{"id":"https://openalex.org/W7225797658","doi":"https://doi.org/10.3389/fmed.2026.1899312","title":"KMS-GQ intrauterine stent vs. conventional intrauterine device after hysteroscopic treatment of moderate-to-severe intrauterine adhesions: a propensity score\u2013matched comparative study","display_name":"KMS-GQ intrauterine stent vs. conventional intrauterine device after hysteroscopic treatment of moderate-to-severe intrauterine adhesions: a propensity score\u2013matched comparative study","publication_year":2026,"publication_date":"2026-11-11","ids":{"openalex":"https://openalex.org/W7225797658","doi":"https://doi.org/10.3389/fmed.2026.1899312"},"language":"en","primary_location":{"id":"doi:10.3389/fmed.2026.1899312","doi":"https://doi.org/10.3389/fmed.2026.1899312","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1899312","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1899312/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1899312/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161450700","display_name":"Die Jiang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210115919","display_name":"The People's Hospital of Guangxi Zhuang Autonomous Region","ror":"https://ror.org/02aa8kj12","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210115919"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Die Jiang","raw_affiliation_strings":["Department of Gynecology, People's Hospital of Guangxi Zhuang Autonomous Region"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gynecology, People's Hospital of Guangxi Zhuang Autonomous Region","institution_ids":["https://openalex.org/I4210115919"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161453296","display_name":"Dan Ling","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210115919","display_name":"The People's Hospital of Guangxi Zhuang Autonomous Region","ror":"https://ror.org/02aa8kj12","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210115919"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Dan Ling","raw_affiliation_strings":["Department of Gynecology, People's Hospital of Guangxi Zhuang Autonomous Region"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gynecology, People's Hospital of Guangxi Zhuang Autonomous Region","institution_ids":["https://openalex.org/I4210115919"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5023130496","display_name":"\u59dc\u8273\u660e","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210115919","display_name":"The People's Hospital of Guangxi Zhuang Autonomous Region","ror":"https://ror.org/02aa8kj12","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210115919"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yanming Jiang","raw_affiliation_strings":["Department of Gynecology, People's Hospital of Guangxi Zhuang Autonomous Region"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gynecology, People's Hospital of Guangxi Zhuang Autonomous Region","institution_ids":["https://openalex.org/I4210115919"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5161453296"],"corresponding_institution_ids":["https://openalex.org/I4210115919"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11589","display_name":"Gynecological conditions and treatments","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11589","display_name":"Gynecological conditions and treatments","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12089","display_name":"Intestinal and Peritoneal Adhesions","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9563999772071838},{"id":"https://openalex.org/C2775963564","wikidata":"https://www.wikidata.org/wiki/Q597058","display_name":"Hysteroscopy","level":2,"score":0.6439999938011169},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6083999872207642},{"id":"https://openalex.org/C2776810592","wikidata":"https://www.wikidata.org/wiki/Q899868","display_name":"Intrauterine