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Published in: Systematic Reviews 1/2013

Open Access 01-12-2013 | Protocol

Hysterosalpingosonography for diagnosing tubal occlusion in subfertile women: a systematic review protocol

Authors: Sarah Maheux-Lacroix, Amélie Boutin, Lynne Moore, Marie-Ève Bergeron, Emmanuel Bujold, Philippe Y Laberge, Madeleine Lemyre, Sylvie Dodin

Published in: Systematic Reviews | Issue 1/2013

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Abstract

Background

Hysterosalpingosonography has been suggested as a less invasive alternative to hysterosalpingography for detecting tubal occlusion among subfertile women. We aim to determine the diagnostic accuracy of hysterosalpingosonography and to compare it to hysterosalpingography.

Methods/design

We will conduct a systematic review of diagnostic test accuracy. We will search Medline, Embase, Cochrane Library, Web of Science and Biosis, as well as reference lists of included studies and previous related review articles. Diagnostic studies that compared hysterosalpingosonography ± hysterosalpingography to laparoscopy with chromotubation in women suffering from subfertility will be eligible. Two authors will independently screen for inclusion, data extraction, and quality assessment. Methodological quality will be assessed using the Quality Assessment of Diagnostic Accuracy Study 2 tool (QUADAS-2). We will use SAS 9.3 (SAS Institute Inc., Cary, NC, USA, 2011) to program bivariate random-effects models, estimate pooled sensitivity and specificity with 95% confidence intervals and to generate summary receiver operating characteristics curves. We will perform sensitivity analyses to examine the effect of differences in techniques used for hysterosalpingosonography and in methodological quality of studies.

Discussion

This systematic review will help to determine if hysterosalpingosonography is an adequate alternative screening test for diagnosing tubal occlusion. Accuracy of specific sono-HSG techniques may also be identified.

