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Evaluation of a Standardized Questionnaire for Initial Assessment of Abnormal Uterine Bleeding in Premenopausal Women

Published:August 04, 2022DOI:https://doi.org/10.1016/j.jogc.2022.07.002

      Abstract

      Objective

      To assess the effect of a standardized questionnaire for premenopausal women with abnormal uterine bleeding (AUB) on clinical information collection and duration of consultation.

      Methods

      We conducted a before and after study involving 100 premenopausal women undergoing consultation for AUB. During stage 1, 50 consultations were recorded on a consultation sheet with no specific template. During stage 2, 50 women completed a 26-item auto-administered standardized questionnaire before the consultation, which was then reviewed with the consultant and added to the medical record. The duration of consultation was assessed in subgroups of 27 women in each stage. Two independent evaluators assessed the quality and completeness of data collected in the medical records using a score sheet developed by experts. Outcomes from both stages were compared using the t test.

      Results

      The descriptive characteristics were similar in both groups. The mean global scores of the quality and completeness of data collected improved significantly between stages 1 and 2, from 67% ± 12% to 95% ± 5% (P < 0.0001), as did medical background scores (54% ± 29% vs. 85% ± 13%; P < 0.0001) and AUB-related symptoms scores (69% ± 13% vs. 97% ± 5%; P < 0.0001). A mean reduction in duration of consultation of nearly 4 minutes was observed (24.6 ± 4.3 min vs. 20.7 ± 4.8 min; P < 0.0001).

      Conclusion

      The AUB-specific standardized questionnaire improves quality and completeness of data collected in medical records and reduces duration of consultation.

      Résumé

      Objectif

      Évaluer l’effet de l’utilisation d’un questionnaire normalisé auprès de femmes non ménopausées manifestant des saignements utérins anormaux (SUA) sur la collecte de renseignements cliniques et la durée de la consultation.

      Méthodologie

      Nous avons mené une étude avant et après concernant un total de 100 femmes non ménopausées consultant pour des SUA. À l’étape 1, 50 consultations ont été consignées sur une feuille de consultation sans modèle particulier. À l’étape 2, 50 femmes ont elles-mêmes rempli un questionnaire normalisé de 26 questions avant la consultation; celui-ci a ensuite été passé en revue avec le consultant avant d’être ajouté au dossier médical. La durée de la consultation a été évaluée dans des sous-groupes de 27 femmes pour chaque étape. Deux évaluateurs indépendants ont évalué la qualité et l’exhaustivité des données recueillies dans les dossiers médicaux à l’aide d’une feuille de pointage élaborée par des experts. Les résultats des deux étapes ont été comparés à l’aide du test T (test de Student).

      Résultats

      Les caractéristiques descriptives étaient similaires dans les deux groupes. Les scores moyens globaux de qualité et d’exhaustivité des données recueillies se sont améliorés de façon significative entre les étapes 1 et 2, passant de 67 % ± 12 % à 95 % ± 5 % (p < 0,0001). Il en a été de même pour les scores concernant les antécédents médicaux (54 % ± 29 % p/r à 85 % ± 13 %; p < 0,0001) et les symptômes associés aux SUA (69 % ± 13 % p/r à 97 % ± 5 %; p < 0,0001). Une réduction moyenne de la durée de la consultation de près de 4 minutes a été observée (24,6 ± 4,3 min p/r à 20,7 ± 4,8 min; p < 0,0001).

      Conclusion

      L’utilisation d’un questionnaire normalisé spécifiquement conçu pour les SUA améliore la qualité et l’exhaustivité des données recueillies dans les dossiers médicaux et réduit la durée de la consultation.

