Are too many imaging tests being performed in women with an adnexal mass?

Objective: To evaluate the patterns of radiologic imaging requested by family physicians and gynaecologists in the work-up of women found to have an adnexal mass on pelvic ultrasound, and to evaluate whether advanced imaging tests are associated with more appropriate referral of women with a high-risk adnexal mass to gynaecologic oncologists.

Methods: Centralized provincial databases of health care usage were used to identify women aged 45 and older who had a pelvic ultrasound examination between 2006 and 2008. Subsequent imaging tests ordered were identified according to physician specialty.

Is cerclage height associated with the incidence of preterm birth in women with a history-indicated cerclage?

This study was performed to determine if cerclage height is associated with spontaneous preterm birth in patients with a history-indicated cerclage. We performed a retrospective cohort study of women with a history-indicated cerclage. Functional cervical length and the cerclage height (distance from cerclage to the external cervical os) were obtained.

Endometrial cancer surgery costs: robot vs laparoscopy.

Study Objective: To compare surgical costs for endometrial cancer staging between robotic-assisted and traditional laparoscopic methods.

Design: Retrospective chart review from November 2005 to July 2006 (Canadian Task Force classification II-3).

Setting: Non-university-affiliated teaching hospital.

Interpretability of excisional biopsies of the cervix: cone biopsy and loop excision.

Objective: To compare the results of cold knife conization (CKC) and loop electrosurgical excision procedure (LEEP) for cervical intraepithelial neoplasia to determine if excisional method has effects on pathologic interpretation.

Methods: Retrospective review of the perioperative medical records of patients who had a CKC and electrosurgical loop excision of cervix. Patients selected had either primary treatment for cervical intraepithelial neoplasia, suspected invasion, glandular abnormalities or discordant cytology.

Is cerclage height associated with the incidence of preterm birth in women with an ultrasound-indicated cerclage?

Objective: Our aim was to determine whether there was a cerclage height threshold associated with spontaneous preterm birth in patients with an ultrasound-indicated cerclage.

Study Design: We performed a retrospective cohort study of women with an ultrasound-indicated cerclage. Functional cervical length and the cerclage height (distance from cerclage to the external cervical os) were obtained.