Comparison of saline infusion sonohysterography and hysteroscopy in diagnosis of premenopausal women with abnormal uterine bleeding

Accuracy of saline contrast sonohysterography in detection of endometrial polyps and submucosal leiomyomas in women of reproductive age with abnormal uterine bleeding: systematic review and meta‐analysis

“…Quality assessment showed one study with a low risk of bias for all four items 18 , two studies with a high risk of bias for two of the items (description of index test and reference standard) 14,15 , while four studies had an unclear risk of bias for the description of flow and timing [14][15][16][17] . Three studies had low risk for the three items of applicability [16][17][18] .…”

“…For detection of endometrial polyps, sensitivity and specificity of 2D-SCSH ranged from 88% to 98% and from 61% to 100% among the five studies, respectively ( Figure 2). Pooled analysis gave sensitivity and specificity of 93% (95% CI, 89-96%) and 81% (95% CI, 76-86%), respectively [14][15][16][17][18] . Pooled LR+ was 5.41 (95% CI, 2.60-11.28) and LR-was 0.10 (95% CI, 0.06-0.17).…”

“…Pooled analysis gave sensitivity and specificity of 94% (95% CI, 89-97%) and 81% (95% CI, 76-86%), respectively 14,15,17,18 . Pooled LR+ was 4.25 (95% CI, 2.20-8.21) and LR-was 0.11 (95% CI, 0.05-0.22).…”

“…Pooled LR+ was 5.41 (95% CI, 2.60-11.28) and LR-was 0.10 (95% CI, 0.06-0.17). 17 The Netherlands 62 0 44 (36-54) Proliferative 2D-SCSH Hysteroscopy Soguktas (2012) 18 Turkey 89 NA 43.1 ± 2.9 NA 2D-SCSH Hysteroscopy…”

“…The five studies included in the review were effectively cross-sectional without sample size calculation, each conducted at a single institution, including a total of 543 women [14][15][16][17][18] . Average patient age was 40 years, with the mean age among studies ranging from 30.6 to 44 years.…”