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A patient-preference cohort study of office versus inpatient uterine polyp treatment for abnormal uterine bleeding

Cooper , Natalie A. M. - Nama Orang; T. Justin Clark - Nama Orang; Lee Middleton - Nama Orang; Paul Smith - Nama Orang; Elaine Denny - Nama Orang; Lynda Stobert - Nama Orang; Jane Daniels - Nama Orang;

Abstract Uterine polyps can cause abnormal bleeding in women. Conventional practise is to remove themunder general anaesthesia but advances in technology have made it possible
to perform polypectomy in the office setting. We conducted a patient-preference study to explore women’s preferences for treatment setting and to evaluate the effectiveness and treatment experience of women undergoing uterine polypectomy. Three hundred ninety-nine women with abnormal uterine bleeding who were found to have uterine polyps at diagnostic hysteros-copy were recruited. Office polypectomies were performed in office hysteroscopy clinics, and inpatient procedures were un-dertaken in operating theatres. Three hundred twenty-four of 399 (81 %) expressed a preference for office treatment. There was no difference found between office treatment and inpatient treatment in terms of alleviating abnormal uterine bleeding as assessed by patients and in improving disease-specific quality of life. Acceptability was lower and patient pain scores were significantly higher in the office group. When offered a choice of treatment setting for uterine polypectomy, patients have a preference for office over inpatient treatment. Ambulatory gy-naecology services should be available within healthcare sys-tems to meet patient demand


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Informasi Detail
Judul Seri
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No. Panggil
Artikel
Penerbit
USA : Springer., 2016
Deskripsi Fisik
-
Bahasa
English
ISBN/ISSN
DOI 10.1007/s10397-0
Klasifikasi
NONE
Tipe Isi
-
Tipe Media
-
Tipe Pembawa
-
Edisi
Gynecol Surg (2016) 13:313–322
Subjek
Medicine
patient-preference
uterine polyp
abnormal uterine bleeding
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  • A patient-preference cohort study of office versus inpatient uterine polyp treatment for abnormal uterine bleeding
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