Developing a Nomogram for Prioritizing Hysteroscopy in Endometrial Cancer Diagnosis: A Case-Control Study

(1) Background: The pandemic led to significant healthcare disruptions, resulting in postponed surgeries and extended waiting times for non-urgent treatments, including hysteroscopies essential for diagnosing endometrial cancer. This study aims to formulate a risk stratification model to enhance the...

Full description

Saved in:
Bibliographic Details
Published in:Journal of clinical medicine 2024-02, Vol.13 (4), p.1145
Main Authors: Bottura, Bruna, Haddad, Raphael Federicci, Alvarenga-Bezerra, Vanessa, Campos, Vinicius, Perez, Luiza, Resende, Carolina, Asencio, Fernanda de Almeida, Liao, Adolfo Wenjaw, Gomes, Mariano Tamura Vieira, Zlotnik, Eduardo, Moretti-Marques, Renato
Format: Article
Language:English
Subjects:
COVID-19
Diagnosis
Einstein, Albert (1879-1955)
Endometrial cancer
Health aspects
Hormone replacement therapy
Hysteroscopy
Methods
Nomography (Mathematics)
Womens health
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:(1) Background: The pandemic led to significant healthcare disruptions, resulting in postponed surgeries and extended waiting times for non-urgent treatments, including hysteroscopies essential for diagnosing endometrial cancer. This study aims to formulate a risk stratification model to enhance the prioritization of hysteroscopy procedures in Brazil; (2) Methods: A case-control study was conducted at Vila Santa Catarina Hospital in São Paulo, analyzing the medical records of 2103 women who underwent hysteroscopy between March 2019 and March 2022. We used bivariate analysis and multivariate linear regression to identify risk factors associated with endometrial cancer and formulate a nomogram; (3) Results: The findings revealed a 5.5% incidence of pre-invasive and invasive endometrial disease in the study population, with an average waiting time of 120 days for hysteroscopy procedures. The main risk factors identified were hypertension, diabetes, postmenopausal bleeding, and obesity; (4) Conclusions: This research highlights the urgent need for efficient prioritization of hysteroscopy procedures in the wake of the pandemic. The developed nomogram is an innovative tool for identifying patients at higher risk of endometrial cancer, thus facilitating timely diagnosis and treatment and improving overall patient outcomes in a strained healthcare system.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm13041145