Implementation of Hysteroscopy in Flanders and the Netherlands

By means of a questionnaire the investigators will study the implementation of hysteroscopy in Flanders and the Netherlands

Study Overview

• Status: Completed
• Conditions: Myoma; Hysteroscopy; Uterine Septum; Polyp; Minimally Invasive Surgical Procedures; Placental Remnant; Adhesiolysis

Detailed Description

Hysteroscopy is a minimally invasive method for diagnosis and treatment of intra-uterine abnormalities. Complication and failure rates are low because of the direct visualisation of the treated abnormality. Moreover, hysteroscopic procedures replaced 'blind' (curettage) and more invasive interventions (hysterectomy).

The field of hysteroscopy has developed over the years. Changes occurred in hysteroscopic instruments and in the use of energy sources. An important development is the smaller diameter of the hysteroscopic system which makes it suitable for an outpatient setting. Not every gynaecologist, however, has the appropriate hysteroscopic skills or setting to carry out these procedures.

The incorporation of hysteroscopic procedures into daily practice in Flanders is unclear. In the Netherlands 2 surveys were conducted in the past to question the treatment options for polypectomy in an outpatient setting on the one hand and the diffusion of hysteroscopy on the other hand.

The investigators want to study the diffusion of hysteroscopy in Flanders and the Netherlands. Moreover the investigators want to provide an overview of the hysteroscopic procedures implemented, as well as the setting they are performed in.

An electronic questionnaire (LimeService) will be sent to all gynaecologists in Flanders and the Netherlands. Participation is voluntary and anonymous. After informed consent all gynaecologists are asked to complete the first part of the questionnaire containing general information. The second part is specific for gynaecologists performing hysteroscopy themselves, and inquires about the procedures they carry out.

• Study Type: Observational
• Enrollment (Actual): 249

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: ADULT; OLDER_ADULT; CHILD
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Recognized gynaecologists (members of the Flemisch Society of Obstetricians and Gyneacologists (VVOG) and members of the Dutch Society of Obstetricians and Gyneacologists (NVOG))

Description

Inclusion Criteria:

• gynaecologist

Exclusion Criteria:

• residents in training for gynaecology/obstetrics

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Questionnaire: Implementation of hysteroscopy	the amount of gynaecologists performing hysteroscopy in relation to the total of gynaecologists participating in the questionnaire	August 2016, questionnaire will be sent once at the start of the study

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Questionnaire: setting for performing diagnostic hysteroscopy	in which setting (office/operating room) diagnostic hysteroscopies are performed in relation to the total amount of diagnostic hysteroscopies performed	August 2016, questionnaire will be sent once at the start of the study
Questionnaire:Instrumentation used for hysteroscopy	which instrumentation is used for specific hysteroscopic procedures.	August 2016, questionnaire will be sent once at the start of the study
Questionnaire: Diagnostic and techniques in the treatment of intrauterine pathology	which diagnostics and techniques are used in the treatment of intrauterine pathology	August 2016, questionnaire will be sent once at the start of the study

Collaborators and Investigators

• Sponsor: University Ghent
• Collaborators: Catharina Ziekenhuis Eindhoven; Vlaamse Vereniging voor Obstetrie en Gynaecologie; Dutch Society of Obstetricians and Gyneacologists (NVOG)
• Investigators: Study Director: Tjalina Hamerlynck, Ghent University Hostpital

Publications and helpful links

General Publications

• Siristatidis C, Chrelias C, Salamalekis G, Kassanos D. Office hysteroscopy: current trends and potential applications: a critical review. Arch Gynecol Obstet. 2010 Oct;282(4):383-8. doi: 10.1007/s00404-010-1437-x. Epub 2010 Mar 27.
• Valle RF. Development of hysteroscopy: from a dream to a reality, and its linkage to the present and future. J Minim Invasive Gynecol. 2007 Jul-Aug;14(4):407-18. doi: 10.1016/j.jmig.2007.03.002.
• Timmermans A, van Dongen H, Mol BW, Veersema S, Jansen FW. Hysteroscopy and removal of endometrial polyps: a Dutch survey. Eur J Obstet Gynecol Reprod Biol. 2008 May;138(1):76-9. doi: 10.1016/j.ejogrb.2007.05.016. Epub 2007 Jul 12.
• van Dongen H, Kolkman W, Jansen FW. Implementation of hysteroscopic surgery in The Netherlands. Eur J Obstet Gynecol Reprod Biol. 2007 Jun;132(2):232-6. doi: 10.1016/j.ejogrb.2006.04.016. Epub 2006 Jun 5.
• Pascual-Pedreno A, Perez-Medina T, Brouard Urkiaga I, Fernandez-Parra J, Sobreviela-Laserrada M. Practice of endoscopic gynecologic surgery: a survey of Spanish gynecologists. Eur J Obstet Gynecol Reprod Biol. 2013 Jul;169(1):64-8. doi: 10.1016/j.ejogrb.2013.01.017. Epub 2013 Feb 21.

Study record dates

Study Major Dates

• Study Start: August 1, 2016
• Primary Completion (ACTUAL): June 1, 2017
• Study Completion (ACTUAL): June 1, 2017

Study Registration Dates

• First Submitted: July 19, 2016
• First Submitted That Met QC Criteria: July 29, 2016
• First Posted (ESTIMATE): August 3, 2016

Study Record Updates

• Last Update Posted (ACTUAL): July 22, 2019
• Last Update Submitted That Met QC Criteria: July 19, 2019
• Last Verified: July 1, 2019

More Information

Terms related to this study

• Keywords: Implementation; Diffusion; Hysteroscopy; Diagnostic hysteroscopy; Operative hysteroscopy
• Other Study ID Numbers: B670201628466