Literature DB >> 21737060

Practice patterns and attitudes about treating abnormal uterine bleeding: a national survey of obstetricians and gynecologists.

Kristen A Matteson1, Britta L Anderson, Stephanie B Pinto, Vrishali Lopes, Jay Schulkin, Melissa A Clark.   

Abstract

OBJECTIVE: We sought to examine the practice patterns and attitudes of obstetricians and gynecologists surrounding treatment of abnormal uterine bleeding (AUB). STUDY
DESIGN: We conducted a cross-sectional study of members of the American College of Obstetricians and Gynecologists. Surveys, which were distributed using a sequential mixed method (both web- and mail-based) approach, included questions about practice characteristics, practice patterns, and knowledge about treatment options for AUB.
RESULTS: Of 802 questionnaires, 417 were returned (52%). The most commonly selected first-line choice for AUB treatment was combined oral contraceptives (97% anovulatory, 98% ovulatory). The levonorgestrel intrauterine system was the next most frequently selected option (63% anovulatory, 53% ovulatory). Respondents did not score high on questions about the effectiveness of treatments for AUB. Only 25% (n = 86) answered at least 2 of the 3 questions correctly.
CONCLUSION: Continued education is necessary to increase the utilization of the most effective treatment options for AUB.
Copyright © 2011 Mosby, Inc. All rights reserved.

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Year:  2011        PMID: 21737060      PMCID: PMC3217110          DOI: 10.1016/j.ajog.2011.05.016

Source DB:  PubMed          Journal:  Am J Obstet Gynecol        ISSN: 0002-9378            Impact factor:   8.661


  23 in total

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Authors:  K H Kjerulff; B A Erickson; P W Langenberg
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2.  Acute coronary syndromes in the United States and United Kingdom: a comparison of approaches. The Antithrombotic Therapy in Acute Coronary Syndromes Research Group.

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Authors:  A Lethaby; G Irvine; I Cameron
Journal:  Cochrane Database Syst Rev       Date:  2000

Review 4.  Nonsteroidal anti-inflammatory drugs for heavy menstrual bleeding.

Authors:  A Lethaby; C Augood; K Duckitt
Journal:  Cochrane Database Syst Rev       Date:  2000

Review 5.  Practice trends in outpatient obstetrics and gynecology: findings of the Collaborative Ambulatory Research Network, 1995--2000.

Authors:  L D Hill; K Erickson; G B Holzman; M L Power; J Schulkin
Journal:  Obstet Gynecol Surv       Date:  2001-08       Impact factor: 2.347

6.  Use of health services associated with increased menstrual loss in the United States.

Authors:  Isabelle Côté; Philip Jacobs; David C Cumming
Journal:  Am J Obstet Gynecol       Date:  2003-02       Impact factor: 8.661

Review 7.  Antifibrinolytics for heavy menstrual bleeding.

Authors:  A Lethaby; C Farquhar; I Cooke
Journal:  Cochrane Database Syst Rev       Date:  2000

Review 8.  Progesterone or progestogen-releasing intrauterine systems for heavy menstrual bleeding.

Authors:  A E Lethaby; I Cooke; M Rees
Journal:  Cochrane Database Syst Rev       Date:  2005-10-19

Review 9.  Danazol for heavy menstrual bleeding.

Authors:  H Beaumont; C Augood; K Duckitt; A Lethaby
Journal:  Cochrane Database Syst Rev       Date:  2002

10.  Randomized trial of 2 hormonal and 2 prostaglandin-inhibiting agents in women with a complaint of menorrhagia.

Authors:  I S Fraser; G McCarron
Journal:  Aust N Z J Obstet Gynaecol       Date:  1991-02       Impact factor: 2.100

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  3 in total

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Authors:  Magdalena Bofill Rodriguez; Anne Lethaby; Cindy Low; Iain T Cameron
Journal:  Cochrane Database Syst Rev       Date:  2019-08-14

2.  The menstrual bleeding questionnaire: development and validation of a comprehensive patient-reported outcome instrument for heavy menstrual bleeding.

Authors:  K A Matteson; D M Scott; C A Raker; M A Clark
Journal:  BJOG       Date:  2015-01-23       Impact factor: 6.531

3.  A first look at chorioamnionitis management practice variation among US obstetricians.

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  3 in total

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