device","level":5,"score":0.5968000292778015},{"id":"https://openalex.org/C2775846227","wikidata":"https://www.wikidata.org/wiki/Q1340774","display_name":"Endometritis","level":3,"score":0.5468000173568726},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5400999784469604},{"id":"https://openalex.org/C2778583881","wikidata":"https://www.wikidata.org/wiki/Q1325542","display_name":"Stent","level":2,"score":0.5335999727249146},{"id":"https://openalex.org/C2777479560","wikidata":"https://www.wikidata.org/wiki/Q785307","display_name":"Cervical canal","level":4,"score":0.49729999899864197},{"id":"https://openalex.org/C2777740455","wikidata":"https://www.wikidata.org/wiki/Q666412","display_name":"Cervix","level":3,"score":0.47859999537467957},{"id":"https://openalex.org/C17923572","wikidata":"https://www.wikidata.org/wiki/Q7250160","display_name":"Propensity score matching","level":2,"score":0.4618000090122223},{"id":"https://openalex.org/C2779492760","wikidata":"https://www.wikidata.org/wiki/Q515623","display_name":"Hysterosalpingography","level":4,"score":0.43540000915527344},{"id":"https://openalex.org/C84416704","wikidata":"https://www.wikidata.org/wiki/Q188666","display_name":"Adhesion","level":2,"score":0.4341000020503998},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.3869999945163727},{"id":"https://openalex.org/C2776477335","wikidata":"https://www.wikidata.org/wiki/Q929017","display_name":"Uterine cavity","level":3,"score":0.3167000114917755},{"id":"https://openalex.org/C2779066055","wikidata":"https://www.wikidata.org/wiki/Q9612","display_name":"Uterus","level":2,"score":0.303600013256073},{"id":"https://openalex.org/C2776443887","wikidata":"https://www.wikidata.org/wiki/Q174952","display_name":"Pessary","level":2,"score":0.29600000381469727},{"id":"https://openalex.org/C2777688143","wikidata":"https://www.wikidata.org/wiki/Q179399","display_name":"Infertility","level":3,"score":0.2930000126361847},{"id":"https://openalex.org/C2776537878","wikidata":"https://www.wikidata.org/wiki/Q7239894","display_name":"Pregnancy rate","level":3,"score":0.2896000146865845},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.27709999680519104},{"id":"https://openalex.org/C2779494336","wikidata":"https://www.wikidata.org/wiki/Q550675","display_name":"Hysterectomy","level":2,"score":0.25529998540878296},{"id":"https://openalex.org/C518429986","wikidata":"https://www.wikidata.org/wiki/Q964401","display_name":"Fertility","level":3,"score":0.25459998846054077},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.2533999979496002},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.2529999911785126},{"id":"https://openalex.org/C2777035434","wikidata":"https://www.wikidata.org/wiki/Q164655","display_name":"Abscess","level":2,"score":0.25049999356269836}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3389/fmed.2026.1899312","doi":"https://doi.org/10.3389/fmed.2026.1899312","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1899312","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1899312/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3389/fmed.2026.1899312","doi":"https://doi.org/10.3389/fmed.2026.1899312","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1899312","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1899312/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225797658.pdf","grobid_xml":"https://content.openalex.org/works/W7225797658.grobid-xml"},"referenced_works_count":14,"referenced_works":["https://openalex.org/W2065838422","https://openalex.org/W2610725136","https://openalex.org/W2998216030","https://openalex.org/W3010979984","https://openalex.org/W4360872596","https://openalex.org/W4387234801","https://openalex.org/W4395046079","https://openalex.org/W4398794674","https://openalex.org/W4402234400","https://openalex.org/W4403667745","https://openalex.org/W4403955873","https://openalex.org/W4404839590","https://openalex.org/W4409327666","https://openalex.org/W4411254994"],"related_works":[],"abstract_inverted_index":{"Objective":[0],"Moderate-to-severe":[1],"intrauterine":[2,41,48,291],"adhesions":[3,21,198,234,301,311],"(IUAs)":[4],"significantly":