Clinical trial NCT02853695: Implementation of Hysteroscopy in Flanders and the Netherlands
Official title: Implementation of Hysteroscopy in Flanders and the Netherlands
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Hysteroscopy
Minimally Invasive Surgical Procedures
Polyp
Myoma
Uterine Septum
Placental Remnant
Adhesiolysis
Keywords: Hysteroscopy
Diffusion
Implementation
Diagnostic hysteroscopy
Operative hysteroscopy
Lead sponsor: University Hospital, Ghent
Sponsor class: OTHER
Collaborators: name: Dutch Society of Obstetricians and Gyneacologists (NVOG)
name: Catharina Ziekenhuis Eindhoven
name: Vlaamse Vereniging voor Obstetrie en Gynaecologie
First posted: 2016-08-03
Enrollment: 249
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
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))

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

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.

Eligibility criteria: Inclusion Criteria:

* gynaecologist

Exclusion Criteria:

* residents in training for gynaecology/obstetrics

Primary outcomes:
measure: Questionnaire: Implementation of hysteroscopy
timeFrame: August 2016, questionnaire will be sent once at the start of the study
Secondary outcomes:
measure: Questionnaire: setting for performing diagnostic hysteroscopy
timeFrame: August 2016, questionnaire will be sent once at the start of the study
measure: Questionnaire:Instrumentation used for hysteroscopy
timeFrame: August 2016, questionnaire will be sent once at the start of the study
measure: Questionnaire: Diagnostic and techniques in the treatment of intrauterine pathology
timeFrame: August 2016, questionnaire will be sent once at the start of the study
Other outcomes:
Locations:
Study officials:
affiliation: Ghent University Hostpital
name: Tjalina Hamerlynck
role: STUDY_DIRECTOR
References:
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.