The Diagnostic Accuracy of Transvaginal Ultrasound for Detection of Ureteral Involvement in Deep Infiltrating Endometriosis
Objective The aim of this study is to determine the accuracy of transvaginal ultrasound (TVU) for the diagnosis of ureteral involvement in women with deep infiltrating endometriosis (DIE). Methods The meta‐analysis included primary studies comparing the use of TVU for diagnosing endometriotic involv...
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| Veröffentlicht in: | Journal of ultrasound in medicine 2024-01, Vol.43 (1), p.7-19 |
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| container_title | Journal of ultrasound in medicine |
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| creator | Chway, Cizar Flórez, Sandra Muñoz, Maria Dolores Guerriero, Stefano Alcázar, Juan Luis |
| description | Objective
The aim of this study is to determine the accuracy of transvaginal ultrasound (TVU) for the diagnosis of ureteral involvement in women with deep infiltrating endometriosis (DIE).
Methods
The meta‐analysis included primary studies comparing the use of TVU for diagnosing endometriotic involvement of the ureter, using laparoscopic surgery and histological diagnosis as the reference standard. Search was performed in several databases (Scopus, Web of Science, and PubMed/MEDLINE). The studies' quality and bias risk were assessed using the Quality Assessment of Diagnostic Accuracy Study‐2 (QUADAS‐2). Diagnostic performance was estimated by assessing pooled sensitivity and specificity.
Results
A total of 496 citations were found. Six articles were ultimately selected for this systematic review and meta‐analysis after the inclusion and exclusion criteria were applied. Pooled sensitivity and specificity were 0.81 (95% CI: 0.42–0.96), 1.00 (95% CI: 0.93–1.00). The heterogeneity observed was high for both sensitivity and specificity. Overall risk of bias was low.
Conclusion
TVU is a valuable tool for the pre‐operative identification of ureteral involvement by DIE. |
| doi_str_mv | 10.1002/jum.16335 |
| format | Article |
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The aim of this study is to determine the accuracy of transvaginal ultrasound (TVU) for the diagnosis of ureteral involvement in women with deep infiltrating endometriosis (DIE).
Methods
The meta‐analysis included primary studies comparing the use of TVU for diagnosing endometriotic involvement of the ureter, using laparoscopic surgery and histological diagnosis as the reference standard. Search was performed in several databases (Scopus, Web of Science, and PubMed/MEDLINE). The studies' quality and bias risk were assessed using the Quality Assessment of Diagnostic Accuracy Study‐2 (QUADAS‐2). Diagnostic performance was estimated by assessing pooled sensitivity and specificity.
Results
A total of 496 citations were found. Six articles were ultimately selected for this systematic review and meta‐analysis after the inclusion and exclusion criteria were applied. Pooled sensitivity and specificity were 0.81 (95% CI: 0.42–0.96), 1.00 (95% CI: 0.93–1.00). The heterogeneity observed was high for both sensitivity and specificity. Overall risk of bias was low.
Conclusion
TVU is a valuable tool for the pre‐operative identification of ureteral involvement by DIE.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.1002/jum.16335</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>endometriosis ; kidney ; ultrasound ; ureter ; ureteral</subject><ispartof>Journal of ultrasound in medicine, 2024-01, Vol.43 (1), p.7-19</ispartof><rights>2023 The Authors. published by Wiley Periodicals LLC on behalf of American Institute of Ultrasound in Medicine.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2005-ebc775bc36353ef18d10f5967e0638a6106478b3d972bfee221e66b37434cba03</citedby><orcidid>0000-0002-9700-0853 ; 0000-0002-1359-7155</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjum.16335$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjum.16335$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids></links><search><creatorcontrib>Chway, Cizar</creatorcontrib><creatorcontrib>Flórez, Sandra</creatorcontrib><creatorcontrib>Muñoz, Maria Dolores</creatorcontrib><creatorcontrib>Guerriero, Stefano</creatorcontrib><creatorcontrib>Alcázar, Juan Luis</creatorcontrib><title>The Diagnostic Accuracy of Transvaginal Ultrasound for Detection of Ureteral Involvement in Deep Infiltrating Endometriosis</title><title>Journal of ultrasound in medicine</title><description>Objective
The aim of this study is to determine the accuracy of transvaginal ultrasound (TVU) for the diagnosis of ureteral involvement in women with deep infiltrating endometriosis (DIE).
Methods
The meta‐analysis included primary studies comparing the use of TVU for diagnosing endometriotic involvement of the ureter, using laparoscopic surgery and histological diagnosis as the reference standard. Search was performed in several databases (Scopus, Web of Science, and PubMed/MEDLINE). The studies' quality and bias risk were assessed using the Quality Assessment of Diagnostic Accuracy Study‐2 (QUADAS‐2). Diagnostic performance was estimated by assessing pooled sensitivity and specificity.
Results
A total of 496 citations were found. Six articles were ultimately selected for this systematic review and meta‐analysis after the inclusion and exclusion criteria were applied. Pooled sensitivity and specificity were 0.81 (95% CI: 0.42–0.96), 1.00 (95% CI: 0.93–1.00). The heterogeneity observed was high for both sensitivity and specificity. Overall risk of bias was low.
