| Titre : | Endovaginal ultrasound to exclude endometrial cancer and other endometrial abnormalities. (1998) |
| Auteurs : | R. SMITH BINDMAN ; R. BRAND ; V.A. FELDSTEIN ; D. GRADY ; K. KERLIKOWSKE ; J. SCHEIDLER ; M. SEGAL ; L. SUBAK ; Department of Epidemiology and Biostatistics. University of California. San Francisco. USA ; Department of Radiology. University of California. San Francisco. USA ; General Internal Medicine Section. San Francisco Veterans Affairs Medical Center. San Francisco. CA. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (n° 17, 1998) |
| Pagination : | 1510-1517 |
| Langues: | Anglais |
| Mots-clés : | Laparoscopie ; Dépistage ; Efficacité ; Femme ; Homme ; Biopsie ; Etats Unis ; Amérique ; Utérus [pathologie] ; Radiodiagnostic ; Imagerie médicale ; Endoscopie ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST OglER0xk. Diffusion soumise à autorisation]. Context. - Postmenopausal vaginal bleeding is a common clinical problem. Endovaginal ultrasound (EVUS) is a noninvasive diagnostic test that may help determine which women should undergo endometrial biopsy. Objective. - To determine the accuracy of EVUS in detecting endometrial disease in postmenopausal women with vaginal bleeding according to hormone replacement use. Data Sources. Literature search of English-language and non-English-language articles published from 1966 through November 1996 using MEDLINE and by a manual search of bibliographies of published articles. Study Selection. - Studies were included if they prospectively collected EVUS measurements of endometrial thickness prior to obtaining endometrial tissue for histologic evaluation in postmenopausal women with vaginal bleeding. Of 85 studies that included data on EVUS and endometrial histology, 35 were included in the meta-analysis and included 5892 women. Data Extraction. - Articles were reviewed and independently selected and abstracted by 2 reviewers. Disagreement was resolved by consensus. Data Synthesis. - The overall summary mean weighted estimates of sensitivity and specificity were calculated for thresholds of endometrial thickness from 3 to 10) mm. (...) |
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