Evidence map›Paper›PMID 25615842›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2015

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

K A Matteson, D M Scott, C A Raker, M A Clark

Abstract readValidation Study
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Déjà vu all over again: a recurrent flaw in anticoagulant study design.Journal of thrombosis and haemostasis : JTH · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Combined hormonal contraceptives for heavy menstrual bleeding.The Cochrane database of systematic reviews · 2019
    Pooled it
  5. Endometrial resection and ablation techniques for heavy menstrual bleeding.The Cochrane database of systematic reviews · 2019
    Pooled it
  6. Pooled it
  7. Trial
  8. The Impact of Heavy Menstrual Bleeding on Quality of Life: A Mixed-Methods Survey Study.BJOG : an international journal of obstetrics and gynaecology · 2026
    Article
  9. Article
  10. Observational
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  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Menstrual bleeding-specific quality of life in women on antiplatelet therapy.Research and practice in thrombosis and haemostasis · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

K A MattesonWomen & Infants Hospital, Warren Alpert Medical School of Brown University, Providence, RI, USA.
D M Scott
C A Raker
M A Clark

Funding

A Comprehensive Patient Based Outcome Measure for Heavy Menstral BleedingK23HD057957 · NICHD · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI MATTESON, KRISTEN A · 2008 to 2012
$797k
NICHD NIH HHS K23 HD057957NICHD NIH HHS K23HD057957
6 · The paper itself

Abstract

objectiveTo develop and validate a patient-reported outcome measure for women with heavy menstrual bleeding (HMB). STUDY

designProspective cohort and cross-sectional studies.

settingOutpatient women's health facility. POPULATION: Women aged between 18 and 55 years with and without self-reported HMB.

methodsUsing data from patients and clinicians, we developed a patient-reported outcome measure for HMB; the Menstrual Bleeding Questionnaire (MBQ). Participants in the validation studies completed demographic and general health questionnaires and either (1) bleeding and quality of life data collected daily on handheld computers and the MBQ after 1 month or (2) the MBQ at enrolment only. A subset of women also completed the Short-form-36 (SF-36) generic quality of life questionnaire. We performed psychometric analyses of the MBQ to assess its internal consistency as well as its content and concurrent validity and ability to discriminate between women with and without HMB.

main outcome measuresPsychometric properties of the questionnaire.

resultsOverall, 182 women participated in the MBQ validation studies. We found that the MBQ domains were internally consistent (Cronbach's α = 0.87-0.94). There was excellent correlation between daily bleeding-related symptom data and the MBQ completed at 1 month (ρ > 0.7 for all domains). We found low to moderate correlation between the MBQ scores and SF-36 scores (ρ = -0.15 to -0.45). The MBQ clearly discriminated between women with and without HMB (mean MBQ score = 10.6 versus 30.8, P < 0.0001).

conclusionsThe MBQ is a valid patient-reported outcome measure for HMB that has the potential to improve the evaluation of women with self-reported HMB in research and clinical practice.

Indexed as

Self ReportActivities of Daily LivingAdolescentAdultCost of IllnessCross-Sectional StudiesFemaleHumansMenorrhagiaMiddle AgedPatient Outcome AssessmentProspective StudiesPsychometricsQuality of LifeSickness Impact ProfileSurveys and QuestionnairesAbnormal uterine bleedingheavy menstrual bleedingpatient-reported outcome measurespsychometricquality of lifevalidity

Identifiers

PMID25615842
PMCPMC4373964

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Registered trials

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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.