Comparison of office hysteroscopy and dilatation & curettage regarding patient comfort, efficacy and quality of life in patients suffering from menorrhagia: prospective randomized study
Notice bibliographique
Résumé
Objective: Endometrial sampling is essential to exclude carcinoma and confirm the benign nature of abnormal uterine bleeding. Methods include endometrial biopsy, office hysteroscopy, and dilatation and curettage (D&C). The aim of this study was to evaluate the diagnostic efficacy of office hysteroscopy and D&C in patients suffering from menorrhagia, and to compare the tolerability and the outcome of the two procedures. Materials and Methods: Forty patients suffering from menorrhagia and willing to participate were included in this prospective study and randomized to office hysteroscopy (n=20) and D&C groups (n=20). Quality of life was evaluated using the Menorrhagia- Impact-Questionnaire (MIQ) before and three months after the procedure. Visual analogue scale (VAS) was used to evaluate the pain felt during the procedure. Primary outcomes were patient-reported improvement in menorrhagia and effect on quality of life. Secondary outcomes were objective improvement in the complete-blood-count, tolerability and complications of the procedure, and pathology results. Results: There was a significant difference in the mean VAS results for pain in the office hysteroscopy and D&C groups (p = 0.00). In the MIQ domains, there was a significant improvement in the perception of blood loss in both groups, which was more significant in the office hysteroscopy group when compared to the D&C group. There was a significant improvement in the limitations in work inside/outside home, limitations in physical and social activities in the office hysteroscopy group, and the differences were significant when compared with the D&C group. In the assessment of change in blood loss, the difference between the two groups after the procedure was significant. Twenty patients (100%) in the office hysteroscopy group and 19 patients (95%) in the D&C group suggested that this was a remarkable and important change. Two patients in each group had insufficient tissue for diagnosis. Eight patients in the office hysteroscopy group whereas three patients in the D&C group had endometrial polyps. In one patient in the D&C group, pathology result was submucous leiomyoma. Conclusion: There was a significant patient-reported improvement in menorrhagia and positive effect on quality of life after office hysteroscopy when compared to D&C. Pain was significantly less in the office hysteroscopy when compared to D&C even in patients with lower number of deliveries. Office hysteroscopy was superior to D&C in the diagnosis of intracavitary pathologies.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,030 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,002 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».