Implementation of Hysteroscopy in Flanders and the Netherlands

Completed

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

• Registration Number: NCT02853695
• Lead Sponsor: University Ghent

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.

Study Timeline

• Study First Submitted: 2016-07-19
• Study First Submitted QC: 2016-07-29
• Study Start: 2016-08
• Study First Posted: 2016-08-03
• Primary Completion: 2017-06
• Study Completion: 2017-06
• Status Verified: 2019-07
• Last Update Submitted: 2019-07-19
• Last Update Posted: 2019-07-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 249

Inclusion Criteria

• gynaecologist

Exclusion Criteria

• residents in training for gynaecology/obstetrics

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

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

Secondary Outcome Measures

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