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dc.creatorGuerriero, S. (S.)-
dc.creatorMartínez, L. (L.)-
dc.creatorGómez, I. (I.)-
dc.creatorPascual, M.A. (M. A.)-
dc.creatorAjossa, S. (S.)-
dc.creatorPagliuca, M. (M.)-
dc.creatorAlcazar, J.L. (Juan Luis)-
dc.date.accessioned2022-02-14T13:46:13Z-
dc.date.available2022-02-14T13:46:13Z-
dc.date.issued2021-
dc.identifier.citationGuerriero, S. (S.); Martínez, L. (L.); Gómez, I. (I.); et al. "Diagnostic accuracy of transvaginal sonography for detecting parametrial involvement in women with deep endometriosis: systematic review and meta-analysis". Ultrasound in Obstetrics & Gynecology. (58), 2021, 669 - 676es
dc.identifier.issn1469-0705-
dc.identifier.urihttps://hdl.handle.net/10171/62916-
dc.description.abstractObjective 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.es_ES
dc.description.sponsorshipThis study was partly supported by Fondazione di Sardegna grant F74I19001010007.es_ES
dc.language.isoenges_ES
dc.publisherWileyes_ES
dc.rightsinfo:eu-repo/semantics/openAccesses_ES
dc.subjectMaterias Investigacion::Ciencias de la Salud::Obstetricia y ginecologíaes_ES
dc.subjectEndometriosises_ES
dc.subjectParametriumes_ES
dc.subjectTransvaginal ultrasoundes_ES
dc.titleDiagnostic accuracy of transvaginal sonography for detecting parametrial involvement in women with deep endometriosis: systematic review and meta-analysises_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.description.noteThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use,distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.es_ES
dc.identifier.doi10.1002/uog.23754-
dadun.citation.endingPage676es_ES
dadun.citation.number58es_ES
dadun.citation.publicationNameUltrasound in Obstetrics & Gynecologyes_ES
dadun.citation.startingPage669es_ES

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