{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T00:19:25Z","timestamp":1793924365216,"version":"4.8.0"},"reference-count":22,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"3","license":[{"start":{"date-parts":[[2020,9,7]],"date-time":"2020-09-07T00:00:00Z","timestamp":1599436800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Colomb. Obstet. Ginecol."],"abstract":"<jats:p>Objetivo: evaluar la exactitud diagn\u00f3stica del sistema de puntaje histerosc\u00f3pico de c\u00e1ncer endometrial. Materiales y m\u00e9todos: estudio de exactitud diagn\u00f3stica ensamblado en estudio transversal, que incluy\u00f3 pacientes con sangrado posmenop\u00e1usico y engrosamiento endometrial mayor o igual a 5 mm, a quienes se practic\u00f3 histeroscopia, cuyo resultado se compar\u00f3 con la biopsia endometrial como patr\u00f3n de oro diagn\u00f3stico, en dos hospitales de alta complejidad. Se midieron variables sociodemogr\u00e1ficas, cl\u00ednicas, puntaje de evaluaci\u00f3n histerosc\u00f3pica y resultado histopatol\u00f3gico de tejido endometrial. En el an\u00e1lisis se estim\u00f3 sensibilidad, especificidad, razones de probabilidades y \u00e1rea bajo la curva con sus respectivos intervalos de confianza. Resultados: con una prevalencia del c\u00e1ncer endometrial del 9%, el sistema de evaluaci\u00f3n por histeroscopia mostr\u00f3 una sensibilidad de 75% (IC 95%: 30,1-95,43), especificidad de 95,1% (IC 95%: 83,9-98,7), una raz\u00f3n de probabilidades positiva de 15,38 (IC 95%: 3,55-66,56), una raz\u00f3n de probabilidades negativa de 0,26 y un \u00e1rea bajo la curva del 85%. Conclusi\u00f3n: el sistema de evaluaci\u00f3n endometrial histerosc\u00f3pico estandarizado mostr\u00f3 una sensibilidad aceptable para hacer la tamizaci\u00f3n en pacientes con sangrado posmenop\u00e1usico y engrosamiento endometrial (\u2265 5 mm). Se requiere la realizaci\u00f3n de estudios con un mayor tama\u00f1o muestral que permitan hacer una estimaci\u00f3n m\u00e1s precisa de las caracter\u00edsticas operativas de este sistema de evaluaci\u00f3n histerosc\u00f3pico para la detecci\u00f3n de c\u00e1ncer endometrial.<\/jats:p>","DOI":"10.18597\/rcog.3445","type":"journal-article","created":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T12:58:36Z","timestamp":1600693116000},"page":"237-246","source":"Crossref","is-referenced-by-count":2,"title":["Exactitud diagn\u00f3stica de una escala histerosc\u00f3pica para la detecci\u00f3n de c\u00e1ncer endometrial en pacientes con sangrado posmenop\u00e1usico y engrosamiento endometrial"],"prefix":"10.18597","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4481-7616","authenticated-orcid":false,"given":"C\u00e9sar Augusto","family":"Rend\u00f3n-Becerra","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0265-6495","authenticated-orcid":false,"given":"Alex","family":"G\u00f3mez-Bravo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0545-4848","authenticated-orcid":false,"given":"Andr\u00e9s Felipe","family":"Erazo-Narv\u00e1ez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8561-0817","authenticated-orcid":false,"given":"Roberth Alirio","family":"Ortiz-Mart\u00ednez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7913","published-online":{"date-parts":[[2020,9,7]]},"reference":[{"key":"86009","doi-asserted-by":"crossref","unstructured":"Siegel RL, Miller KD, Jemal A. 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