Brown, Alec D.Hart, Jessica M.Modest, Anna M.Hess, Philip E.Abbas, Ahmed M.Nieto-Calvache, Albaro J.Bhide, AmarnathLim, BoonDunjin, ChenPalacios-Jaraquemada, JoseSentilhes, LoicSoma-Pillay, PriyaAryananda, Rozi A.Hantoushzadeh, SedighehWang, ShanShamshirsaz, Alireza A.Shainker, Scott A.2022-05-092022-07Brown AD, Hart JM, Modest AM, et al. Geographic variation in management of patients with placenta accreta spectrum: An international survey of experts (GPASS). International Journal of Gynecology and Obstetrics, 2022, vol. 158, no. 1, pp. 129-136. doi:10.1002/ijgo.13960.0020-7292 (print)1879-3479 (online)10.1002/ijgo.13960https://repository.up.ac.za/handle/2263/85150OBJECTIVE : To describe global geographic variations in the diagnosis and management of placenta accreta spectrum (PAS). METHODS : An international cross-sectional study was conducted among PAS experts practicing at medical institutions in member states of the United Nations. Survey questions focused on diagnostic evaluation and management strategies for PAS. RESULTS : A total of 134 centers participated. Participating centers represented each of the United Nations' designated regions. Of those, 118 (88%) reported practicing in a medium-volume or high-volume center. First-trimester PAS screen was reported in 35 (26.1%) centers. Respondents consistently implement guideline-supported care practices, including utilization of ultrasound as the primary diagnostic modality (134, 100%) and implementation of multidisciplinary care teams (115, 85.8%). Less than 10% of respondents reported routinely managing PAS without hysterectomy; these centers were predominantly located in Europe and Africa. Antepartum management and availability of mental health support for PAS patients varied widely. CONCLUSION : Worldwide, there is a strong adherence to PAS care guidelines; however, regional variations do exist. Comparing variations in care to outcomes will provide insight into the clinically significant practice variability. SYNOPSIS : This international study sought to determine the geographic variations in diagnosis and management of placenta accreta spectrum worldwide.en© 2021 International Federation of Gynecology and Obstetrics. This is the pre-peer reviewed version of the following article : Geographic variation in management of patients with placenta accreta spectrum: An international survey of experts (GPASS). International Journal of Gynecology and Obstetrics, 2022, vol. 158, no. 1, pp. 129-136, 2022. doi:10.1002/ijgo.13960. The definite version is available at : http://wileyonlinelibrary.com/journal/ijgo.Cesarean hysterectomygeographic variation in carePlacenta accreta spectrum (PAS)Prenatal diagnosisPostprint Article