-dependent predictive power (AUC>0.7) for up to the fourth day after admission, while PT and INR had AUC>0.7 for up to the third day after admission.</p><p><strong>Conclusion: </strong>This study highlights that conventional coagulation biomarkers (aPTT, PT, and INR) demonstrate significant time-dependent efficacy in predicting in-hospital mortality in comatose TBI patients within the first three days of admission. Early recognition and proper management of coagulopathy are essential to improve outcomes and reduce morbidity and mortality in these patients during three days of admission.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":"39 ","pages":"63"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship between Leisure Activities and Social Health of the Elderly in Iran.","authors":"Seyedeh Mahboobeh Hosseini Zare, Bijan Khorasani, Ahmad Siar Sadr, Maryam Zare, Raha Koushki, Jafar Babapour","doi":"10.47176/mjiri.39.62","DOIUrl":"10.47176/mjiri.39.62","url":null,"abstract":"<p><strong>Background: </strong>One effective strategy for enhancing the social health of the elderly is the development of leisure activities. The aim of this study was to determine the relationship between leisure activities and social health among elderly residents of Tehran.</p><p><strong>Methods: </strong>This descriptive-analytical study was conducted in 2018 on 413 elderly individuals aged 60 and above in Tehran. Cluster random sampling was employed from five districts of Tehran, maintaining the gender ratio. Data collection instruments included a demographic questionnaire, a 20-item Keyes Social Health Questionnaire, and a 44-item researcher-made Leisure Activities Questionnaire. Data were analyzed using SPSS version 23, employing descriptive and analytical statistics, Spearman correlation coefficient, and multiple linear regression analysis.</p><p><strong>Results: </strong>Among the eight subdomains of leisure activities (recreation, sports, social interactions, rest, arts, cultural, media, and religious duties), the media category scored the highest mean (84.01%±23.6). The lowest mean score was related to the cultural activities category (21.6%±0.74). Women significantly participated less than men in recreation (<i>P</i>=0.025), sports (<i>P</i>=0.003), cultural (<i>P</i>=0.006), and media activities (<i>P</i>=0.008). With increasing age, elderly participation in recreation (<i>P</i>=0.000), sports (<i>P</i>=0.005), social interactions (<i>P</i>=0.008), and artistic activities (0.010) significantly decreased. The results of multiple linear regression analysis indicated that recreation category (B=0.057 and <i>P</i>=0.001) and religious duties (B=0.023 and <i>P</i>=0.043) had the strongest effects on social health.</p><p><strong>Conclusion: </strong>Leisure activities, especially recreation and religious duties, are significantly linked to the social health of the elderly. Age-related decline and gender disparities in participation highlight the need for targeted planning to improve access and involvement, particularly for women and older seniors. Promoting such activities can effectively enhance their quality of life and social well-being.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":"39 ","pages":"62"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Affecting IVF Success after Laparoscopic Surgery in Women with Endometriosis.","authors":"Abolfazl Mehdizadehkashi, Shahla Chaichian, Roya Derakhshan, Farahnaz Farzaneh, Azam Govahi, Azar Mohammadzadeh, Banafsheh Nikfar, Yasaman Kabir Anaraki","doi":"10.47176/mjiri.39.61","DOIUrl":"10.47176/mjiri.39.61","url":null,"abstract":"<p><strong>Background: </strong>Considering low-quality evidence regarding the impact of laparoscopic surgery on in vitro fertilization (IVF) success rates in women with endometriosis, our research aimed to evaluate IVF success rates and their influential factors in women with endometriosis-related infertility who underwent laparoscopic surgery.</p><p><strong>Methods: </strong>In a retrospective cohort study, we included women aged 15 to 40 years diagnosed with endometriosis-related infertility who underwent laparoscopic surgery in a university hospital. Women with severe male factor infertility, adenomyosis, uterine myomas, premature ovarian insufficiency, incomplete information, or inaccessible data from infertility centers were excluded. Data were collected from the Endometriosis Data Registry approved by the Iran University of Medical Sciences under code number 1400-2-65-21233, including age, body mass index, infertility duration, endometriosis severity, and Anti-Müllerian hormone levels before IVF. IVF success was considered by an embryonic heartbeat identification during an ultrasound exam, that is, a clinical pregnancy. Independent sample t test, Mann-Whitney, and chi-square tests were applied for single-variable analysis, and logistic regression was used for multivariable analysis.</p><p><strong>Results: </strong>Of 55 eligible patients, IVF was successful in 23 (41.81%). The mean age of participants was 34.98 years, with a standard deviation of 5.93 years. Endometriomas were observed in 42 (76%) of the participants; unilateral endometriomas were more common than bilateral (25 [45.5%] vs 17 [30.9%]). No significant differences were identified between the IVF-positive and IVF-negative groups regarding clinical and demographic characteristics.</p><p><strong>Conclusion: </strong>Laparoscopic surgery in women with deep infiltrating endometriosis enhances IVF success and increases pregnancy rate.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":"39 ","pages":"61"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}