Unified diagnostic criteria for chronic endometritis at fluid hysteroscopy: proposal and reliability evaluation through an international randomized-controlled observer study
| Autor: | Carlo Alviggi, Guy Shrem, Vitaly A. Kushnir, Alessandra Andrisani, Roberta Francescato, Guido Ambrosini, Inmaculada Moreno, Kotaro Kitaya, Attilio Di Spiezio Sardo, Riccardo Bassil Lasmar, Ettore Cicinelli, Salvatore Giovanni Vitale, Amerigo Vitagliano, Sergio Haimovich, Alka Kumar, Alessandra Ferrari, Hady el Hackem, Stefano Bettocchi, Dominique de Ziegler, Carlos Simón, Togas Tulandi, Fabiana Divina Fascilla, Pierre-Emmanuel Bouet |
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| Přispěvatelé: | Cicinelli, E., Vitagliano, A., Kumar, A., Lasmar, R. B., Bettocchi, S., Haimovich, S., Kitaya, K., de Ziegler, D., Simon, C., Moreno, I., Andrisani, A., Ambrosini, G., Bouet, P. -E., Hackem, H. E., Kushnir, V. A., Alviggi, C., Francescato, R., Fascilla, F., Vitale, S. G., Tulandi, T., Shrem, G., Ferrari, A., di Spiezio Sardo, A. |
| Rok vydání: | 2019 |
| Předmět: |
Male
0301 basic medicine Delphi Technique Predictive Value of Test Chronic endometriti law.invention Endometrium 0302 clinical medicine Primary outcome Randomized controlled trial law Medicine Endometriosi Reliability (statistics) computer.programming_language Observer Variation 030219 obstetrics & reproductive medicine medicine.diagnostic_test observer Outcome measures Obstetrics and Gynecology Middle Aged Hysteroscopy Female Human Adult medicine.medical_specialty Consensus Observer (quantum physics) Endometriosis Reproducibility of Result Consensu 03 medical and health sciences Predictive Value of Tests Humans observers Chronic endometritis diagnostic criteria fluid hysteroscopy randomized study Chronic Disease Reproducibility of Results Systematic Reviews as Topic business.industry 030104 developmental biology Reproductive Medicine Physical therapy business Chronic Endometritis computer Delphi |
| Zdroj: | Fertility and Sterility. 112:162-173.e2 |
| ISSN: | 0015-0282 |
| DOI: | 10.1016/j.fertnstert.2019.03.004 |
| Popis: | Objective: To develop a consensus on the diagnostic criteria for chronic endometritis (CE) at hysteroscopy (HSC), and to evaluate these proposed criteria in a randomized-controlled observer study. Design: Systematic review of studies evaluating the diagnostic accuracy of HSC in CE diagnosis; Delphi consensus on hysteroscopic diagnostic criteria for CE; randomized-controlled observer study to evaluate the reproducibility of the proposed diagnostic criteria. Setting: Not applicable. Participant(s): Experts from different countries were involved in the systematic review and contributed to the Delphi consensus. Physicians from different countries were involved in the observer study. Intervention(s): After reaching consensus on the diagnostic criteria, the Delphi poll created a questionnaire including 100 hysteroscopic pictures (50 from women with CE [domain 1] and 50 from women without CE [domain 2]), with a single question per picture (Answer_A: suggestive of CE; answer B: not suggestive of CE). A total of 200 physicians were invited to take part in the observer study. Before completing the questionnaire, physicians were randomized to receive a description of the diagnostic criteria (group A) or no such information (group B). Main Outcome Measure(s): The primary outcome was to compare the questionnaire scores for the two groups of observers. The secondary outcome was to assess the interobserver agreement in the diagnosis of CE in each group. Result(s): A total of 126 physicians completed the questionnaire (62 in group A and 64 in group B). Observers in group A obtained higher total scores compared with those in group B (P |
| Databáze: | OpenAIRE |
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