      Keywords

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      References

        • Kjerulff K.H.
        • Erickson B.A.
        • Langenberg P.W.
        Chronic gynecological conditions reported by US women: findings from the National Health Interview Survey, 1984 to 1992.
        Am J Public Health. 1996; 86: 195-199
        • Spencer C.P.
        • Whitehead M.I.
        Endometrial assessment re-visited.
        Int J Obstet Gynaecol. 1999; 106: 623-632
        • Liu Z.
        • Doan Q.V.
        • Blumenthal P.
        • et al.
        A systematic review evaluating health-related quality of life, work impairment, and health-care costs and utilization in abnormal uterine bleeding.
        Value Health. 2007; 10: 183-194
        • Santer M.
        • Warner P.
        • Wyke S.
        A Scottish postal survey suggested that the prevailing clinical preoccupation with heavy periods does not reflect the epidemiology of reported symptoms and problems.
        J Clin Epidemiol. 2005; 58: 1206-1210
        • Matteson K.A.
        • Boardman L.A.
        • Munro M.G.
        • et al.
        Abnormal uterine bleeding: a review of patient-based outcome measures.
        Fertil Steril. 2009; 92: 205-216
        • Barnard K.
        • Frayne S.M.
        • Skinner K.M.
        • et al.
        Health status among women with menstrual symptoms.
        J Womens Health. 2003; 12: 911-919
        • Singh S.
        • Best C.
        • Dunn S.
        • et al.
        Abnormal uterine bleeding in pre-menopausal women.
        J Obstet Gynaecol Can. 2013; 35: 473-475
        • Committee on Practice Bulletins—Gynecology
        Practice bulletin no 128: diagnosis of abnormal uterine bleeding in reproductive-aged women.
        Obstet Gynecol. 2012; 120: 197-206
        • National Collaborating Centre for Women’s and Children’s Health (UK)
        Heavy menstrual bleeding.
        (Available at:) (Accessed on December 28, 2021)
        • Fraser I.S.
        • Critchley H.O.D.
        • Munro M.G.
        • et al.
        A process designed to lead to international agreement on terminologies and definitions used to describe abnormalities of menstrual bleeding.
        Fertil Steril. 2007; 87: 466-476
        • Namazi M.
        • Zareiyan A.
        • Jafarabadi M.
        • et al.
        Endometriosis reproductive health questionnaire (ERHQ): a self-administered questionnaire to measure the reproductive health in women with endometriosis.
        J Gynecol Obstet Hum Reprod. 2021; 50101860
        • Bedrick B.S.
        • Eskew A.M.
        • Chavarro J.E.
        • et al.
        Self-administered questionnaire to screen for polycystic ovarian syndrome.
        Womens Health Rep. 2020; 1: 566-573
        • Borup K.
        • Hvidman L.
        • Bugge Nielsen J.
        • et al.
        Validity of a self-administered questionnaire, with reference to a clinical stress urinary incontinence test.
        Scand J Urol Nephrol. 2008; 42: 148-153
        • Voorend-van Bergen S.
        • Vaessen-Verberne A.A.
        • de Jongste J.C.
        • et al.
        Asthma control questionnaires in the management of asthma in children: a review: asthma control questionnaires.
        Pediatr Pulmonol. 2015; 50: 202-208
        • Tohda Y.
        • Hozawa S.
        • Tanaka H.
        Development of a questionnaire to evaluate asthma control in Japanese asthma patients.
        Allergol Int. 2018; 67: 131-137
        • Bowman M.
        • Riddel J.
        • Rand M.L.
        • et al.
        Evaluation of the diagnostic utility for von Willebrand disease of a pediatric bleeding questionnaire.
        J Thromb Haemost. 2009; 7: 1418-1421
        • Rodeghiero F.
        • Tosetto A.
        • Abshire T.
        • et al.
        ISTH/SSC bleeding assessment tool: a standardized questionnaire and a proposal for a new bleeding score for inherited bleeding disorders.
        J Thromb Haemost. 2010; 8: 2063-2065
        • Cheong Y.
        • Cameron I.T.
        • Critchley H.O.D.
        Abnormal uterine bleeding.
        Br Med Bull. 2017; 123: 103-114
        • Whitaker L.
        • Critchley H.O.D.
        Abnormal uterine bleeding.
        Best Pract Res Clin Obst Gynaecol. 2016; 34: 54-65
        • Reid P.C.
        • Coker A.
        • Coltart R.
        Assessment of menstrual blood loss using a pictorial chart: a validation study.
        Int J Obstet Gynaecol. 2000; 107: 320-322
        • Wyatt K.M.
        • Dimmock P.W.
        • Walker T.J.
        • et al.
        Determination of total menstrual blood loss.
        Fertil Steril. 2001; 76: 125-131
        • Pattison H.
        • Daniels J.
        • Kai J.
        • et al.
        The measurement properties of the menorrhagia multi-attribute quality-of-life scale: a psychometric analysis: properties of a menorrhagia quality-of-life scale.
        Int J Obstet Gynaecol. 2011; 118: 1528-1531
        • Dennerstein L.
        • Lehert P.
        • Dudley E.
        Short scale to measure female sexuality: adapted from McCoy female sexuality questionnaire.
        J Sex Marital Ther. 2001; 27: 339-351
        • Magnay J.L.
        • O’Brien S.
        • Gerlinger C.
        • et al.
        A systematic review of methods to measure menstrual blood loss.
        BMC Women Health. 2018; 18: 142
        • Maheux-Lacroix S.
        • Li F.
        • Laberge P.Y.
        • et al.
        Imaging for polyps and leiomyomas in women with abnormal uterine bleeding: a systematic review.
        Obstet Gynecol. 2016; 128: 1425-1436
        • Tur-Kaspa I.
        • Gal M.
        • Hartman M.
        • et al.
        A prospective evaluation of uterine abnormalities by saline infusion sonohysterography in 1,009 women with infertility or abnormal uterine bleeding.
        Fertil Steril. 2006; 86: 1731-1735
        • Frick K.D.
        • Clark M.A.
        • Steinwachs D.M.
        • et al.
        Financial and quality-of-life burden of dysfunctional uterine bleeding among women agreeing to obtain surgical treatment.
        Womens Health Issues. 2009; 19: 70-78
        • Côté I.
        • Jacobs P.
        • Cumming D.
        Work loss associated with increased menstrual loss in the United States.
        Obstet Gynecol. 2002; 100: 683-687