The value of medical history taking as risk indicator for tuboperitoneal pathology: A systematic review

F. Y. Luttjeboer, H. R. Verhoeve, H. J. Van Dessel, F. Van Der Veen, B. W J Mol, S. F P J Coppus

Research output: Contribution to journalReview article

14 Citations (Scopus)

Abstract

Background Guidelines recommend diagnostic laparoscopy in subfertile women with known co-morbidities in their medical history. Aggregated evidence underpinning these recommendations is, however, currently lacking. Objective The objective of this study was to perform a systematic review and meta-analysis of the available evidence on the association between items reported during medical history taking and tuboperitoneal pathology. Search strategy MEDLINE (from 1966 to May 2007), EMBASE (from 1960 to January 2007) and bibliographies of retrieved primary articles. Selection criteria All relevant studies that compared medical history with the presence or absence of tubal pathology. Data collection and analysis Studies comparing medical history with the presence or absence of tubal pathology were included. A diagnosis of tubal pathology had to be made by hysterosalpingography, laparoscopy or a combination of both. In the absence of invasive tubal testing, tuboperitoneal pathology was considered to be absent in case of intrauterine pregnancy. Homogeneity between studies was assessed, and the association between medical history and tubal pathology was expressed as a common odds ratio with a 95% CI. No language restriction was applied. Main results We included 32 studies. In cohort studies, strong associations were found for a history of complicated appendicitis (OR 7.2, 95% CI 2.2-22.8), pelvic surgery (OR 3.6, 95% CI 1.4-9.0) and pelvic inflammatory disease (PID) (OR 3.2, 95% CI 1.6-6.6), and in case-control studies, for a history of complicated appendicitis (OR 3.3, 95% CI 1.8-6.3), PID (OR 5.5, 95% CI 2.7-11.0), ectopic pregnancy (OR 16.0, 95% CI 12.5-20.4), endometriosis (OR 5.9, 95% CI 3.2-10.8) and sexually transmitted disease (OR 11.9, 95% CI 4.3-33.3). Author's conclusions Subfertile women reporting a history of PID, complicated appendicitis, pelvic surgery, ectopic pregnancy and endometriosis are at increased risk of having tuboperitoneal pathology. In these women, diagnostic laparoscopy should be offered early in the fertility work-up.

LanguageEnglish
Pages612-625
Number of pages14
JournalBJOG: An International Journal of Obstetrics and Gynaecology
Volume116
Issue number5
DOIs
Publication statusPublished - Apr 2009

Keywords

  • Anamnesis
  • History
  • Hysterosalpingography
  • Laparoscopy
  • Tubal pathology

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Luttjeboer, F. Y. ; Verhoeve, H. R. ; Van Dessel, H. J. ; Van Der Veen, F. ; Mol, B. W J ; Coppus, S. F P J. / The value of medical history taking as risk indicator for tuboperitoneal pathology : A systematic review. In: BJOG: An International Journal of Obstetrics and Gynaecology. 2009 ; Vol. 116, No. 5. pp. 612-625.
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title = "The value of medical history taking as risk indicator for tuboperitoneal pathology: A systematic review",
abstract = "Background Guidelines recommend diagnostic laparoscopy in subfertile women with known co-morbidities in their medical history. Aggregated evidence underpinning these recommendations is, however, currently lacking. Objective The objective of this study was to perform a systematic review and meta-analysis of the available evidence on the association between items reported during medical history taking and tuboperitoneal pathology. Search strategy MEDLINE (from 1966 to May 2007), EMBASE (from 1960 to January 2007) and bibliographies of retrieved primary articles. Selection criteria All relevant studies that compared medical history with the presence or absence of tubal pathology. Data collection and analysis Studies comparing medical history with the presence or absence of tubal pathology were included. A diagnosis of tubal pathology had to be made by hysterosalpingography, laparoscopy or a combination of both. In the absence of invasive tubal testing, tuboperitoneal pathology was considered to be absent in case of intrauterine pregnancy. Homogeneity between studies was assessed, and the association between medical history and tubal pathology was expressed as a common odds ratio with a 95{\%} CI. No language restriction was applied. Main results We included 32 studies. In cohort studies, strong associations were found for a history of complicated appendicitis (OR 7.2, 95{\%} CI 2.2-22.8), pelvic surgery (OR 3.6, 95{\%} CI 1.4-9.0) and pelvic inflammatory disease (PID) (OR 3.2, 95{\%} CI 1.6-6.6), and in case-control studies, for a history of complicated appendicitis (OR 3.3, 95{\%} CI 1.8-6.3), PID (OR 5.5, 95{\%} CI 2.7-11.0), ectopic pregnancy (OR 16.0, 95{\%} CI 12.5-20.4), endometriosis (OR 5.9, 95{\%} CI 3.2-10.8) and sexually transmitted disease (OR 11.9, 95{\%} CI 4.3-33.3). Author's conclusions Subfertile women reporting a history of PID, complicated appendicitis, pelvic surgery, ectopic pregnancy and endometriosis are at increased risk of having tuboperitoneal pathology. In these women, diagnostic laparoscopy should be offered early in the fertility work-up.",
keywords = "Anamnesis, History, Hysterosalpingography, Laparoscopy, Tubal pathology",
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The value of medical history taking as risk indicator for tuboperitoneal pathology : A systematic review. / Luttjeboer, F. Y.; Verhoeve, H. R.; Van Dessel, H. J.; Van Der Veen, F.; Mol, B. W J; Coppus, S. F P J.

