Risk of endometrial malignancy in women treated for breast cancer: the BLUSH prediction model – evidence from a comprehensive multicentric retrospective cohort study

Vitale, Salvatore Giovanni; Angioni, Stefano; D’Alterio, Maurizio Nicola; Ronsini, Carlo; Saponara, Stefania; De Franciscis, Pasquale; Riemma, Gaetano

doi:10.1080/13697137.2024.2376189

Climacteric

2024

DOI: 10.1080/13697137.2024.2376189

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Risk of endometrial malignancy in women treated for breast cancer: the BLUSH prediction model – evidence from a comprehensive multicentric retrospective cohort study

Salvatore Giovanni Vitale,

Stefano Angioni,

Maurizio Nicola D’Alterio

et al.

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Cited by 11 publications

References 31 publications

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TikTok as a platform for hysteroscopy information: An analytical video‐based cross‐sectional study to assess quality, reliability, and accuracy

Vitale,

Angioni,

Saponara

et al. 2024

Intl J Gynecology & Obste

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ObjectiveTo assess the quality, reliability, and level of misinformation in TikTok videos about hysteroscopy.MethodsA cross‐sectional analysis of TikTok videos retrieved using “hysteroscopy” as search term was performed. Patient education materials assessment tool for audio‐visual content (PEMAT A/V), the modified DISCERN (mDISCERN), global quality scale (GQS), video information and quality index (VIQI) and misinformation assessment were used.ResultsOf three hundred videos captured, 156 were excluded and 144 were included. Most videos were partially accurate or uninformative (43.8% and 34.7%, respectively). Non‐healthcare providers produced more inaccurate or uninformative videos than healthcare workers (51.1% vs 4.0%; P < 0.001). Compared to content by professionals, content by patients showed increased distrust towards gynecologists (11.7% vs 0%; P = 0.012) and increased incidence of anxiety and concern towards hysteroscopy (25.5% vs 2%; P < 0.001). PEMAT A/V scores for understandability and actionability were low at 42.9% (interquartile range [IQR]: 11.1–70) and 0% (IQR: 0–0), respectively. Understandability (P < 0.001) and actionability (P = 0.001) were higher for professionals' created content relative to patients' videos. Similarly, median mDISCERN score was low (1 [IQR 0–2]), with significantly higher score for healthcare professionals compared to patients (P < 0.001). Overall video quality was also low, with median VIQI and GQS score of 7 (IQR 4–11) and 1 (IQR 1–3), respectively, and significantly higher scores for healthcare workers' captions compared to patients' for both (P < 0.001 and P = 0.001, respectively).ConclusionTikTok videos' quality on hysteroscopy seems unsatisfactory and misinformative, with low understandability and actionability scores. Videos recorded by healthcare workers show higher quality and less misinformation than those by patients. Raising the awareness regarding the low quality of medical information on social media is crucial to increase future reliability and trustworthiness.

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TikTok as a platform for hysteroscopy information: An analytical video‐based cross‐sectional study to assess quality, reliability, and accuracy

Vitale,

Angioni,

Saponara

et al. 2024

Intl J Gynecology & Obste

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The risk factors and prognostic impact of different benign pathologic types of background endometrium surrounding endometrial polyps

Huang,

Li,

Chen

et al. 2024

Intl J Gynecology & Obste

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ObjectiveThis retrospective study investigated the prognostic significance and risk factors of benign pathologic types of background endometrium surrounding endometrial polyps (EPs).MethodsWe assessed 206 patients who underwent hysteroscopic polypectomy and background endometrium biopsy. Patients were categorized into four groups based on the pathologic types of background endometrium: normal proliferative endometrium (NPE), polypoid hyperplastic endometrium (PHE), chronic endometritis (CE), and non‐atypical endometrial hyperplasia (NEH). We employed univariable comparisons and multivariable logistic regression analysis to identify risk factors of PHE, CE, and NEH compared to NPE. Abnormal uterine bleeding (AUB) and recurrence of EPs were monitored over a 12‐month postoperative follow‐up period.ResultsIndependent risk factors for EPs with a background of CE included a history of genital tract infection (OR = 8.88, 95% CI: 2.95–26.70, P = 0.000), adenomyosis (OR = 13.70, 95% CI: 3.38–55.52, P = 0.000), and hydrosalpinx (OR = 2.23, 95% CI: 1.59–54.09, P = 0.013). Age (OR = 1.18, 95% CI: 1.07–1.30, P = 0.001) and BMI (OR = 1.33, 95% CI: 1.11–1.61, P = 0.003) were significant risk factors for EPs with a background of NEH. Patients with PHE had higher recurrence rates of EPs following 12 months of follow‐up. Moreover, background endometrium types PHE, CE, and NEH were associated with poorer control of AUB.ConclusionOur study underscores the importance of examining the histopathologic characteristics of the background endometrium surrounding EPs, as these benign lesions significantly influence the recurrence and symptomatology of EPs.

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Hysteroscopy: where did we start, and where are we now? The compelling story of what many considered the “Cinderella” of gynecological endoscopy

Vitale,

Giannini,

Carugno

et al. 2024

Arch Gynecol Obstet

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Hysteroscopy has truly revolutionized the field of diagnostic and operative gynecology. It is presently regarded as the gold standard method for both the diagnosis and treatment of intrauterine diseases and it has fundamentally altered the way gynecologists treat patients with such conditions. These pathologies can now be diagnosed and treated in an outpatient setting, thanks to technological advancements and instrument downsizing. Two hundred years of development and notable innovation are now reflected in the present hysteroscopic practice. This review attempts to trace the boundaries-pushing history of hysteroscopy by highlighting the advancements in technology and the therapeutic and diagnostic benefits offered by this groundbreaking approach.

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Risk of endometrial malignancy in women treated for breast cancer: the BLUSH prediction model – evidence from a comprehensive multicentric retrospective cohort study

Cited by 11 publications

References 31 publications

TikTok as a platform for hysteroscopy information: An analytical video‐based cross‐sectional study to assess quality, reliability, and accuracy

TikTok as a platform for hysteroscopy information: An analytical video‐based cross‐sectional study to assess quality, reliability, and accuracy

The risk factors and prognostic impact of different benign pathologic types of background endometrium surrounding endometrial polyps

Hysteroscopy: where did we start, and where are we now? The compelling story of what many considered the “Cinderella” of gynecological endoscopy

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