[Virtual hysterosalpingograghy to evaluate the uterus and tubes patency]
Pichon Riviere A, Augustovski F, Garcia Marti S, Glujovsky D, Alcaraz A, Lopez A, Bardach A, Ciapponi A
Record ID 32014000328
Spanish
Authors' objectives:
Evaluate the available evidence on the usefulness, efficacy, safety, cost-effectiveness and policy issues relating to insuring the use of virtual hysterosalpingography (VHSG) in patients with infertility.
Authors' recommendations:
The main advantage of the VHSG is that it is better tolerated, being less invasive than the conventional hysterosalpingography (HSG). The VHSG also showed good operating results for sensitivity, specificity and tolerance to the procedure, although these results come from few clinical studies conducted by the same research group designs and with relatively weak designs for evaluating the usefulness of VHSG and for drawing conclusions on how this technique compares with the usual practice of HSG. A major difficulty in evaluating this technology is that there is no clear evidence on what clinical utility the discovery of many of the abnormalities detected by the VHSG could have. While it is possible to conclude that VHSG would have similar or better diagnostic parameter than the conventional HSG, the findings cannot be checked with the infertility clinic meaning it will be difficult to conclude what the potential benefits of this new technology are, given that the greater sensitivity of the VHSG could also increase the number of false positive interventions and potentially increase the interventions and costs. Since studies which evaluate the impact of different lesions and their size in the reproductive prognosis are not published, and given that the VHSG is much more expensive than conventional HSG, it is difficult to assess this new technology, meaning we cannot conclude, at present, if in the future it could replace the conventional hysterosalpingography
Details
Project Status:
Completed
Year Published:
2011
URL for published report:
www.iecs.org.ar/home-ets/
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Argentina
MeSH Terms
- Hysterosalpingography
- Female
- Radiographic Image Interpretation, Computer-Assisted
- Tomography, X-Ray Computed
- Radiographic Image Enhancement
Contact
Organisation Name:
Institute for Clinical Effectiveness and Health Policy
Contact Address:
Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name:
info@iecs.org.ar
Contact Email:
info@iecs.org.ar
Copyright:
Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.