Systematic review registration

This review has been registered at PROSPERO. The registration number is CRD42013003829
Literature
1.
go back to reference Miller J, Weinberg R, Canino N, Klein N, Soules M: The pattern of infertility diagnoses in women of advanced reproductive age. Am J Obstet Gynecol. 1999, 181: 952-957. 10.1016/S0002-9378(99)70331-5.CrossRefPubMed Miller J, Weinberg R, Canino N, Klein N, Soules M: The pattern of infertility diagnoses in women of advanced reproductive age. Am J Obstet Gynecol. 1999, 181: 952-957. 10.1016/S0002-9378(99)70331-5.CrossRefPubMed
3.
go back to reference Saunders RD, Shwayder JM, Nakajima ST: Current methods of tubal patency assessment. Fertil Steril. 2011, 95: 2171-2179. 10.1016/j.fertnstert.2011.02.054.CrossRefPubMed Saunders RD, Shwayder JM, Nakajima ST: Current methods of tubal patency assessment. Fertil Steril. 2011, 95: 2171-2179. 10.1016/j.fertnstert.2011.02.054.CrossRefPubMed
4.
go back to reference Mol B, Collins J, Burrows E, van der Veen F, Bossuyt P: Comparison of hysterosalpingography and laparoscopy in predicting fertility outcome. Hum Reprod. 1999, 14: 1237-1242. 10.1093/humrep/14.5.1237.CrossRefPubMed Mol B, Collins J, Burrows E, van der Veen F, Bossuyt P: Comparison of hysterosalpingography and laparoscopy in predicting fertility outcome. Hum Reprod. 1999, 14: 1237-1242. 10.1093/humrep/14.5.1237.CrossRefPubMed
5.
go back to reference Dessole S, Farina M, Rubattu G, Cosmi E, Ambrosini G, Battista Nardelli G: Side effects and complications of sonohysterosalpingography. Fertil Steril. 2003, 80 (3): 620-624. 10.1016/S0015-0282(03)00791-X.CrossRefPubMed Dessole S, Farina M, Rubattu G, Cosmi E, Ambrosini G, Battista Nardelli G: Side effects and complications of sonohysterosalpingography. Fertil Steril. 2003, 80 (3): 620-624. 10.1016/S0015-0282(03)00791-X.CrossRefPubMed
6.
go back to reference Savelli L, Pollastri P, Guerrini M: Tolerability, side effects, and complications of hysterosalpingo-contrast sonography (HyCoSy). Fertil Steril. 2009, 92: 1481-1486. 10.1016/j.fertnstert.2008.07.1777.CrossRefPubMed Savelli L, Pollastri P, Guerrini M: Tolerability, side effects, and complications of hysterosalpingo-contrast sonography (HyCoSy). Fertil Steril. 2009, 92: 1481-1486. 10.1016/j.fertnstert.2008.07.1777.CrossRefPubMed
7.
go back to reference Socolov D, Boian I, Boiculese L, Tamba B, Anghelache-Lupascu I, Socolov R: Comparison of the pain experienced by infertile women undergoing hysterosalpingo contrast sonography or radiographic hysterosalpingography. Int J Gynecol Obstet. 2010, 111: 256-259. 10.1016/j.ijgo.2010.07.018.CrossRef Socolov D, Boian I, Boiculese L, Tamba B, Anghelache-Lupascu I, Socolov R: Comparison of the pain experienced by infertile women undergoing hysterosalpingo contrast sonography or radiographic hysterosalpingography. Int J Gynecol Obstet. 2010, 111: 256-259. 10.1016/j.ijgo.2010.07.018.CrossRef
8.
go back to reference Acholonu UC, Silberzweig J, Stein DE, Keltz M: Hysterosalpingography versus sonohysterography for intrauterine abnormalities. JSLS. 2011, 15: 471-474. 10.4293/108680811X13176785203923.CrossRefPubMedPubMedCentral Acholonu UC, Silberzweig J, Stein DE, Keltz M: Hysterosalpingography versus sonohysterography for intrauterine abnormalities. JSLS. 2011, 15: 471-474. 10.4293/108680811X13176785203923.CrossRefPubMedPubMedCentral
9.
go back to reference Soares SR, dos Reis MMBB, Camargos AF: Diagnostic accuracy of sonohysterography, transvaginal sonography, and hysterosalpingography in patients with uterine cavity diseases. Fertil Steril. 2000, 73: 406-411. 10.1016/S0015-0282(99)00532-4.CrossRefPubMed Soares SR, dos Reis MMBB, Camargos AF: Diagnostic accuracy of sonohysterography, transvaginal sonography, and hysterosalpingography in patients with uterine cavity diseases. Fertil Steril. 2000, 73: 406-411. 10.1016/S0015-0282(99)00532-4.CrossRefPubMed
10.