Conclusion
TVU is a valuable tool for the pre‐operative identification of ureteral involvement by DIE.</description><subject>endometriosis</subject><subject>kidney</subject><subject>ultrasound</subject><subject>ureter</subject><subject>ureteral</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNotkN1OwjAYhhujiYgeeAe9gUF_tnY7JICKwXjCjpeu-4olW0vagVm8eQd69P3ked-DB6FnSmaUEDY_nLoZFZxnN2hCs4wkhaD8Fk0Ik3mSskLeo4cYDyNKqEwn6Gf3BXhl1d752FuNF1qfgtID9gbvgnLxrPbWqRaXbR9U9CfXYOMDXkEPurfeXcAyjFcYoY07-_YMHbgeWzdCcBx_xl6yvXV7vHaN76AP1kcbH9GdUW2Ep_85ReXLerd8S7afr5vlYptoRkiWQK2lzGrNBc84GJo3lJisEBKI4LkSlIhU5jVvCslqA8AYBSFqLlOe6loRPkXzv95v28JQHYPtVBgqSqqLsmpUVl2VVe_lx3Xhv126Yxs</recordid><startdate>202401</startdate><enddate>202401</enddate><creator>Chway, Cizar</creator><creator>Flórez, Sandra</creator><creator>Muñoz, Maria Dolores</creator><creator>Guerriero, Stefano</creator><creator>Alcázar, Juan Luis</creator><general>John Wiley & Sons, Inc</general><scope>24P</scope><orcidid>https://orcid.org/0000-0002-9700-0853</orcidid><orcidid>https://orcid.org/0000-0002-1359-7155</orcidid></search><sort><creationdate>202401</creationdate><title>The Diagnostic Accuracy of Transvaginal Ultrasound for Detection of Ureteral Involvement in Deep Infiltrating Endometriosis</title><author>Chway, Cizar ; Flórez, Sandra ; Muñoz, Maria Dolores ; Guerriero, Stefano ; Alcázar, Juan Luis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2005-ebc775bc36353ef18d10f5967e0638a6106478b3d972bfee221e66b37434cba03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>endometriosis</topic><topic>kidney</topic><topic>ultrasound</topic><topic>ureter</topic><topic>ureteral</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chway, Cizar</creatorcontrib><creatorcontrib>Flórez, Sandra</creatorcontrib><creatorcontrib>Muñoz, Maria Dolores</creatorcontrib><creatorcontrib>Guerriero, Stefano</creatorcontrib><creatorcontrib>Alcázar, Juan Luis</creatorcontrib><collection>Wiley Online Library Open Access</collection><jtitle>Journal of ultrasound in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chway, Cizar</au><au>Flórez, Sandra</au><au>Muñoz, Maria Dolores</au><au>Guerriero, Stefano</au><au>Alcázar, Juan Luis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Diagnostic Accuracy of Transvaginal Ultrasound for Detection of Ureteral Involvement in Deep Infiltrating Endometriosis</atitle><jtitle>Journal of ultrasound in medicine</jtitle><date>2024-01</date><risdate>2024</risdate><volume>43</volume><issue>1</issue><spage>7</spage><epage>19</epage><pages>7-19</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><abstract>Objective
The aim of this study is to determine the accuracy of transvaginal ultrasound (TVU) for the diagnosis of ureteral involvement in women with deep infiltrating endometriosis (DIE).
Methods
The meta‐analysis included primary studies comparing the use of TVU for diagnosing endometriotic involvement of the ureter, using laparoscopic surgery and histological diagnosis as the reference standard. Search was performed in several databases (Scopus, Web of Science, and PubMed/MEDLINE). The studies' quality and bias risk were assessed using the Quality Assessment of Diagnostic Accuracy Study‐2 (QUADAS‐2). Diagnostic performance was estimated by assessing pooled sensitivity and specificity.
Results
A total of 496 citations were found. Six articles were ultimately selected for this systematic review and meta‐analysis after the inclusion and exclusion criteria were applied. Pooled sensitivity and specificity were 0.81 (95% CI: 0.42–0.96), 1.00 (95% CI: 0.93–1.00). The heterogeneity observed was high for both sensitivity and specificity. Overall risk of bias was low.
Conclusion
TVU is a valuable tool for the pre‐operative identification of ureteral involvement by DIE.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><doi>10.1002/jum.16335</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-9700-0853</orcidid><orcidid>https://orcid.org/0000-0002-1359-7155</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0278-4297 |
| ispartof | Journal of ultrasound in medicine, 2024-01, Vol.43 (1), p.7-19 |
| issn | 0278-4297 1550-9613 |
| language | eng |
| recordid | cdi_wiley_primary_10_1002_jum_16335_JUM16335 |
| source | Wiley Online Library Journals Frontfile Complete |
| subjects | endometriosis kidney ultrasound ureter ureteral |
| title | The Diagnostic Accuracy of Transvaginal Ultrasound for Detection of Ureteral Involvement in Deep Infiltrating Endometriosis |
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