Evidence map›Paper›PMID 37737882›Full record

Observational studyArchives of gynecology and obstetrics2023

Hysteroscopic versus histopathological agreement in the diagnosis of chronic endometritis: results from a retrospective observational study.

Belén Almoguera Pérez-Cejuela, Salvatore Giovanni Vitale, Tirso Pérez-Medina, Mar Rios-Vallejo, Luigi Della Corte, Ana Royuela Vicente, Stefano Angioni, Laura Calles-Sastre

Erratum issuedAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Archives of gynecology and obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Observational
  6. Observational
  7. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Belén Almoguera Pérez-CejuelaGynecology and Obstetrics Department, Puerta de Hierro Hospital, Autónoma University of Madrid, 28223, Majadahonda, Madrid, Spain.
Salvatore Giovanni VitaleDivision of Gynecology and Obstetrics, Department of Surgical Sciences, University of Cagliari, 09124, Cagliari, Italy.ORCID http://orcid.org/0000-0001-6871-6097
Tirso Pérez-MedinaGynecology and Obstetrics Department, Puerta de Hierro Hospital, Autónoma University of Madrid, 28223, Majadahonda, Madrid, Spain. tirso.perez@uam.es.
Mar Rios-VallejoGynecology and Obstetrics Department, Puerta de Hierro Hospital, Autónoma University of Madrid, 28223, Majadahonda, Madrid, Spain.
Luigi Della CorteDepartment of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, 80131, Naples, Italy.
Ana Royuela VicenteGynecology and Obstetrics Department, Puerta de Hierro Hospital, Autónoma University of Madrid, 28223, Majadahonda, Madrid, Spain.
Stefano AngioniDivision of Gynecology and Obstetrics, Department of Surgical Sciences, University of Cagliari, 09124, Cagliari, Italy.
Laura Calles-SastreGynecology and Obstetrics Department, Puerta de Hierro Hospital, Autónoma University of Madrid, 28223, Majadahonda, Madrid, Spain.ORCID http://orcid.org/0000-0002-4735-0644

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the agreement rate between hysteroscopy and pathological examination in case of chronic endometritis.

methodsA retrospective observational study carried out at Gynecology and Obstetrics Department, Puerta de Hierro Hospital, Autónoma University of Madrid, Spain, from January 2021 to June 2022 was performed by obtaining data from 115 medical records of women who underwent office hysteroscopies that was compared with the findings of final histological examination of endometrial biopsy. Cohen's kappa index was used to evaluate this agreement rate. In addition, sensitivity, specificity, positive and negative predictive value and diagnostic accuracy were obtained.

resultsThe agreement between hysteroscopic findings and histological examination showed a modest result with a Cohen's kappa index of 34%. In addition, we obtained a specificity of 70% and a sensitivity of 64%. The positive and negative predictive value were 60.8% and 73.4%, respectively. An excellent agreement rate (100%) between histological and hysteroscopic results was observed in presence of hyperemia and micropolyps.

conclusionAlthough the sample size is not as large as that of other studies published so far, the first glance of our experience is that hysteroscopic signs are not yet sufficient to make an accurate diagnosis of chronic endometritis, thus requiring a histopathological confirmation to make it.

Indexed as

EndometritisChronic DiseaseEndometriumFemaleHumansHysteroscopyPregnancyRetrospective StudiesSensitivity and SpecificityChronic endometritisHistologyHysteroscopyInfertilityInflammation

Identifiers

PMID37737882
PMCPMC10579145

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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.