Diagnostic accuracy of transvaginal sonography for detecting parametrial involvement in women with deep endometriosis: systematic review and meta-analysis

Objective To evaluate the accuracy of transvaginal sonography (TVS) for detecting parametrial deep endometriosis, using laparoscopy as the reference standard. Methods A search was performed in PubMed/MEDLINE and Web of Science for studies evaluating TVS for detecting parametrial involvement in women...

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Authors: Guerriero, S. (Stefano)|||/items/7365f114-412a-44f4-ae96-fd901e8181cd, Martínez, L. (L.)|||/items/77df7f21-9990-4567-afba-fc386a79f1db, Gómez, I. (I.)|||/items/80f0c7f0-cf9f-441a-8f6b-39c770c0f3a8, Pascual, M.A. (Maria Angela)|||/items/3afeb4f9-c2ca-49cd-87f4-8bdf7a8bac2b, Ajossa, S. (Silvia)|||/items/4f95bd07-dc95-4950-b6a8-4e2f15c1e2da, Pagliuca, M. (Mariachiara)|||/items/9dc7bf5b-558d-46ad-baa4-a44dd864012b, Alcazar, J.L. (Juan Luis)|||/items/60547d4c-c930-4ef2-a41a-55ae849f2e96
Format: article
Publication Date:2021
Country:España
Institution:Universidad de Navarra
Repository:Dadun. Depósito Académico Digital de la Universidad de Navarra
Language:English
OAI Identifier:oai:dadun.unav.edu:10171/62916
Online Access:https://hdl.handle.net/10171/62916
Access Level:Open access
Keyword:Materias Investigacion::Ciencias de la Salud::Obstetricia y ginecología
Endometriosis
Parametrium
Transvaginal ultrasound
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spelling Diagnostic accuracy of transvaginal sonography for detecting parametrial involvement in women with deep endometriosis: systematic review and meta-analysisGuerriero, S. (Stefano)|||/items/7365f114-412a-44f4-ae96-fd901e8181cdMartínez, L. (L.)|||/items/77df7f21-9990-4567-afba-fc386a79f1dbGómez, I. (I.)|||/items/80f0c7f0-cf9f-441a-8f6b-39c770c0f3a8Pascual, M.A. (Maria Angela)|||/items/3afeb4f9-c2ca-49cd-87f4-8bdf7a8bac2bAjossa, S. (Silvia)|||/items/4f95bd07-dc95-4950-b6a8-4e2f15c1e2daPagliuca, M. (Mariachiara)|||/items/9dc7bf5b-558d-46ad-baa4-a44dd864012bAlcazar, J.L. (Juan Luis)|||/items/60547d4c-c930-4ef2-a41a-55ae849f2e96Materias Investigacion::Ciencias de la Salud::Obstetricia y ginecologíaEndometriosisParametriumTransvaginal ultrasoundObjective To evaluate the accuracy of transvaginal sonography (TVS) for detecting parametrial deep endometriosis, using laparoscopy as the reference standard. Methods A search was performed in PubMed/MEDLINE and Web of Science for studies evaluating TVS for detecting parametrial involvement in women with suspected deep endometriosis, as compared with laparoscopy, from January 2000 to December 2020. The Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool was used to evaluate the quality of the studies. Pooled sensitivity, specificity and positive and negative likelihood ratios for TVS in the detection of parametrial deep endometriosis were calculated, and the post-test probability of parametrial deep endometriosis following a positive or negative test was determined. Results The search identified 134 citations. Four studies, comprising 560 patients, were included in the analysis. The mean prevalence of parametrial deep endometriosis at surgery was 18%. Overall, the pooled estimated sensitivity, specificity and positive and negative likelihood ratios of TVS in the detection of parametrial deep endometriosis were 31% (95% CI, 10–64%), 98% (95% CI, 95–99%), 18.5 (95% CI, 8.8–38.9) and 0.70 (95% CI, 0.46–1.06), respectively. The diagnostic odds ratio was 26 (95% CI, 10–68). Heterogeneity was high. Visualization of a lesion suspected to be parametrial deep endometriosis on TVS increased significantly the post-test probability of parametrial deep endometriosis. Conclusion TVS has high specificity but low sensitivity for the detection of parametrial deep endometriosis.WileyDadun. Depósito Académico Digital Universidad de Navarra20222022-02-1420212021-01-0120212021-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/62916reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/629162026-06-21T12:47:57Z
dc.title.none.fl_str_mv Diagnostic accuracy of transvaginal sonography for detecting parametrial involvement in women with deep endometriosis: systematic review and meta-analysis
title Diagnostic accuracy of transvaginal sonography for detecting parametrial involvement in women with deep endometriosis: systematic review and meta-analysis
spellingShingle Diagnostic accuracy of transvaginal sonography for detecting parametrial involvement in women with deep endometriosis: systematic review and meta-analysis
Guerriero, S. (Stefano)|||/items/7365f114-412a-44f4-ae96-fd901e8181cd
Materias Investigacion::Ciencias de la Salud::Obstetricia y ginecología
Endometriosis
Parametrium
Transvaginal ultrasound