[5,191,228,294],"impair":[6],"female":[7],"fertility":[8],"and":[9,43,79,135,153,158,177,207,243,302,312,354],"quality":[10],"of":[11,20,38,54,125,231],"life,":[12],"with":[13,67,122],"high":[14],"recurrence":[15,246,314],"rates":[16,194,230,315],"following":[17,57],"transcervical":[18],"resection":[19],"(TCRA).":[22],"Effective":[23],"postoperative":[24,331],"barrier":[25],"strategies":[26],"are":[27,348],"therefore":[28],"essential.":[29],"This":[30,141],"study":[31],"aimed":[32],"to":[33,219,317,350],"compare":[34],"the":[35,39,44,52,83,169,220,263,289,325,329,334],"clinical":[36],"outcomes":[37,296,321,358],"KMS-GQ":[40,187,290],"stent":[42,188,224,264,292],"conventional":[45,318],"heart-shaped":[46],"copper":[47],"device":[49],"(IUD)":[50],"in":[51,143,174,183,262,297],"management":[53],"moderate-to-severe":[55,68],"IUAs":[56,69],"TCRA.":[58],"Methods":[59],"A":[60],"retrospective":[61],"analysis":[62],"was":[63,114,259,269],"conducted":[64],"on":[65],"patients":[66,85,95],"who":[70],"underwent":[71],"TCRA":[72],"at":[73],"our":[74],"institution":[75],"between":[76,168,324],"January":[77],"2019":[78],"February":[80],"2024.":[81],"Of":[82],"190":[84],"assessed":[86],"for":[87,182,195,284],"eligibility,":[88],"186":[89],"were":[90,156,166,179,322],"enrolled":[91],"after":[92],"excluding":[93],"4":[94],"(incomplete":[96],"septate":[97],"uterus,":[98],"n":[99,103,148],"=":[100,104,149,216,241,253,279],"2;":[101],"hydrosalpinx,":[102],"2).":[105],"To":[106],"minimize":[107],"selection":[108],"bias,":[109],"propensity":[110],"score":[111],"matching":[112,120],"(PSM)":[113],"performed":[115],"using":[116],"a":[117,123],"1:1":[118],"nearest-neighbor":[119],"algorithm":[121],"caliper":[124],"0.2,":[126],"including":[127,359],"age,":[128],"BMI,":[129],"baseline":[130,164,285],"AFS":[131],"score,":[132],"cervical":[133,175,196,233,299,310],"adhesion,":[134],"chronic":[136,208,303],"endometritis":[137,209],"(CE)":[138],"as":[139,305,307],"covariates.":[140],"resulted":[142],"76":[144],"matched":[145],"pairs":[146],"(":[147],"152).":[150],"Demographic":[151],"characteristics":[152,165],"perioperative":[154],"data":[155],"collected":[157],"statistically":[159,271],"analyzed.":[160],"Results":[161],"After":[162,282],"PSM,":[163,288],"well-balanced":[167],"two":[170,326],"groups,":[171],"residual":[172],"differences":[173,286],"adhesion":[176,245],"CE":[178],"additionally":[180],"adjusted":[181],"multivariable":[184],"analyses.":[185],"The":[186,223,255],"group":[189,225],"demonstrated":[190,293],"higher":[192,261],"cure":[193],"canal":[197,300],"[95.0%":[199],"[38/40]":[200],"vs.":[201,212,237,249,275],"50.0%":[202],"[14/28],":[203],"p":[204,215,240,252,278],"<":[205],"0.001]":[206],"[62.2%":[210],"[23/37]":[211],"25.0%":[213],"[5/20],":[214],"0.012]":[217],"compared":[218,316],"IUD":[221],"group.":[222],"also":[226],"showed":[227],"lower":[229],"new-onset":[232,309],"[0.0%":[235],"[0/36]":[236],"16.7%":[238],"[8/48],":[239],"0.009]":[242],"1-year":[244,256,313],"[1.3%":[247],"[1/76]":[248],"11.8%":[250],"[9/76],":[251],"0.009].":[254],"pregnancy":[257],"rate":[258],"numerically":[260],"group,":[265],"though":[266],"this":[267],"difference":[268],"not":[270],"significant":[272],"[50.0%":[273],"[38/76]":[274],"46.1%":[276],"[35/76],":[277],"0.626].":[280],"Conclusion":[281],"adjusting":[283],"through":[287],"superior":[295],"resolving":[298],"endometritis,":[304],"well":[306],"reducing":[308],"IUDs.":[319],"Pregnancy":[320],"similar":[323],"groups":[327],"within":[328],"first":[330],"year.":[332],"Given":[333],"retrospective,":[335],"non-randomized":[336],"design,":[337],"these":[338,352],"findings":[339],"should":[340],"be":[341],"considered":[342],"hypothesis-generating.":[343],"Prospective":[344],"randomized":[345],"controlled":[346],"trials":[347],"warranted":[349],"confirm":[351],"observations":[353],"evaluate":[355],"long-term":[356],"reproductive":[357],"live":[360],"birth":[361],"rates.":[362]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-12T00:00:00"}
