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Yuri Feharsal

Medical Faculty of Indonesia University/ National General Hospital Dr. Cipto Mangunkusumo Jakarta

Author-ID : 265534

Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

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Articles

International Ovarian Tumor Analysis (IOTA) Scoring System to Predict Ovarian Malignancy Preoperatively Feharsal, Yuri; Putra, Andi D
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No. 1, January 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To compare diagnostic performance of International Ovarian Tumor Analysis (IOTA) scoring method with Risk of Malignancy Index-4 (RMI-4) and Sassone Morphology Index to predict ovarian malignancy preoperatively. Method: Retrospective study with 119 subject who underwent surgical removal of ovarian tumor and performed histopathological examination at Dr. Cipto Mangunkusumo Hospital on January to December 2013. Demographic status, ultrasound scans, CA-125 level and histopathological result were collected to calculate the score of each method. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy were calculated by comparing each score with histopathology result. Comparison of diagnostic performance was analyzed by ROC curve. Result: There were 51.26% subjects with benign tumor and 48.74% subjects with malignant tumor. Result was analyzed with sensitivity test (IOTA simple-rules, IOTA subgroup, RMI-4 and Sassone): 98%, 88%, 86% and 79%; specificity: 74%, 67%, 61% and 89%; positive predictive value: 78%, 72%, 68% and 87%; negative predictive value: 98%, 85%, 82% and 81%; and accuracy: 86%, 77%, 73% and 84%. AUC value for IOTA simple-rules, IOTA subgroup, RMI-4 and Sassone were: 0.86, 0.78, 0.73 and 0.84. Comparison of these results were significant with p = 0.000. Conclusion: IOTA simple-rules had better sensitivity, negative predictive value and accuracy than IOTA subgroup, RMI-4 and Sassone morphology index to predict ovarian malignancy preoperatively. [Indones J Obstet Gynecol 2016; 1: 42-46] Keywords: iota, ovarian neoplasm, risk of malignancy, scoring

International Ovarian Tumor Analysis (IOTA) Scoring System to Predict Ovarian Malignancy Preoperatively Feharsal, Yuri; Putra, Andi D
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No. 1, January 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To compare diagnostic performance of International Ovarian Tumor Analysis (IOTA) scoring method with Risk of Malignancy Index-4 (RMI-4) and Sassone Morphology Index to predict ovarian malignancy preoperatively. Method: Retrospective study with 119 subject who underwent surgical removal of ovarian tumor and performed histopathological examination at Dr. Cipto Mangunkusumo Hospital on January to December 2013. Demographic status, ultrasound scans, CA-125 level and histopathological result were collected to calculate the score of each method. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy were calculated by comparing each score with histopathology result. Comparison of diagnostic performance was analyzed by ROC curve. Result: There were 51.26% subjects with benign tumor and 48.74% subjects with malignant tumor. Result was analyzed with sensitivity test (IOTA simple-rules, IOTA subgroup, RMI-4 and Sassone): 98%, 88%, 86% and 79%; specificity: 74%, 67%, 61% and 89%; positive predictive value: 78%, 72%, 68% and 87%; negative predictive value: 98%, 85%, 82% and 81%; and accuracy: 86%, 77%, 73% and 84%. AUC value for IOTA simple-rules, IOTA subgroup, RMI-4 and Sassone were: 0.86, 0.78, 0.73 and 0.84. Comparison of these results were significant with p = 0.000. Conclusion: IOTA simple-rules had better sensitivity, negative predictive value and accuracy than IOTA subgroup, RMI-4 and Sassone morphology index to predict ovarian malignancy preoperatively. [Indones J Obstet Gynecol 2016; 1: 42-46] Keywords: iota, ovarian neoplasm, risk of malignancy, scoring

Karakteristik Klinik dan Analisis Faktor Risiko yang Berperan pada Derajat Keparahan Invasi Plasenta Abnormal di RSUP Persahabatan pada Tahun 2015-2018 Feharsal, Yuri; Lisnawati, Yuyun; Pudyastuti, Sri; Khonsa, Oni; Apriliawan, Tri; Botefilia, Botefilia; Nurfauziah, Nadia; Agustin, Kindy
Majalah Kedokteran Indonesia Vol 69 No 6 (2019): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.69.6-2019-195

Background: Morbidly adherent placenta is a condition which placenta adheres and invades deeply into the myometrium and, in some cases, until uterine serosa, thus contribute to peri-partum hemorrhage and significant maternal mortality.Purpose: To identify prevalence, clinical characteristics and their odds ratio to increasing se-verity of morbidly adherent placenta case in RSUP Persahabatan from 2015 to 2018.Methods: Cohort retrospective study.Results: From 2015 to 2018, prevalence of morbidly adherent placenta was around 0.8%. The risk factors which contribute to increasing severity of morbidly adherent placenta were: age above 35 years (OR 1.6, 95% CI 0.41-6.24) and history of Caesarean section more than 2 times (OR 1.63, 95% CI 0.41-6.46). The presence of increasing severity of morbidly adherent placenta were related to volume of blood loss more than 1000 ml during surgery (OR 2.13, 95% CI 0.52-8.76). Conclusion: The prevalence of morbidly adherent placenta at Persahabatan General Hospital in 2015-2018 was 0.8%. Age, history of Caesarean section more than 2 times, volume of blood loss, and duration of surgery were not statistically associated with adherent placenta case.

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