title_short Diagnostic accuracy of transvaginal sonography for detecting parametrial involvement in women with deep endometriosis: systematic review and meta-analysis
title_full Diagnostic accuracy of transvaginal sonography for detecting parametrial involvement in women with deep endometriosis: systematic review and meta-analysis
title_fullStr Diagnostic accuracy of transvaginal sonography for detecting parametrial involvement in women with deep endometriosis: systematic review and meta-analysis
title_full_unstemmed Diagnostic accuracy of transvaginal sonography for detecting parametrial involvement in women with deep endometriosis: systematic review and meta-analysis
title_sort Diagnostic accuracy of transvaginal sonography for detecting parametrial involvement in women with deep endometriosis: systematic review and meta-analysis
dc.creator.none.fl_str_mv Guerriero, S. (Stefano)|||/items/7365f114-412a-44f4-ae96-fd901e8181cd
Martínez, L. (L.)|||/items/77df7f21-9990-4567-afba-fc386a79f1db
Gómez, I. (I.)|||/items/80f0c7f0-cf9f-441a-8f6b-39c770c0f3a8
Pascual, M.A. (Maria Angela)|||/items/3afeb4f9-c2ca-49cd-87f4-8bdf7a8bac2b
Ajossa, S. (Silvia)|||/items/4f95bd07-dc95-4950-b6a8-4e2f15c1e2da
Pagliuca, M. (Mariachiara)|||/items/9dc7bf5b-558d-46ad-baa4-a44dd864012b
Alcazar, J.L. (Juan Luis)|||/items/60547d4c-c930-4ef2-a41a-55ae849f2e96
author Guerriero, S. (Stefano)|||/items/7365f114-412a-44f4-ae96-fd901e8181cd
author_facet Guerriero, S. (Stefano)|||/items/7365f114-412a-44f4-ae96-fd901e8181cd
Martínez, L. (L.)|||/items/77df7f21-9990-4567-afba-fc386a79f1db
Gómez, I. (I.)|||/items/80f0c7f0-cf9f-441a-8f6b-39c770c0f3a8
Pascual, M.A. (Maria Angela)|||/items/3afeb4f9-c2ca-49cd-87f4-8bdf7a8bac2b
Ajossa, S. (Silvia)|||/items/4f95bd07-dc95-4950-b6a8-4e2f15c1e2da
Pagliuca, M. (Mariachiara)|||/items/9dc7bf5b-558d-46ad-baa4-a44dd864012b
Alcazar, J.L. (Juan Luis)|||/items/60547d4c-c930-4ef2-a41a-55ae849f2e96
author_role author
author2 Martínez, L. (L.)|||/items/77df7f21-9990-4567-afba-fc386a79f1db
Gómez, I. (I.)|||/items/80f0c7f0-cf9f-441a-8f6b-39c770c0f3a8
Pascual, M.A. (Maria Angela)|||/items/3afeb4f9-c2ca-49cd-87f4-8bdf7a8bac2b
Ajossa, S. (Silvia)|||/items/4f95bd07-dc95-4950-b6a8-4e2f15c1e2da
Pagliuca, M. (Mariachiara)|||/items/9dc7bf5b-558d-46ad-baa4-a44dd864012b
Alcazar, J.L. (Juan Luis)|||/items/60547d4c-c930-4ef2-a41a-55ae849f2e96
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Dadun. Depósito Académico Digital Universidad de Navarra
dc.subject.none.fl_str_mv Materias Investigacion::Ciencias de la Salud::Obstetricia y ginecología
Endometriosis
Parametrium
Transvaginal ultrasound
topic Materias Investigacion::Ciencias de la Salud::Obstetricia y ginecología
Endometriosis
Parametrium
Transvaginal ultrasound
description Objective To evaluate the accuracy of transvaginal sonography (TVS) for detecting parametrial deep endometriosis, using laparoscopy as the reference standard. Methods A search was performed in PubMed/MEDLINE and Web of Science for studies evaluating TVS for detecting parametrial involvement in women with suspected deep endometriosis, as compared with laparoscopy, from January 2000 to December 2020. The Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool was used to evaluate the quality of the studies. Pooled sensitivity, specificity and positive and negative likelihood ratios for TVS in the detection of parametrial deep endometriosis were calculated, and the post-test probability of parametrial deep endometriosis following a positive or negative test was determined. Results The search identified 134 citations. Four studies, comprising 560 patients, were included in the analysis. The mean prevalence of parametrial deep endometriosis at surgery was 18%. Overall, the pooled estimated sensitivity, specificity and positive and negative likelihood ratios of TVS in the detection of parametrial deep endometriosis were 31% (95% CI, 10–64%), 98% (95% CI, 95–99%), 18.5 (95% CI, 8.8–38.9) and 0.70 (95% CI, 0.46–1.06), respectively. The diagnostic odds ratio was 26 (95% CI, 10–68). Heterogeneity was high. Visualization of a lesion suspected to be parametrial deep endometriosis on TVS increased significantly the post-test probability of parametrial deep endometriosis. Conclusion TVS has high specificity but low sensitivity for the detection of parametrial deep endometriosis.
publishDate 2021
dc.date.none.fl_str_mv 2021
2021-01-01
2021
2021-01-01
2022
2022-02-14
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10171/62916
url https://hdl.handle.net/10171/62916
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra
instname:Universidad de Navarra
instname_str Universidad de Navarra
reponame_str Dadun. Depósito Académico Digital de la Universidad de Navarra
collection Dadun. Depósito Académico Digital de la Universidad de Navarra
repository.name.fl_str_mv
repository.mail.fl_str_mv
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