{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:49:22Z","timestamp":1760143762843,"version":"build-2065373602"},"reference-count":31,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,2,18]],"date-time":"2024-02-18T00:00:00Z","timestamp":1708214400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>(1) Background: The pandemic led to significant healthcare disruptions, resulting in postponed surgeries and extended waiting times for non-urgent treatments, including hysteroscopies essential for diagnosing endometrial cancer. This study aims to formulate a risk stratification model to enhance the prioritization of hysteroscopy procedures in Brazil; (2) Methods: A case-control study was conducted at Vila Santa Catarina Hospital in S\u00e3o Paulo, analyzing the medical records of 2103 women who underwent hysteroscopy between March 2019 and March 2022. We used bivariate analysis and multivariate linear regression to identify risk factors associated with endometrial cancer and formulate a nomogram; (3) Results: The findings revealed a 5.5% incidence of pre-invasive and invasive endometrial disease in the study population, with an average waiting time of 120 days for hysteroscopy procedures. The main risk factors identified were hypertension, diabetes, postmenopausal bleeding, and obesity; (4) Conclusions: This research highlights the urgent need for efficient prioritization of hysteroscopy procedures in the wake of the pandemic. The developed nomogram is an innovative tool for identifying patients at higher risk of endometrial cancer, thus facilitating timely diagnosis and treatment and improving overall patient outcomes in a strained healthcare system.<\/jats:p>","DOI":"10.3390\/jcm13041145","type":"journal-article","created":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T03:18:38Z","timestamp":1708312718000},"page":"1145","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Developing a Nomogram for Prioritizing Hysteroscopy in Endometrial Cancer Diagnosis: A Case-Control Study"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4656-9812","authenticated-orcid":false,"given":"Bruna","family":"Bottura","sequence":"first","affiliation":[{"name":"Ginecologia Oncol\u00f3gica, Hospital Municipal da Vila Santa Catarina Dr. Gilson de C\u00e1ssia Marques de Carvalho, S\u00e3o Paulo 04378-500, SP, Brazil"},{"name":"Programa de Sa\u00fade da Mulher, Hospital Israelita Albert Einstein, S\u00e3o Paulo 05652-900, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1647-5257","authenticated-orcid":false,"given":"Raphael Federicci","family":"Haddad","sequence":"additional","affiliation":[{"name":"Ginecologia Oncol\u00f3gica, Hospital Municipal da Vila Santa Catarina Dr. Gilson de C\u00e1ssia Marques de Carvalho, S\u00e3o Paulo 04378-500, SP, Brazil"},{"name":"Programa de Sa\u00fade da Mulher, Hospital Israelita Albert Einstein, S\u00e3o Paulo 05652-900, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2436-5939","authenticated-orcid":false,"given":"Vanessa","family":"Alvarenga-Bezerra","sequence":"additional","affiliation":[{"name":"Ginecologia Oncol\u00f3gica, Hospital Municipal da Vila Santa Catarina Dr. Gilson de C\u00e1ssia Marques de Carvalho, S\u00e3o Paulo 04378-500, SP, Brazil"},{"name":"Programa de Sa\u00fade da Mulher, Hospital Israelita Albert Einstein, S\u00e3o Paulo 05652-900, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinicius","family":"Campos","sequence":"additional","affiliation":[{"name":"Programa de Sa\u00fade da Mulher, Hospital Israelita Albert Einstein, S\u00e3o Paulo 05652-900, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3710-380X","authenticated-orcid":false,"given":"Luiza","family":"Perez","sequence":"additional","affiliation":[{"name":"Weill Cornell Medicine, New York, NY 10075, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Resende","sequence":"additional","affiliation":[{"name":"Ginecologia Oncol\u00f3gica, Hospital Municipal da Vila Santa Catarina Dr. Gilson de C\u00e1ssia Marques de Carvalho, S\u00e3o Paulo 04378-500, SP, Brazil"},{"name":"Programa de Sa\u00fade da Mulher, Hospital Israelita Albert Einstein, S\u00e3o Paulo 05652-900, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernanda de Almeida","family":"Asencio","sequence":"additional","affiliation":[{"name":"Programa de Sa\u00fade da Mulher, Hospital Israelita Albert Einstein, S\u00e3o Paulo 05652-900, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adolfo Wenjaw","family":"Liao","sequence":"additional","affiliation":[{"name":"Programa de Sa\u00fade da Mulher, Hospital Israelita Albert Einstein, S\u00e3o Paulo 05652-900, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariano Tamura Vieira","family":"Gomes","sequence":"additional","affiliation":[{"name":"Programa de Sa\u00fade da Mulher, Hospital Israelita Albert Einstein, S\u00e3o Paulo 05652-900, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Zlotnik","sequence":"additional","affiliation":[{"name":"Programa de Sa\u00fade da Mulher, Hospital Israelita Albert Einstein, S\u00e3o Paulo 05652-900, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renato","family":"Moretti-Marques","sequence":"additional","affiliation":[{"name":"Ginecologia Oncol\u00f3gica, Hospital Municipal da Vila Santa Catarina Dr. Gilson de C\u00e1ssia Marques de Carvalho, S\u00e3o Paulo 04378-500, SP, Brazil"},{"name":"Programa de Sa\u00fade da Mulher, Hospital Israelita Albert Einstein, S\u00e3o Paulo 05652-900, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,2,18]]},"reference":[{"key":"ref_1","unstructured":"(2023, October 25). 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