{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T23:07:19Z","timestamp":1788304039349,"version":"build-2803163510"},"reference-count":7,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,5,29]],"date-time":"2020-05-29T00:00:00Z","timestamp":1590710400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Australian clinical guidelines recommend further investigation in females with postmenopausal bleeding (PMB) and endometrial thickness (ET) of \u22654\u00a0mm on transvaginal ultrasound (TVUS). However, the literature indicates that an ET of \u22653\u00a0mm as an upper limit is a more sensitive predictor of endometrial malignancy (EM) in females with PMB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To assess whether Australian guidelines for PMB with an upper limit of 4\u00a0mm ET on ultrasound investigation, is sensitive enough for malignancy detection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>A retrospective study was performed on tissue results in PMB presentations to the Gold Coast Hospital and Health Service between 2011 and 2015.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty point nine percent of women with PMB had a malignancy. With an upper limit of 4\u00a0mm in ET on ultrasound, malignancy was present in 22% of participants. [Correction added on 10 July 2020, after first online publication: percentage of women with PMB that had a malignancy has been amended to twenty point nine percent.]<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A limit of 3\u00a0mm for ET in PMB, along with office endometrial biopsy, should be considered to ensure timely diagnoses.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13183","type":"journal-article","created":{"date-parts":[[2020,5,29]],"date-time":"2020-05-29T07:27:38Z","timestamp":1590737258000},"page":"773-775","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Investigating women with postmenopausal bleeding: The utility of endometrial thickness in transvaginal ultrasound"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9150-097X","authenticated-orcid":false,"given":"Dinesh","family":"Palipana","sequence":"first","affiliation":[{"name":"Emergency Department Gold Coast University Hospital Gold Coast Queensland Australia"},{"name":"School of Medicine Griffith University Gold Coast Queensland Australia"},{"name":"Menzies Health Institute of Queensland Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0930-8573","authenticated-orcid":false,"given":"Igor","family":"Fomin","sequence":"additional","affiliation":[{"name":"School of Medicine Griffith University Gold Coast Queensland Australia"},{"name":"Gold Coast University Hospital Gold Coast Queensland Australia"},{"name":"School of Medicine Bond University Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elsa","family":"Russell","sequence":"additional","affiliation":[{"name":"John Hunter Hospital Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Chan","sequence":"additional","affiliation":[{"name":"John Hunter Hospital Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chad","family":"Wong","sequence":"additional","affiliation":[{"name":"Radiology Department Gold Coast University Hospital Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erick","family":"Chan","sequence":"additional","affiliation":[{"name":"School of Medicine Griffith University Gold Coast Queensland Australia"},{"name":"Gold Coast University Hospital Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debbie","family":"Ho","sequence":"additional","affiliation":[{"name":"School of Medicine Griffith University Gold Coast Queensland Australia"},{"name":"Gold Coast University Hospital Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graeme","family":"Walker","sequence":"additional","affiliation":[{"name":"Gynaecology Department Gold Coast University Hospital Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,29]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"3","article-title":"Postmenopausal bleeding","volume":"16","author":"Zito A","year":"2014","journal-title":"Office Gynaecol"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000447198.97678.55"},{"key":"e_1_2_6_4_1","unstructured":"Cancer Australia.Vaginal bleeding in postmenopausal women: a diagnostic guide for General Practitioners and Gynaecologists[revised February 2011; cited October 2019]."},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181e3e7e8"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdt353"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181b48feb"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(20001015)89:8<1765::AID-CNCR17>3.0.CO;2-F"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajo.13183","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13183","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajo.13183","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13183","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T16:27:47Z","timestamp":1693844867000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.13183"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,29]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.1111\/ajo.13183"],"URL":"https:\/\/doi.org\/10.1111\/ajo.13183","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,29]]},"assertion":[{"value":"2020-01-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}