Comparison of hysteroscopic and hysterectomy findings for assessing the diagnostic accuracy of office hysteroscopy

Ceci, Oronzo; Bettocchi, Stefano; Pellegrino, Annarosa; Impedovo, Luigi; Venere, R Di; Pansini, Nicola

doi:10.1016/s0015-0282(02)03246-6

Cited by 58 publications

(47 citation statements)

References 15 publications

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“…It has replaced conventional cervical dilatation and curettage under general anesthesia, which has been shown to be diagnostically relatively inaccurate (3)(4)(5)(6), for the investigation of abnormal uterine bleeding.…”

mentioning

confidence: 99%

Hysteroscopy: a technique for all? Analysis of 5,000 outpatient hysteroscopies

Sardo

Taylor

Tsirkas

et al. 2008

Fertility and Sterility

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mentioning

confidence: 99%

Hysteroscopy: a technique for all? Analysis of 5,000 outpatient hysteroscopies

Sardo

Taylor

Tsirkas

et al. 2008

Fertility and Sterility

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“…Our results are intermediate in comparison to previous trials regarding hysteroscopic diagnosis of endometrial hyperplasia with 80% diagnostic accuracy. Some trials had low-diagnostic accuracy of 59% [15], others had comparable accuracy of 73% [16], 79% [17], and 81% [18] while others had higher accuracy of 90% [19] or 96% [20]. This could be explained partially by difference in patient population as Loizzi et al [21] had a sensitivity of 100% in a population of postmenopausal women with bleeding and thick endometrium.…”

Section: Discussionmentioning

confidence: 99%

Reliability of out-patient hysteroscopy in one-stop clinic for abnormal uterine bleeding

et al. 2012

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This study aims to estimate the effect of adding office hysteroscopy to the preoperative diagnostic work-up in abnormal uterine bleeding on the diagnostic accuracy. It is a prospective comparative diagnostic trial at a tertiary care referral facility and a university hospital. There were a total of 295 patients, more than 35 years old, with abnormal uterine bleeding. The patients had vaginal sonography, office hysteroscopy, and office endometrial biopsy on onestop bases. The diagnostic accuracy of each method in diagnosing focal lesion and endometrial hyperplasia was measured as the main outcome of this paper. Combined hysteroscopy and biopsy were taken as the gold standard for diagnosing focal lesion while endometrial biopsy alone was the gold standard for diagnosing endometrial hyperplasia. Office hysteroscopy was superior to other methods for diagnosing focal lesion with about half of the focal lesions failing to be diagnosed with the other two methods. Office hysteroscopy was superior to vaginal sonography in diagnosing endometrial hyperplasia. Office hysteroscopy is an indispensable tool for diagnosing abnormal uterine bleeding and without its use, half of the focal lesions could be missed. Office setting and the one-stop approach greatly facilitate the use of the combination of office hysteroscopy with vaginal sonography and office endometrial sample.

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“…With the addition of targeted biopsies, hysteroscopy has a reported sensitivity, specificity, positive predictive value, and negative predictive value of 98%, 95%, 96%, and 98%, respectively, when compared with histologic findings at the time of hysterectomy. 107 It is important to note, however, that only 171 of the 443 patients included in this study were postmenopausal; therefore, the diagnostic accuracy of hysteroscopy, with or without targeted biopsy, in elderly women is not yet established.…”

Section: Diagnosismentioning

confidence: 96%

Common Gynecologic Problems in Geriatric-aged Women

Moroney

Zahn

2007

Clinical Obstetrics &Amp; Gynecology

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Gynecologic concerns in postmenopausal women are common. Although various conditions may affect all women in this age group, the prevalence of certain disorders, and also diagnostic approaches and treatment options, may vary significantly when considering very elderly women compared with those early in the sixth decade. The focus of this chapter is to address several commonly encountered gynecologic issues in postmenopausal women, with particular attention given to aspects that must be considered when caring for women in the geriatric age group.

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Comparison of hysteroscopic and hysterectomy findings for assessing the diagnostic accuracy of office hysteroscopy

Cited by 58 publications

References 15 publications

Hysteroscopy: a technique for all? Analysis of 5,000 outpatient hysteroscopies

Hysteroscopy: a technique for all? Analysis of 5,000 outpatient hysteroscopies

Reliability of out-patient hysteroscopy in one-stop clinic for abnormal uterine bleeding

Common Gynecologic Problems in Geriatric-aged Women

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