Evidence map›Paper›PMID 35722440›Full record

ArticleSAGE open medicine2022

Correlation between hysterosalpingography diagnosis and final hysterolaparoscopy with dye-test diagnosis in women with utero-tubal infertility: A cross-sectional study of the implication for which test should be the first-line investigation.

Emeka Philip Igbodike, Olusegun Olalekan Badejoko, Olusola Benjamin Fasubaa, Bolanle Olubunmi Ibitoye, Olabisi Morebise Loto, Joseph Ifeanyichukwu Ikechebelu, George Uchenna Eleje, Arinze Anthony Onwuegbuna, Boniface Chukwuneme Okpala, Osita Samuel Umeononihu and 1 more

Open access · goldAbstract read
In one paragraph

Article in SAGE open medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 89% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Emeka Philip IgbodikeDepartment of Obstetrics and Gynaecology, Obafemi Awolowo University, Ile-Ife, Nigeria.ORCID https://orcid.org/0000-0003-4698-6226
Olusegun Olalekan BadejokoDepartment of Obstetrics and Gynaecology, Obafemi Awolowo University, Ile-Ife, Nigeria.
Olusola Benjamin FasubaaDepartment of Obstetrics and Gynaecology, Obafemi Awolowo University, Ile-Ife, Nigeria.
Bolanle Olubunmi IbitoyeDepartment of Radiology, Obafemi Awolowo University, Ile-Ife, Nigeria.
Olabisi Morebise LotoDepartment of Obstetrics and Gynaecology, Obafemi Awolowo University, Ile-Ife, Nigeria.
Joseph Ifeanyichukwu IkechebeluDepartment of Obstetrics and Gynaecology, Nnamdi Azikiwe University, Awka, Nigeria.ORCID https://orcid.org/0000-0003-2515-8464
George Uchenna ElejeDepartment of Obstetrics and Gynaecology, Nnamdi Azikiwe University, Awka, Nigeria.ORCID https://orcid.org/0000-0002-0390-2152
Arinze Anthony OnwuegbunaDepartment of Ophthalmology, Nnamdi Azikiwe University, Awka, Nigeria.
Boniface Chukwuneme OkpalaDepartment of Obstetrics and Gynaecology, Nnamdi Azikiwe University, Awka, Nigeria.
Osita Samuel UmeononihuDepartment of Obstetrics and Gynaecology, Nnamdi Azikiwe University, Awka, Nigeria.
Onyecherelam Monday OgelleDepartment of Obstetrics and Gynaecology, Nnamdi Azikiwe University, Awka, Nigeria.
Nnamdi Azikiwe University · NGObafemi Awolowo University Teaching Hospitals Complex · NGObafemi Awolowo University · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To assess the accuracy of hysterosalpingography in diagnosis of uterine and/or tubal factor infertility, using hysterolaparoscopy with dye test as the gold standard with an implication for which test should be the first-line investigation. Methods: A prospective cross-sectional study of 96 women who underwent hysterosalpingography and hysterolaparoscopy with dye test. All women within reproductive age group with utero-tubal infertility who underwent both hysterosalpingography and hysterolaparoscopy with dye-test procedure were included. The outcome measures were proportions of tubal blockage and intrauterine pathology. Individual and overall mean accuracy were calculated for hysterosalpingography, using hysterolaparoscopy with dye test as the gold standard. Patient had procedure of hysterosalpingography first and both laparoscopic surgeons and patients were blinded to the outcome of hysterolaparoscopy with dye test until analysis. Statistical significance was set at p < 0.05. Results: Overall, 128 women were assessed for eligibility while 96 women finally completed the study. Hysterosalpingography demonstrated diagnostic accuracy of 77.8% (p < 0.001), 76.3% (p < 0.001) and 78.3% (p < 0.001) for right, left and bilateral tubal blockage, respectively. Overall accuracy of hysterosalpingography tubal factor assessment was 77.4 ± 0.8% (95% confidence interval = 76.5% to 78.4%). Hysterosalpingography showed an accuracy of 85.7%, 86.6% and 76.7% for right, left and bilateral hydrosalpinx, respectively, given overall diagnostic accuracy of 83.0 ± 5.1% (95% confidence interval = 77.9% to 88.1%). Overall accuracy of hysterosalpingography in diagnosing intrauterine pathology was 68.5 ± 9.8% (95% confidence interval = 53.9% to 83.1%). Conclusion: Hysterosalpingography detects tubal blockade and intrauterine pathology poorly compared to hysterolaparoscopy with dye test. Hysterosalpingography may face unpredictable clinical situations biased by technological error, leading to unsuccessful evaluation and uncertain diagnosis. Although the cost-effectiveness, risk of surgery or anaesthesia flaws hysterolaparoscopy with dye test. Hysterosalpingography should not be the first-line utero-tubal assessment tool rather hysterolaparoscopy with dye test.

Indexed as

Agreementpatencypredictive valuessensitivityspecificitytubal blockageuterine pathology

Identifiers

PMID35722440
PMCPMC9201303
OpenAlexW4285283252

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.