Hysteroscope or Mini-Hysteroscope: HTA in a University Hospital in Italy

Objective: The HTA Committee of University Hospital “G. Rodolico” of Catania received the form with the purchase request of four hysteroscopes. HTA report was developed to answer the following questions: Policy question: What is the optimal use for mini hysteroscope for gynecological problems in terms of effectiveness, safety and economic costs compared to the alternatives? Research question: Are the mini hysteroscope for all gynecological problems safe, painless, effective and cost-effective? Methods: We have identified and described some different types of hysteroscopes available on the Italian market and performed a context analysis to show their impact in terms of spending and consumption. We performed a systematic review of literature in order to synthesize the evidence on comparative efficacy, safety, and pain relating to the use of technology in question. The evaluation was conducted using a multidisciplinary approach and has provided an analysis of the seven following domains: Health problem and current use of the technology Description and technical characteristic of technology Clinical effectiveness Safety Costs, economic evaluation Organizational aspects