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No. 249-Asymptomatic Endometrial Thickening.
1Toronto, ON.
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|May 8, 2018
Summary
Postmenopausal women with asymptomatic endometrial thickening require appropriate management to avoid unnecessary procedures. Clinical recommendations aim to reduce patient anxiety and healthcare costs associated with interventions.
Area of Science:
- Gynecology
- Diagnostic Imaging
- Clinical Guidelines
Background:
- Endometrial thickening on ultrasound in asymptomatic postmenopausal women requires careful assessment.
- Appropriate management strategies are crucial for conditions like endometrial polyps.
Purpose of the Study:
- To develop clinical recommendations for evaluating asymptomatic endometrial thickening in postmenopausal patients.
- To ensure appropriate management of asymptomatic endometrial thickening and polyps detected via ultrasound.
Main Methods:
- Systematic literature review of peer-reviewed articles (1970-2010) from EMBASE, Cochrane, and PubMed.
- Inclusion of systematic reviews, RCTs, CCTs, and observational studies.
- Inclusion of grey literature and updated searches up to April 2010.
Main Results:
- Evidence synthesis to inform clinical decision-making.
- Recommendations ranked based on the Canadian Task Force on Preventive Health Care criteria.
- Focus on managing asymptomatic endometrial thickening and polyps.
Conclusions:
- Clinical recommendations aim to prevent unnecessary patient anxiety, pain, and procedural risks.
- Expected to decrease healthcare system costs by reducing unnecessary interventions.
- Facilitates appropriate patient care pathways for asymptomatic findings.
