Practice variation in the stepped care approach to idiopathic heavy menstrual bleeding: A population-based study.

Author: BongersMarlies Y, KoolmanXander, MolBen W, PortraitFrance R M, VinkMaarten D H, van WezepTim C, van der HijdenEric J E

Paper Details 
Original Abstract of the Article :
Heavy menstrual bleeding (HMB) affects a quarter of all women, with half having no structural cause. Dutch guidelines recommend a stepped care approach to the management of such idiopathic HMB, starting with medication or a levonorgestrel-releasing intrauterine device (LNG-IUD), before progressing t...See full text at original site
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引用元:
https://doi.org/10.1016/j.ejogrb.2023.01.034

データ提供:米国国立医学図書館(NLM)

Heavy Menstrual Bleeding: Navigating Treatment Options

Heavy menstrual bleeding (HMB) affects a significant number of women, and understanding the best treatment options is crucial for managing this condition. This research explores the practice variation in the stepped care approach to idiopathic heavy menstrual bleeding, a type of HMB with no identifiable underlying structural cause. The study examined the implementation of Dutch guidelines, which recommend a stepped care approach starting with medications or a levonorgestrel-releasing intrauterine device (LNG-IUD), followed by endometrial ablation, and finally, hysterectomy if other options fail. The study found that practice variation between hospitals could lead to suboptimal health outcomes and increased healthcare costs for some women.

Ensuring Optimal Care for Women with HMB

This research highlights the importance of standardized and consistent treatment approaches for women with HMB. The study's findings underscore the need for improved adherence to evidence-based guidelines and for addressing practice variations that could compromise patient care. The research encourages efforts to promote awareness of optimal treatment strategies and to ensure that all women receive the best possible care.

Empowering Women with HMB

This study emphasizes the need for open communication between healthcare providers and patients to ensure that women with HMB receive the most appropriate and effective treatment. The study's findings suggest that women should be actively involved in decision-making about their treatment, ensuring that they understand the available options, potential benefits, and associated risks. By promoting informed decision-making and ensuring consistent care, we can empower women to effectively manage HMB and improve their overall wellbeing.

Dr.Camel's Conclusion

This study highlights the importance of standardized and consistent treatment approaches for women with heavy menstrual bleeding, emphasizing the need for improved adherence to evidence-based guidelines and for addressing practice variations that could compromise patient care.

Date :
  1. Date Completed 2023-03-21
  2. Date Revised 2023-03-21
Further Info :

Pubmed ID

36746074

DOI: Digital Object Identifier

10.1016/j.ejogrb.2023.01.034

Related Literature

SNS
PICO Info
in preparation
Languages

English

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