Does the introduction of new technology change population demographics? Minimally invasive technologies and endometrial polyps

Norma F. Chavez, Elizabeth O. Garner, Wasim Khan, Bradley J. Quade, Naba A. Sharif, Fareeha Syed, Elizabeth A Stewart

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objective: To determine if the characteristics of women with endometrial polyps changed as minimally invasive modalities for diagnosis and surgical treatment were integrated to our clinical practice. Materials and Methods: The pathologic reports of all women diagnosed with endometrial polyps in 1990 (220 patients) and 1996 (386 patients) were reviewed. The respective medical records were reviewed for anthropomorphic factors, bleeding pattern, diagnosis, and modality of surgical removal. Comparisons of dichotomous data and analysis of nominal variables with two or more categories were carried out with the χ2 test. Results: Differences in patient characteristics or pattern of bleeding were minimal. In both groups, endometrial polyps were more frequent in women with abnormal bleeding, reaching almost 80%. Diagnostic and therapeutic modalities were significantly different in 1990 vs. 1996. Diagnosis by ultrasound increased fivefold (3.6 vs. 16.8%) and operative hysteroscopy increased threefold (6.4 vs. 19.7). The frequency of incidental diagnosis of endometrial polyps at the time of hysterectomy decreased significantly. The most frequent modality of surgery done in 1990 was dilatation and curettage (44.6%), followed in frequency by endometrial biopsy and abdominal hysterectomy. In contrast, the most frequent modality in 1996 was hysteroscopic resection (36.8%), followed by dilatation and curettage (12.8%). Conclusions: The introduction of minimally invasive methods of diagnosis and treatment of endometrial polyps has not changed the overall patient population with this lesion.

Original languageEnglish (US)
Pages (from-to)217-220
Number of pages4
JournalGynecologic and Obstetric Investigation
Volume54
Issue number4
DOIs
StatePublished - 2002
Externally publishedYes

Fingerprint

Polyps
Demography
Technology
Dilatation and Curettage
Population
Hemorrhage
Hysterectomy
Hysteroscopy
Medical Records
Therapeutics
Biopsy

Keywords

  • Abnormal uterine bleeding
  • Endometrial polyps
  • Hysterectomy
  • Hysterosalpingogram
  • Hysteroscopy
  • Infertility
  • Polypectomy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Does the introduction of new technology change population demographics? Minimally invasive technologies and endometrial polyps. / Chavez, Norma F.; Garner, Elizabeth O.; Khan, Wasim; Quade, Bradley J.; Sharif, Naba A.; Syed, Fareeha; Stewart, Elizabeth A.

In: Gynecologic and Obstetric Investigation, Vol. 54, No. 4, 2002, p. 217-220.

Research output: Contribution to journalArticle

Chavez, Norma F. ; Garner, Elizabeth O. ; Khan, Wasim ; Quade, Bradley J. ; Sharif, Naba A. ; Syed, Fareeha ; Stewart, Elizabeth A. / Does the introduction of new technology change population demographics? Minimally invasive technologies and endometrial polyps. In: Gynecologic and Obstetric Investigation. 2002 ; Vol. 54, No. 4. pp. 217-220.
@article{d36ad40669e043edb52a5695e656a7b5,
title = "Does the introduction of new technology change population demographics? Minimally invasive technologies and endometrial polyps",
abstract = "Objective: To determine if the characteristics of women with endometrial polyps changed as minimally invasive modalities for diagnosis and surgical treatment were integrated to our clinical practice. Materials and Methods: The pathologic reports of all women diagnosed with endometrial polyps in 1990 (220 patients) and 1996 (386 patients) were reviewed. The respective medical records were reviewed for anthropomorphic factors, bleeding pattern, diagnosis, and modality of surgical removal. Comparisons of dichotomous data and analysis of nominal variables with two or more categories were carried out with the χ2 test. Results: Differences in patient characteristics or pattern of bleeding were minimal. In both groups, endometrial polyps were more frequent in women with abnormal bleeding, reaching almost 80{\%}. Diagnostic and therapeutic modalities were significantly different in 1990 vs. 1996. Diagnosis by ultrasound increased fivefold (3.6 vs. 16.8{\%}) and operative hysteroscopy increased threefold (6.4 vs. 19.7). The frequency of incidental diagnosis of endometrial polyps at the time of hysterectomy decreased significantly. The most frequent modality of surgery done in 1990 was dilatation and curettage (44.6{\%}), followed in frequency by endometrial biopsy and abdominal hysterectomy. In contrast, the most frequent modality in 1996 was hysteroscopic resection (36.8{\%}), followed by dilatation and curettage (12.8{\%}). Conclusions: The introduction of minimally invasive methods of diagnosis and treatment of endometrial polyps has not changed the overall patient population with this lesion.",
keywords = "Abnormal uterine bleeding, Endometrial polyps, Hysterectomy, Hysterosalpingogram, Hysteroscopy, Infertility, Polypectomy",
author = "Chavez, {Norma F.} and Garner, {Elizabeth O.} and Wasim Khan and Quade, {Bradley J.} and Sharif, {Naba A.} and Fareeha Syed and Stewart, {Elizabeth A}",
year = "2002",
doi = "10.1159/000068386",
language = "English (US)",
volume = "54",
pages = "217--220",
journal = "Gynecologic and Obstetric Investigation",
issn = "0378-7346",
publisher = "S. Karger AG",
number = "4",

