Research Article

Does Probability Guided Hysteroscopy Reduce Costs in Women Investigated for Postmenopausal Bleeding?

Table 2

Accuracy, uncertainty, and impact of cut-off values for predicted probability of a failed endometrial biopsy in women with postmenopausal bleeding and endometrial thickness of >4.0 mm.

Cut-off failure probability (%)SensitivitySpecificityCosts of strategy I (€)Costs of strategy II (€)Expected difference (strategy II − strategy I) (€)

50%0.30 (0.25–0.35)0.86 (0.81–0.91)46047212
55%0.21 (0.16–0.26)0.92 (0.87–0.97)46047515
60%0.14 (0.09–0.19)0.96 (0.91–1.0)4604600
65%0.075 (0.025–0.125)0.99 (0.94–1.0)460457−3
70%0.008 (0.0–0.06)0.99 (0.94–1.0)4604622