Evidence map›Paper›PMID 41001187›Full record

ArticleO&G open2025

Patient and Procedural Factors Associated With Insufficient Office Endometrial Biopsy.

Margaret Howe, Yun-Yi Hung, Rishi Bhatnagar, Lorlelei Lee-Haynes, Elizabeth J Suh-Burgmann

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in O&G open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Margaret HoweDepartment of Obstetrics and Gynecology and the Department of Graduate Medical Education, Kaiser Permanente Northern California, Modesto Medical Center, Modesto, the Division of Research, Kaiser Permanente Northern California, Oakland, and the Department of Gynecology Oncology, Kaiser Permanente Northern California, Walnut Creek, California.
Yun-Yi HungDepartment of Obstetrics and Gynecology and the Department of Graduate Medical Education, Kaiser Permanente Northern California, Modesto Medical Center, Modesto, the Division of Research, Kaiser Permanente Northern California, Oakland, and the Department of Gynecology Oncology, Kaiser Permanente Northern California, Walnut Creek, California.
Rishi BhatnagarDepartment of Obstetrics and Gynecology and the Department of Graduate Medical Education, Kaiser Permanente Northern California, Modesto Medical Center, Modesto, the Division of Research, Kaiser Permanente Northern California, Oakland, and the Department of Gynecology Oncology, Kaiser Permanente Northern California, Walnut Creek, California.
Lorlelei Lee-HaynesDepartment of Obstetrics and Gynecology and the Department of Graduate Medical Education, Kaiser Permanente Northern California, Modesto Medical Center, Modesto, the Division of Research, Kaiser Permanente Northern California, Oakland, and the Department of Gynecology Oncology, Kaiser Permanente Northern California, Walnut Creek, California.
Elizabeth J Suh-BurgmannDepartment of Obstetrics and Gynecology and the Department of Graduate Medical Education, Kaiser Permanente Northern California, Modesto Medical Center, Modesto, the Division of Research, Kaiser Permanente Northern California, Oakland, and the Department of Gynecology Oncology, Kaiser Permanente Northern California, Walnut Creek, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify patient-specific and procedural factors associated with insufficient office endometrial biopsy.

methodsWe conducted a large retrospective cohort study of adult patients who underwent office endometrial biopsy in 2023 across a large health system. Data on demographics, menopausal status, body mass index (BMI), history of cesarean delivery, leiomyomas, prior loop electrosurgical excision procedure or cold knife cone biopsy, and mental health conditions were examined to determine associations with

resultsAmong 27,456 patients, the overall rate of insufficient endometrial biopsies was 12.1%: 7.6% among premenopausal patients and 29.1% among postmenopausal patients. In univariate analysis for the overall cohort,

conclusionPostmenopausal status, leiomyomas, history of cesarean delivery, chronic pain, and anxiety were associated with higher risk of insufficient endometrial biopsies, whereas BMI 50 or higher was associated with decreased risk. These characteristics may help identify patients who may benefit from additional efforts to optimize visualization and patient tolerance to avoid the need for repeat procedures.

Identifiers

PMID41001187
PMCPMC12456534

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.