}

TY - JOUR

T1 - Does the introduction of new technology change population demographics? Minimally invasive technologies and endometrial polyps

AU - Chavez, Norma F.

AU - Garner, Elizabeth O.

AU - Khan, Wasim

AU - Quade, Bradley J.

AU - Sharif, Naba A.

AU - Syed, Fareeha

AU - Stewart, Elizabeth A

PY - 2002

Y1 - 2002

N2 - Objective: To determine if the characteristics of women with endometrial polyps changed as minimally invasive modalities for diagnosis and surgical treatment were integrated to our clinical practice. Materials and Methods: The pathologic reports of all women diagnosed with endometrial polyps in 1990 (220 patients) and 1996 (386 patients) were reviewed. The respective medical records were reviewed for anthropomorphic factors, bleeding pattern, diagnosis, and modality of surgical removal. Comparisons of dichotomous data and analysis of nominal variables with two or more categories were carried out with the χ2 test. Results: Differences in patient characteristics or pattern of bleeding were minimal. In both groups, endometrial polyps were more frequent in women with abnormal bleeding, reaching almost 80%. Diagnostic and therapeutic modalities were significantly different in 1990 vs. 1996. Diagnosis by ultrasound increased fivefold (3.6 vs. 16.8%) and operative hysteroscopy increased threefold (6.4 vs. 19.7). The frequency of incidental diagnosis of endometrial polyps at the time of hysterectomy decreased significantly. The most frequent modality of surgery done in 1990 was dilatation and curettage (44.6%), followed in frequency by endometrial biopsy and abdominal hysterectomy. In contrast, the most frequent modality in 1996 was hysteroscopic resection (36.8%), followed by dilatation and curettage (12.8%). Conclusions: The introduction of minimally invasive methods of diagnosis and treatment of endometrial polyps has not changed the overall patient population with this lesion.

AB - Objective: To determine if the characteristics of women with endometrial polyps changed as minimally invasive modalities for diagnosis and surgical treatment were integrated to our clinical practice. Materials and Methods: The pathologic reports of all women diagnosed with endometrial polyps in 1990 (220 patients) and 1996 (386 patients) were reviewed. The respective medical records were reviewed for anthropomorphic factors, bleeding pattern, diagnosis, and modality of surgical removal. Comparisons of dichotomous data and analysis of nominal variables with two or more categories were carried out with the χ2 test. Results: Differences in patient characteristics or pattern of bleeding were minimal. In both groups, endometrial polyps were more frequent in women with abnormal bleeding, reaching almost 80%. Diagnostic and therapeutic modalities were significantly different in 1990 vs. 1996. Diagnosis by ultrasound increased fivefold (3.6 vs. 16.8%) and operative hysteroscopy increased threefold (6.4 vs. 19.7). The frequency of incidental diagnosis of endometrial polyps at the time of hysterectomy decreased significantly. The most frequent modality of surgery done in 1990 was dilatation and curettage (44.6%), followed in frequency by endometrial biopsy and abdominal hysterectomy. In contrast, the most frequent modality in 1996 was hysteroscopic resection (36.8%), followed by dilatation and curettage (12.8%). Conclusions: The introduction of minimally invasive methods of diagnosis and treatment of endometrial polyps has not changed the overall patient population with this lesion.

KW - Abnormal uterine bleeding

KW - Endometrial polyps

KW - Hysterectomy

KW - Hysterosalpingogram

KW - Hysteroscopy

KW - Infertility

KW - Polypectomy

UR - http://www.scopus.com/inward/record.url?scp=0036966868&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036966868&partnerID=8YFLogxK

U2 - 10.1159/000068386

DO - 10.1159/000068386

M3 - Article

VL - 54

SP - 217

EP - 220

JO - Gynecologic and Obstetric Investigation

JF - Gynecologic and Obstetric Investigation

SN - 0378-7346

IS - 4

ER -