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  1. Artikel: Endometrial Biopsy in Low-Risk Women: Are We Over-Investigating?

    Cartier, Sophie / Mayrand, Marie-Hélène / Gougeon, François / Simard-Émond, Laurence

    Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

    2022  Band 44, Heft 10, Seite(n) 1097–1101

    Abstract: The appropriate age at which to perform endometrial biopsy for abnormal uterine bleeding (AUB) is controversial. This study aimed to determine the prevalence of malignant and premalignant pathologies in women aged 41-49 years with AUB and without risk ... ...

    Abstract The appropriate age at which to perform endometrial biopsy for abnormal uterine bleeding (AUB) is controversial. This study aimed to determine the prevalence of malignant and premalignant pathologies in women aged 41-49 years with AUB and without risk factors for endometrial cancer. Records of women who had undergone a biopsy at the gynaecology clinic of the Centre hospitalier de l'Université de Montréal between 2014 and 2018 were reviewed. Of the 209 women included in the study, 2 had atypical hyperplasia, which resolved without treatment, and 3 had hyperplasia without atypia. The remaining women had benign results, showing that the prevalence of malignant and premalignant endometrial pathologies is low in this subgroup of patients.
    Mesh-Begriff(e) Biopsy ; Endometrial Hyperplasia/epidemiology ; Endometrial Hyperplasia/pathology ; Endometrial Neoplasms/pathology ; Endometrium/pathology ; Female ; Humans ; Hyperplasia/complications ; Risk Factors ; Uterine Diseases/complications ; Uterine Hemorrhage/etiology
    Sprache Englisch
    Erscheinungsdatum 2022-06-24
    Erscheinungsland Netherlands
    Dokumenttyp Journal Article
    ZDB-ID 2171082-X
    ISSN 1701-2163
    ISSN 1701-2163
    DOI 10.1016/j.jogc.2022.05.010
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6445: Hefte anzeigen Standort:
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  2. Artikel ; Online: The impact of surgeon operative volume on risk of reoperation within 5 years of mid-urethral sling: a systematic review.

    Cartier, Sophie / Cerantola, Gina-Marie / Leung, Alexander A / Brennand, Erin

    International urogynecology journal

    2022  Band 34, Heft 5, Seite(n) 981–992

    Abstract: Introduction and hypothesis: Undesired outcomes after mid-urethral sling (MUS), such as mesh exposure or surgical failure, can necessitate further procedures. The objective of this review is to evaluate the association between surgeon operative volume ... ...

    Abstract Introduction and hypothesis: Undesired outcomes after mid-urethral sling (MUS), such as mesh exposure or surgical failure, can necessitate further procedures. The objective of this review is to evaluate the association between surgeon operative volume and the risk of reoperation after MUS.
    Methods: Eligible studies were selected through an electronic literature search from database and references of the studies included. Databases were searched for original studies reporting on the MUS procedure, reoperation, and operative volume. Random effects models were used to estimate the pooled OR of reoperation according to surgeon volume. Outcomes were divided into two categories: mesh removal and/or revision and subsequent surgery for treatment of SUI.
    Results: A total of 2,304 abstracts were screened, and 51 studies were assessed through full-text reading. Seven studies were included in the systematic review. High-volume and low-volume surgeons were defined differently in various studies. The odds ratio of the mesh removal/revision procedure was 1.26 (95%CI 1.03-1.53) among those who received their surgery from a low-volume surgeon compared with those who received their surgery from a high-volume surgeon as defined by the studies. The odds ratio of repeated incontinence procedures was 1.18 (95% CI 1.01-1.37).
    Conclusions: The odds of a repeat incontinence procedure appear higher if the surgery is performed by a low-volume surgeon, although these results need to be interpreted with caution as the definition of low-volume vs high-volume surgeon varied between studies. As such, operative volume should be included in surgical reporting, and future research should utilize surgical volume as either a continuous exposure or a standardized value of low- vs high-volume MUS surgeons.
    Mesh-Begriff(e) Humans ; Reoperation ; Urinary Incontinence, Stress/surgery ; Suburethral Slings/adverse effects ; Urologic Surgical Procedures/methods ; Urinary Incontinence/surgery ; Surgeons ; Retrospective Studies
    Sprache Englisch
    Erscheinungsdatum 2022-12-20
    Erscheinungsland England
    Dokumenttyp Systematic Review ; Journal Article ; Review
    ZDB-ID 1050631-7
    ISSN 1433-3023 ; 0937-3462
    ISSN (online) 1433-3023
    ISSN 0937-3462
    DOI 10.1007/s00192-022-05426-9
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Verfügbar in ZB MED Köln/Königswinter

    Zs.A 3070: Hefte anzeigen Standort:
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    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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    Dieser Service ist kostenpflichtig (siehe Lieferbedingungen von subito). Bestellungen, die einen Artikel nebst Supplementary Material umfassen, werden grundsätzlich wie mehrfache Bestellungen bearbeitet. Gebühren fallen in diesen Fällen für jede einzelne Bestellung an.

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