Reliability of laparoscopic compared with hysteroscopic sterilization at 1 year: a decision analysis.
Obstet Gynecol
; 118(2 Pt 1): 273-279, 2011 Aug.
Article
em En
| MEDLINE
| ID: mdl-21775842
ABSTRACT
OBJECTIVE:
To estimate the probability of successful sterilization after an hysteroscopic or laparoscopic sterilization procedure.METHODS:
An evidence-based clinical decision analysis using a Markov model was performed to estimate the probability of a successful sterilization procedure using laparoscopic sterilization, hysteroscopic sterilization in the operating room, and hysteroscopic sterilization in the office. Procedure and follow-up testing probabilities for the model were estimated from published sources.RESULTS:
In the base case analysis, the proportion of women having a successful sterilization procedure on the first attempt is 99% for laparoscopic sterilization, 88% for hysteroscopic sterilization in the operating room, and 87% for hysteroscopic sterilization in the office. The probability of having a successful sterilization procedure within 1 year is 99% with laparoscopic sterilization, 95% for hysteroscopic sterilization in the operating room, and 94% for hysteroscopic sterilization in the office. These estimates for hysteroscopic success include approximately 6% of women who attempt hysteroscopically but are ultimately sterilized laparoscopically. Approximately 5% of women who have a failed hysteroscopic attempt decline further sterilization attempts.CONCLUSION:
Women choosing laparoscopic sterilization are more likely than those choosing hysteroscopic sterilization to have a successful sterilization procedure within 1 year. However, the risk of failed sterilization and subsequent pregnancy must be considered when choosing a method of sterilization.
Texto completo:
1
Temas:
ECOS
/
Financiamentos_gastos
Bases de dados:
MEDLINE
Assunto principal:
Esterilização Reprodutiva
/
Histeroscopia
/
Laparoscopia
Tipo de estudo:
Health_economic_evaluation
/
Prognostic_studies
Limite:
Female
/
Humans
Idioma:
En
Revista:
Obstet Gynecol
Ano de publicação:
2011
Tipo de documento:
Article