In: BJOG: An International Journal of Obstetrics and Gynaecology, Vol. 116, No. 5, 04.2009, p. 612-625.

Research output: Contribution to journalReview article

TY - JOUR

T1 - The value of medical history taking as risk indicator for tuboperitoneal pathology

T2 - BJOG: An International Journal of Obstetrics and Gynaecology

AU - Luttjeboer, F. Y.

AU - Verhoeve, H. R.

AU - Van Dessel, H. J.

AU - Van Der Veen, F.

AU - Mol, B. W J

AU - Coppus, S. F P J

PY - 2009/4

Y1 - 2009/4

N2 - Background Guidelines recommend diagnostic laparoscopy in subfertile women with known co-morbidities in their medical history. Aggregated evidence underpinning these recommendations is, however, currently lacking. Objective The objective of this study was to perform a systematic review and meta-analysis of the available evidence on the association between items reported during medical history taking and tuboperitoneal pathology. Search strategy MEDLINE (from 1966 to May 2007), EMBASE (from 1960 to January 2007) and bibliographies of retrieved primary articles. Selection criteria All relevant studies that compared medical history with the presence or absence of tubal pathology. Data collection and analysis Studies comparing medical history with the presence or absence of tubal pathology were included. A diagnosis of tubal pathology had to be made by hysterosalpingography, laparoscopy or a combination of both. In the absence of invasive tubal testing, tuboperitoneal pathology was considered to be absent in case of intrauterine pregnancy. Homogeneity between studies was assessed, and the association between medical history and tubal pathology was expressed as a common odds ratio with a 95% CI. No language restriction was applied. Main results We included 32 studies. In cohort studies, strong associations were found for a history of complicated appendicitis (OR 7.2, 95% CI 2.2-22.8), pelvic surgery (OR 3.6, 95% CI 1.4-9.0) and pelvic inflammatory disease (PID) (OR 3.2, 95% CI 1.6-6.6), and in case-control studies, for a history of complicated appendicitis (OR 3.3, 95% CI 1.8-6.3), PID (OR 5.5, 95% CI 2.7-11.0), ectopic pregnancy (OR 16.0, 95% CI 12.5-20.4), endometriosis (OR 5.9, 95% CI 3.2-10.8) and sexually transmitted disease (OR 11.9, 95% CI 4.3-33.3). Author's conclusions Subfertile women reporting a history of PID, complicated appendicitis, pelvic surgery, ectopic pregnancy and endometriosis are at increased risk of having tuboperitoneal pathology. In these women, diagnostic laparoscopy should be offered early in the fertility work-up.

AB - Background Guidelines recommend diagnostic laparoscopy in subfertile women with known co-morbidities in their medical history. Aggregated evidence underpinning these recommendations is, however, currently lacking. Objective The objective of this study was to perform a systematic review and meta-analysis of the available evidence on the association between items reported during medical history taking and tuboperitoneal pathology. Search strategy MEDLINE (from 1966 to May 2007), EMBASE (from 1960 to January 2007) and bibliographies of retrieved primary articles. Selection criteria All relevant studies that compared medical history with the presence or absence of tubal pathology. Data collection and analysis Studies comparing medical history with the presence or absence of tubal pathology were included. A diagnosis of tubal pathology had to be made by hysterosalpingography, laparoscopy or a combination of both. In the absence of invasive tubal testing, tuboperitoneal pathology was considered to be absent in case of intrauterine pregnancy. Homogeneity between studies was assessed, and the association between medical history and tubal pathology was expressed as a common odds ratio with a 95% CI. No language restriction was applied. Main results We included 32 studies. In cohort studies, strong associations were found for a history of complicated appendicitis (OR 7.2, 95% CI 2.2-22.8), pelvic surgery (OR 3.6, 95% CI 1.4-9.0) and pelvic inflammatory disease (PID) (OR 3.2, 95% CI 1.6-6.6), and in case-control studies, for a history of complicated appendicitis (OR 3.3, 95% CI 1.8-6.3), PID (OR 5.5, 95% CI 2.7-11.0), ectopic pregnancy (OR 16.0, 95% CI 12.5-20.4), endometriosis (OR 5.9, 95% CI 3.2-10.8) and sexually transmitted disease (OR 11.9, 95% CI 4.3-33.3). Author's conclusions Subfertile women reporting a history of PID, complicated appendicitis, pelvic surgery, ectopic pregnancy and endometriosis are at increased risk of having tuboperitoneal pathology. In these women, diagnostic laparoscopy should be offered early in the fertility work-up.

KW - Anamnesis

KW - History

KW - Hysterosalpingography

KW - Laparoscopy

KW - Tubal pathology

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JO - BJOG: An International Journal of Obstetrics and Gynaecology

JF - BJOG: An International Journal of Obstetrics and Gynaecology

SN - 1470-0328

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