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

• 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
• ISSN: 0002-9378; 1097-6868
• DOI: 10.1016/j.ajog.2009.11.032

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.