go back to reference Holz K, Becker R, Schürmann R: Ultrasound in the investigation of tubal patency. A meta-analysis of three comparative studies of Echovist-200 including 1,007 women. Zentralbl Gynakol. 1997, 119: 366-PubMed Holz K, Becker R, Schürmann R: Ultrasound in the investigation of tubal patency. A meta-analysis of three comparative studies of Echovist-200 including 1,007 women. Zentralbl Gynakol. 1997, 119: 366-PubMed
11.
go back to reference Sankpal RS, Confino E, Matzel A, Cohen LS: Investigation of the uterine cavity and fallopian tubes using three-dimensional saline sonohysterosalpingography. Int J Gynecol Obstet. 2001, 73: 125-129. 10.1016/S0020-7292(01)00363-0.CrossRef Sankpal RS, Confino E, Matzel A, Cohen LS: Investigation of the uterine cavity and fallopian tubes using three-dimensional saline sonohysterosalpingography. Int J Gynecol Obstet. 2001, 73: 125-129. 10.1016/S0020-7292(01)00363-0.CrossRef
12.
go back to reference Sladkevicius P, Ojha K, Campbell S, Nargund G: Three-dimensional power Doppler imaging in the assessment of Fallopian tube patency. Ultrasound Obstet Gynecol. 2000, 16: 644-647. 10.1046/j.1469-0705.2000.00302.x.CrossRefPubMed Sladkevicius P, Ojha K, Campbell S, Nargund G: Three-dimensional power Doppler imaging in the assessment of Fallopian tube patency. Ultrasound Obstet Gynecol. 2000, 16: 644-647. 10.1046/j.1469-0705.2000.00302.x.CrossRefPubMed
13.
go back to reference Kiyokawa K, Masuda H, Fuyuki T: Three-dimensional hysterosalpingo-contrast sonography (3D-HyCoSy) as an outpatient procedure to assess infertile women: a pilot study. Ultrasound Obstet Gynecol. 2000, 16: 648-654. 10.1046/j.1469-0705.2000.00327.x.CrossRefPubMed Kiyokawa K, Masuda H, Fuyuki T: Three-dimensional hysterosalpingo-contrast sonography (3D-HyCoSy) as an outpatient procedure to assess infertile women: a pilot study. Ultrasound Obstet Gynecol. 2000, 16: 648-654. 10.1046/j.1469-0705.2000.00327.x.CrossRefPubMed
15.
go back to reference Liberati A, Altman DG, Tetzlaff J: The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009, 339: b2700-10.1136/bmj.b2700.CrossRefPubMedPubMedCentral Liberati A, Altman DG, Tetzlaff J: The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009, 339: b2700-10.1136/bmj.b2700.CrossRefPubMedPubMedCentral
17.
go back to reference Reitsma JB, Moons KG, Bossuyt PM, Linnet K: Systematic reviews of studies quantifying the accuracy of diagnostic tests and markers. Clin Chem. 2012, 58: 1534-1545. 10.1373/clinchem.2012.182568.CrossRefPubMed Reitsma JB, Moons KG, Bossuyt PM, Linnet K: Systematic reviews of studies quantifying the accuracy of diagnostic tests and markers. Clin Chem. 2012, 58: 1534-1545. 10.1373/clinchem.2012.182568.CrossRefPubMed
18.
go back to reference Leeflang MM, Scholten RJ, Rutjes AW, Reitsma JB, Bossuyt PM: Use of methodological search filters to identify diagnostic accuracy studies can lead to the omission of relevant studies. J Clin Epidemiol. 2006, 59: 234-240. 10.1016/j.jclinepi.2005.07.014.CrossRefPubMed Leeflang MM, Scholten RJ, Rutjes AW, Reitsma JB, Bossuyt PM: Use of methodological search filters to identify diagnostic accuracy studies can lead to the omission of relevant studies. J Clin Epidemiol. 2006, 59: 234-240. 10.1016/j.jclinepi.2005.07.014.CrossRefPubMed
19.
go back to reference de Groot JA, Dendukuri N, Janssen KJ, Reitsma JB, Bossuyt PM, Moons KG: Adjusting for differential-verification bias in diagnostic-accuracy studies: a Bayesian approach. Epidemiology. 2011, 22: 234-241. 10.1097/EDE.0b013e318207fc5c.CrossRefPubMed de Groot JA, Dendukuri N, Janssen KJ, Reitsma JB, Bossuyt PM, Moons KG: Adjusting for differential-verification bias in diagnostic-accuracy studies: a Bayesian approach. Epidemiology. 2011, 22: 234-241. 10.1097/EDE.0b013e318207fc5c.CrossRefPubMed
20.
go back to reference de Groot JA, Dendukuri N, Janssen KJ: Adjusting for partial verification or workup bias in meta-analyses of diagnostic accuracy studies. Am J Epidemiol. 2012, 175: 847-853. 10.1093/aje/kwr383.CrossRefPubMed de Groot JA, Dendukuri N, Janssen KJ: Adjusting for partial verification or workup bias in meta-analyses of diagnostic accuracy studies. Am J Epidemiol. 2012, 175: 847-853. 10.1093/aje/kwr383.CrossRefPubMed
