title: 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.
abstract: 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.
  
  
  METHODS
  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).
  
  
  CONCLUSIONS
  Global endometrial ablation improved health-related quality of life for women with bleeding disorders and had high satisfaction rates.
authors.affiliation: Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN 55905, USA.
authors.forename: Sherif A
authors.initials: SA
authors.lastname: El-Nashar
authors.forename: Matthew R
authors.initials: MR
authors.lastname: Hopkins
authors.forename: Sunni A
authors.initials: SA
authors.lastname: Barnes
authors.forename: Rajiv K
authors.initials: RK
authors.lastname: Pruthi
authors.forename: John B
authors.initials: JB
authors.lastname: Gebhart
authors.forename: William A
authors.initials: WA
authors.lastname: Cliby
authors.forename: Abimbola O
authors.initials: AO
authors.lastname: Famuyide
mesh_terms: D000328:Adult; D001778:Blood Coagulation Disorders / Q000150:complications / Q000523:psychology*; D015331:Cohort Studies; D055356:Endometrial Ablation Techniques / Q000523:psychology*; D005260:Female; D006306:Health Surveys; D006801:Humans; D008595:Menorrhagia / Q000150:complications / Q000523:psychology* / Q000601:surgery*; D008875:Middle Aged; D017060:Patient Satisfaction; D011788:Quality of Life; D012189:Retrospective Studies