Health-related quality of life and patient satisfaction after global endometrial ablation for menorrhagia in women with bleeding disorders: a follow-up survey and systematic review

Objective The purpose of this study was to describe health-related quality of life and satisfaction after global endometrial ablation in women with bleeding disorders and a systematic review of the literature. Study Design A follow-up survey was mailed to 36 patients with bleeding disorders and 110...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2010-04, Vol.202 (4), p.348.e1-348.e7
Main Authors: El-Nashar, Sherif A., MBBCh, Hopkins, Matthew R., MD, Barnes, Sunni A., PhD, Pruthi, Rajiv K., MBBS, Gebhart, John B., MD, Cliby, William A., MD, Famuyide, Abimbola O., MBBS
Format: Article
Language:English
Subjects:
Adult
bleeding disorder
Blood Coagulation Disorders - complications
Blood Coagulation Disorders - psychology
Cohort Studies
endometrial ablation
Endometrial Ablation Techniques - psychology
excessive menstrual bleeding
Female
Health Surveys
Humans
menorrhagia
Menorrhagia - complications
Menorrhagia - psychology
Menorrhagia - surgery
Middle Aged
Obstetrics and Gynecology
Patient Satisfaction
Quality of Life
Retrospective Studies
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Summary:Objective The purpose of this study was to describe health-related quality of life and satisfaction after global endometrial ablation in women with bleeding disorders and a systematic review of the literature. Study Design A follow-up survey was mailed to 36 patients with bleeding disorders and 110 reference patients (no coagulopathies) who underwent global endometrial ablation for menorrhagia. The survey included a generic (SF-12) and menorrhagia multi-attribute utility scale questionnaires. Results Ninety-six women (66%) responded. The total menorrhagia multiattribute utility scale score increased from 35-100 in bleeding disorder cohort ( P = .03) and from 48-100 in the reference cohort ( P < .001). Although postablation SF-12 mental domain scores were comparable in both cohorts (55 vs 55; P = .67), physical domain scores were lower in the bleeding disorder cohort (50 vs 56; P < .001). High satisfaction was reported by both cohorts (95% vs 84%; P = .60). Conclusion Global endometrial ablation improved health-related quality of life for women with bleeding disorders and had high satisfaction rates.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2009.11.032