21.
go back to reference Irwig L, Tosteson ANA, Gatsonis C: Guidelines for meta-analyses evaluating diagnostic tests. Ann Intern Med. 1994, 120: 667-676. 10.7326/0003-4819-120-8-199404150-00008.CrossRefPubMed Irwig L, Tosteson ANA, Gatsonis C: Guidelines for meta-analyses evaluating diagnostic tests. Ann Intern Med. 1994, 120: 667-676. 10.7326/0003-4819-120-8-199404150-00008.CrossRefPubMed
22.
go back to reference Reis MM, Soares SR, Cancado ML, Camargos AF: Hysterosalpingo-contrast sonography (HyCoSy) with SH U 454 (Echovist) for the assessment of tubal patency. Hum Reprod. 1998, 13: 3049-3052. 10.1093/humrep/13.11.3049.CrossRefPubMed Reis MM, Soares SR, Cancado ML, Camargos AF: Hysterosalpingo-contrast sonography (HyCoSy) with SH U 454 (Echovist) for the assessment of tubal patency. Hum Reprod. 1998, 13: 3049-3052. 10.1093/humrep/13.11.3049.CrossRefPubMed
23.
go back to reference Spalding H, Martikainen H, Tekay A, Jouppila P: A randomized study comparing air to Echovist (registered trademark) as a contrast medium in the assessment of tubal patency in infertile women using transvaginal salpingosonography. Hum Reprod. 1997, 12: 2461-2464. 10.1093/humrep/12.11.2461.CrossRefPubMed Spalding H, Martikainen H, Tekay A, Jouppila P: A randomized study comparing air to Echovist (registered trademark) as a contrast medium in the assessment of tubal patency in infertile women using transvaginal salpingosonography. Hum Reprod. 1997, 12: 2461-2464. 10.1093/humrep/12.11.2461.CrossRefPubMed
24.
go back to reference Inki P, Palo P, Anttila L: Vaginal sonosalpingography in the evaluation of tubal patency. Acta Obstet Gynecol Scand. 1998, 77: 978-982. 10.1080/j.1600-0412.1998.771006.x.CrossRefPubMed Inki P, Palo P, Anttila L: Vaginal sonosalpingography in the evaluation of tubal patency. Acta Obstet Gynecol Scand. 1998, 77: 978-982. 10.1080/j.1600-0412.1998.771006.x.CrossRefPubMed
25.
go back to reference Whiting PF, Rutjes AW, Westwood ME: QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med. 2011, 155: 529-536. 10.7326/0003-4819-155-8-201110180-00009.CrossRefPubMed Whiting PF, Rutjes AW, Westwood ME: QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med. 2011, 155: 529-536. 10.7326/0003-4819-155-8-201110180-00009.CrossRefPubMed
27.
go back to reference Lim CP, Hasafa Z, Bhattacharya S, Maheshwari A: Should a hysterosalpingogram be a first-line investigation to diagnose female tubal subfertility in the modern subfertility workup?. Hum Reprod. 2011, 26: 967-971. 10.1093/humrep/der046.CrossRefPubMed Lim CP, Hasafa Z, Bhattacharya S, Maheshwari A: Should a hysterosalpingogram be a first-line investigation to diagnose female tubal subfertility in the modern subfertility workup?. Hum Reprod. 2011, 26: 967-971. 10.1093/humrep/der046.CrossRefPubMed
28.
go back to reference Luciano DE, Exacoustos C, Johns DA, Luciano AA: Can hysterosalpingo-contrast sonography replace hysterosalpingography in confirming tubal blockage after hysteroscopic sterilization and in the evaluation of the uterus and tubes in infertile patients?. Am J Obstet Gynecol. 2011, 204: 79-e1-.e5CrossRefPubMed Luciano DE, Exacoustos C, Johns DA, Luciano AA: Can hysterosalpingo-contrast sonography replace hysterosalpingography in confirming tubal blockage after hysteroscopic sterilization and in the evaluation of the uterus and tubes in infertile patients?. Am J Obstet Gynecol. 2011, 204: 79-e1-.e5CrossRefPubMed
Metadata
Title
Hysterosalpingosonography for diagnosing tubal occlusion in subfertile women: a systematic review protocol
Authors
Sarah Maheux-Lacroix
Amélie Boutin
Lynne Moore
Marie-Ève Bergeron
Emmanuel Bujold
Philippe Y Laberge
Madeleine Lemyre
Sylvie Dodin
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Systematic Reviews / Issue 1/2013
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/2046-4053-2-50

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