{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T23:06:52Z","timestamp":1792537612384,"version":"4.5.0"},"reference-count":13,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T00:00:00Z","timestamp":1712188800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2024,10]]},"abstract":"\n Background<\/jats:title>\n In Australia, gynaecologists continue to assess and investigate abnormal uterine bleeding with inpatient hysteroscopy despite evidence validating outpatient hysteroscopy services.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n This retrospective cohort study assessed the safety, success and acceptability of office hysteroscopy in a gynae\u2010oncology rapid\u2010access clinic over six\u2009years in Sydney, Australia, and included all women without an age or body mass index (BMI) cut\u2010off using a \u2018see and treat\u2019 concept.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A database was created and analysed retrospectively for patients who attended office hysteroscopy service between January 2016 and March 2021 (63\u2009months, 481 eligible). An anonymous modified PAT\u201032 patient satisfaction questionnaire was also offered to an initial cohort after their procedure to gauge insightful feedback about acceptability.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 92% of patients had successful outpatient hysteroscopic access; 24% of cases required hysteroscopy under general anaesthesia (GA) despite pathology in over 50% of cases; 68% of the total were able to be managed with outpatient hysteroscopy and did not require a follow\u2010up GA hysteroscopy. This paper is also the first of its kind to our knowledge to incorporate patients >65\u2009years, those with a BMI >35 and those with a history of cervical stenosis. This study suggests that age and BMI do not impact the success rate of the procedure.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This study demonstrates that outpatient hysteroscopy is an acceptable, safe procedure that is well tolerated by patients. Considering our rapid\u2010access hysteroscopy service allowed 68% of the patient cohort to avoid hysteroscopy under GA, we estimate conservatively ~$63\u2009million per year in Australia could be saved by performing office hysteroscopies.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ajo.13816","type":"journal-article","created":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T03:16:00Z","timestamp":1712200560000},"page":"475-481","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Outpatient hysteroscopy: Suitable for all? A retrospective cohort study of safety, success and acceptability in Australia"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9910-9862","authenticated-orcid":false,"given":"Rebecca","family":"Nash","sequence":"first","affiliation":[{"name":"Womens and Babies Royal Prince Alfred Hospital Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5165-2461","authenticated-orcid":false,"given":"Samir","family":"Saidi","sequence":"additional","affiliation":[{"name":"Department of Gynae\u2010Oncology Chris O'Brien Lifehouse Sydney New South Wales Australia"},{"name":"University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,4]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2009.01096.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(05)60042-4"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2021.10.079"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2006.06.004"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2021.1916814"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.13597"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12560"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2005.04.041"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443610310000100132"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7230.279"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001703-200108000-00003"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.4293\/JSLS.2014.00393"},{"key":"e_1_2_6_14_1","unstructured":"Australian Institute of Health and Welfare (AIHW) diagnosis\u2010related groups. Available from URL:https:\/\/www.aihw.gov.au\/reports\/hospitals\/ar\u2010drg\u2010data\u2010cubes\/contents\/data\u2010cubes. Cited 01\/10\/2023."}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13816","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T06:12:56Z","timestamp":1734675176000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.13816"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,4]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1111\/ajo.13816"],"URL":"https:\/\/doi.org\/10.1111\/ajo.13816","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,4]]},"assertion":[{"value":"2023-06-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}