P14.06: Interobserver reproducibility of hysterosalpingo-sonography with foam (HyFoSy) for assessing tubal patency

To estimate the interobserver reproducibility for interpreting HyFoSy for tubal patency based on video-clip assessment One expert (trainer) and three non-expert (trainees) examiners reviewed video-clips from 46 women (86 tubes) presenting with primary/secondary sterility and who underwent HyFoSy for assessing tubal patency. The expert, who performed all HyFoSy procedures, recorded all videos. Tubal patency was defined as the visualisation of foam passing through the tube and spilling throughout the fimbrial end. Tubal blockade was defined as the stop of foam at any place of the tube without spilling throughout the fimbrial end. All examiners reviewed the video-clips blinded each other. Interobserver agreement was estimated using the Cohen's Kappa index and the percentage of agreement. According to expert examiner diagnosis, 14 tubes (16%) were blocked and 72 (84%) were patent. Kappa index showed a good agreement for all pair comparisons (table 1). Interpretation of the presence of tubal patency or not using HyFoSy by video image assessment has a good reproducibility among observers. K= 0.77 (95% CI: 0.57-0.96) PoA: 94% (95% CI: 86-98) K= 0.81 (95% CI: 0.63-0.99) PoA: 95% (95% CI: 88-98) K= 0.62 (95% CI: 0.36-0.88) PoA: 92% (95% CI: 83-96) K= 0.73 (95% CI: 0.52-0.93) PoA: 93% (95% CI: 85-97) K= 0.65 (95% CI: 0.41-0.89) PoA: 92% (95% CI: 83-96) K= 0.79 (95% CI: 0.60-0.99) PoA: 95% (95% CI: 88-98) Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.