Trial reportHealth expectations : an international journal of public participation in health care and health policy2004
A randomized trial among women with heavy menstruation -- impact of a decision aid on treatment outcomes and costs.
Trial report in Health expectations : an international journal of public participation in health care and health policy, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 7 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024Pooled it
- Pooled it
- Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017Pooled it
- Strategies for reducing regional variation in the use of surgery: a systematic review.Annals of surgery · 2014Pooled it
- Undetermined impact of patient decision support interventions on healthcare costs and savings: systematic review.BMJ (Clinical research ed.) · 2014Pooled it
- Abnormal uterine bleeding: a review of patient-based outcome measures.Fertility and sterility · 2009Pooled it
- Cost effectiveness of a web-based decision aid for parents deciding about MMR vaccination: a three-arm cluster randomised controlled trial in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Trial
- Patient focused interventions and communication in the surgical clinic: a systematic review and meta-analysis.EClinicalMedicine · 2023Article
- Interventions to improve access to care for abnormal uterine bleeding: A systematic scoping review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023Article
- Could shared decision making affect staying in hospital? A cross-sectional pilot study.BMC health services research · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the effects of a decision aid for menorrhagia on treatment outcomes and costs over a 12-month follow-up.
designRandomized trial and pre-trial prospective cohort study. SETTING AND
participantsGynaecology outpatient clinics in 14 Finnish hospitals, 363 (randomized trial) plus 206 (cohort study) patients with menorrhagia.
interventionA decision aid booklet explaining menorrhagia and treatment options, mailed to patients before their first clinic appointment.
main outcome measuresHealth related quality of life, psychological well-being, menstrual symptoms, satisfaction with treatment outcome, use and cost of health care services.
resultsAll study groups experienced overall improvement in health-related quality of life, anxiety, and psychosomatic and menstrual symptoms, but not in sexual life. Treatment in the intervention group was more active than in the control group, with more frequent course of medication and less undecided treatments. However, there were no marked disparities in health outcomes, satisfaction with treatment outcome and costs. Total costs (including productivity loss) per woman because of menorrhagia over the 12-month follow-up were 2760 and 3094 in the intervention and control group, respectively (P = 0.1). The pre-trial group also had a significantly lower rate of uterus saving surgery compared with the control group, but no difference in costs because of menorrhagia treatment.
conclusionDespite some differences in treatment courses, a decision aid for menorrhagia in booklet form did not increase the use of health services or treatment costs, nor had it impact on health outcomes or satisfaction with outcome of treatment.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.