The accuracy of hysterosalpingography in the diagnosis of tubal pathology: A meta-analysis

P. Swart, B. W.J. Mol, F. Van der Veen, M. Van Beurden, W. K. Redekop, P. M.M. Bossuyt

Research output: Contribution to journalArticle

243 Citations (Scopus)

Abstract

Objective: To assess the value of hysterosalpingography (HSG) in diagnosing tubal patency and peritubal adhesions using laparoscopy with chromopertubation as the gold standard. Design: Meta-analysis of 20 studies comparing HSG and laparoscopy for tubal patency and peritubal adhesions. Patients: Four thousand one hundred seventy-nine patients with infertility in 20 studies. Intervention: Hysterosalpingography and diagnostic laparoscopy as part of infertility workup. Main Outcome Measure: Tubal patency and peritubal adhesions. Results: For tubal patency the reported sensitivity and specificity differed between studies. In a subset of studies that evaluated HSG and laparoscopy independently, a point estimate of 0.65 for sensitivity and 0.83 for specificity was calculated. For peritubal adhesions a summary receiver operating characteristic curve could be estimated. Conclusions: Although HSG is of limited use for detecting tubal patency because of its low sensitivity, its high specificity makes it a useful test for ruling in tubal obstruction. For the evaluation of peritubal adhesions HSG is not reliable.

LanguageEnglish
Pages486-491
Number of pages6
JournalFertility and Sterility
Volume64
Issue number3
DOIs
Publication statusPublished - 1 Jan 1995

Keywords

  • Hysterosalpingography
  • diagnostic laparoscopy
  • infertility
  • meta-analysis
  • peritubal adhesions
  • tubal patency

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

Cite this

Swart, P., Mol, B. W. J., Van der Veen, F., Van Beurden, M., Redekop, W. K., & Bossuyt, P. M. M. (1995). The accuracy of hysterosalpingography in the diagnosis of tubal pathology: A meta-analysis. Fertility and Sterility, 64(3), 486-491. https://doi.org/10.1016/S0015-0282(16)57781-4
Swart, P. ; Mol, B. W.J. ; Van der Veen, F. ; Van Beurden, M. ; Redekop, W. K. ; Bossuyt, P. M.M. / The accuracy of hysterosalpingography in the diagnosis of tubal pathology : A meta-analysis. In: Fertility and Sterility. 1995 ; Vol. 64, No. 3. pp. 486-491.
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Swart, P, Mol, BWJ, Van der Veen, F, Van Beurden, M, Redekop, WK & Bossuyt, PMM 1995, 'The accuracy of hysterosalpingography in the diagnosis of tubal pathology: A meta-analysis', Fertility and Sterility, vol. 64, no. 3, pp. 486-491. https://doi.org/10.1016/S0015-0282(16)57781-4

The accuracy of hysterosalpingography in the diagnosis of tubal pathology : A meta-analysis. / Swart, P.; Mol, B. W.J.; Van der Veen, F.; Van Beurden, M.; Redekop, W. K.; Bossuyt, P. M.M.

In: Fertility and Sterility, Vol. 64, No. 3, 01.01.1995, p. 486-491.

Research output: Contribution to journalArticle

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