Evidence map›Paper›PMID 39045953›Full record

Trial reportRevista da Associacao Medica Brasileira (1992)2024

Preoperative promestriene for hysteroscopy: a randomized clinical trial.

Isabela Maciel Caetano, Agnaldo Lopes da Silva Filho, Rivia Mara Lamaita, Bernardo Avila Maia, Eduardha Santos Temponi Barroso, Eduardo Batista Candido

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Revista da Associacao Medica Brasileira (1992), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Isabela Maciel CaetanoUniversidade Federal de Minas Gerais, Hospital das Clínicas, Woman's Health Department - Belo Horizonte (MG), Brazil.ORCID http://orcid.org/0000-0001-8189-7953
Agnaldo Lopes da Silva FilhoUniversidade Federal de Minas Gerais, Department of Gynecology and Obstetrics - Belo Horizonte (MG), Brazil.ORCID http://orcid.org/0000-0002-8486-7861
Rivia Mara LamaitaUniversidade Federal de Minas Gerais, Department of Gynecology and Obstetrics - Belo Horizonte (MG), Brazil.ORCID http://orcid.org/0000-0002-9389-3316
Bernardo Avila MaiaHospital Felicio Rocho - Belo Horizonte (MG), Brazil.ORCID http://orcid.org/0000-0001-9720-3338
Eduardha Santos Temponi BarrosoUniversidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil.ORCID http://orcid.org/0000-0001-9743-5219
Eduardo Batista CandidoUniversidade Federal de Minas Gerais, Department of Gynecology and Obstetrics - Belo Horizonte (MG), Brazil.ORCID http://orcid.org/0000-0001-6496-6654

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIntraoperative complications of hysteroscopy, such as the creation of a false passage, cervix dilatation failure, and uterine perforation, may require suspension of the procedure. Some patients refuse a new procedure, which delays the diagnosis of a possible serious uterine pathology. For this reason, it is essential to develop strategies to increase the success rate of hysteroscopy. Some authors suggest preoperative use of topical estrogen for postmenopausal patients. This strategy is common in clinical practice, but studies demonstrating its effectiveness are scarce. The aim of this study was to evaluate the effect of cervical preparation with promestriene on the incidence of complications in postmenopausal women undergoing surgical hysteroscopy.

methodsThis is a double-blind clinical trial involving 37 postmenopausal patients undergoing surgical hysteroscopy. Participants used promestriene or placebo vaginally daily for 2 weeks and then twice a week for another 2 weeks until surgery.

resultsThere were 2 out of 14 (14.3%) participants with complications in the promestriene group and 4 out of 23 (17.4%) participants in the placebo group (p=0.593). The complications were difficult cervical dilation, cervical laceration, and vaginal laceration.

conclusionCervical preparation with promestriene did not reduce intraoperative complications in postmenopausal patients undergoing surgical hysteroscopy.

Indexed as

HysteroscopyPostmenopausePreoperative CareAdministration, IntravaginalAgedDouble-Blind MethodFemaleHumansIntraoperative ComplicationsMiddle AgedTreatment Outcome

Identifiers

PMID39045953
PMCPMC11288270

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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.