Abstract
Hysteroscopy has known an increasing use in Romania over the last decade, succeeding to mark an impact on lowering the costs of medical services. The strategy of this study was to present the experience of two Romanian medical units with different experiences using inpatient regimen hysteroscopy, and to further compare it with current worldwide tendencies. Strong points in our practice were sought, as well as components that require improvement. Overall, abnormal uterine bleeding stands for most hospital case presentations in our study group; hysteroscopy had the highest accuracy and positive predictive value in identifying uterine myomas: 91.03% and 100%, respectively; for endometrial polyps, statistical analysis showed the highest sensitivity: 100%, with 83.89% specificity and a 77.64% positive predictive value. The applicability of hysteroscopy was further described for infertility cases and isthmocele repair.
Highlights
The Romanian health care system is currently situated at a threshold marked by worldwide political fluctuations, which mostly converge on influencing the availability of economic supplies
Statistics on hospital discharges and the average length of hospital stays reflect the balance between the demand for and supply of hospital services; in 2017 the average length of hospital stay for in-patients was 7.5 days in Romania, while in Hungary in-patients spent in average of 9.8 days in hospital, at the opposite end of the scale, the Netherlands recorded an average of 4.5 days length of hospital stay [1,2]
Comparing all data from both centres on hysteroscopic diagnoses versus HP certainty focusing on the three frequent pathologies identified in our study, we found that HP
Summary
The Romanian health care system is currently situated at a threshold marked by worldwide political fluctuations, which mostly converge on influencing the availability of economic supplies.Statistics on hospital discharges and the average length of hospital stays reflect the balance between the demand for and supply of hospital services; in 2017 the average length of hospital stay for in-patients was 7.5 days in Romania, while in Hungary in-patients spent in average of 9.8 days in hospital, at the opposite end of the scale, the Netherlands recorded an average of 4.5 days length of hospital stay [1,2]. With 74%–100% sensitivity and 93%–99% specificity in diagnosing benign uterine pathologies, hysteroscopy can assure fast track diagnostic setup, with a one stop see-and-treat service [3,4]. Experience in our country is, heterogeneous, since the equipment is not ubiquitous in territorial medical units. To address this issue, this present study was developed in two medical centers and aimed to comprise both the role of hysteroscopy in confirming the correlation between clinical suspicion and histopathological (HP) diagnosis, and its advantages and limitations as a therapeutic procedure
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