Evidence map›Paper›PMID 28318358›Full record

ArticleJournal of women's health (2002)2017

Assessing Abnormal Uterine Bleeding: Are Physicians Taking a Meaningful Clinical History?

Christina Lam, Britta Anderson, Vrishali Lopes, Jay Schulkin, Kristen Matteson

Abstract read
In one paragraph

Article in Journal of women's health (2002), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

5 authors at 1 institution in 1 country.

Christina Lam1 Department of Obstetrics and Gynecology, Women & Infants Hospital , Providence, Rhode Island.
Britta Anderson2 The American College of Obstetricians and Gynecologists , Washington, DC.
Vrishali Lopes1 Department of Obstetrics and Gynecology, Women & Infants Hospital , Providence, Rhode Island.
Jay Schulkin2 The American College of Obstetricians and Gynecologists , Washington, DC.
Kristen Matteson1 Department of Obstetrics and Gynecology, Women & Infants Hospital , Providence, Rhode Island.
American College of Financial Services · US

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 HD057957
6 · The paper itself

Abstract

introductionWomen with abnormal uterine bleeding (AUB) report significant reductions in quality of life (QOL), which can be attributed in many cases to the fear of embarrassing episodes of bleeding. We performed this study to determine whether or not during clinical encounters physicians addressed the impact of AUB on patient-reported QOL. MATERIALS AND

methodsBetween October 2008 and May 2009, we conducted a cross-sectional study of members of the American College of Obstetricians and Gynecologists. Surveys were distributed using a mixed method (web- and mail-based) and included questions about physician characteristics and types of questions used when obtaining a clinical history from a patient with AUB. We calculated the proportion of physicians who endorsed asking each type of clinical question with 95% confidence intervals (CIs).

resultsFour hundred seventeen questionnaires were returned (52%). Ninety-nine percent (95% CI 98.4%-99.9%) reported always asking a bleeding heaviness question, 87.2% (95% CI 83.2%-90.5%) reported always asking a QOL question, and 17.5% (95% CI 13.6%-21.9%) reported always asking a mood associated with bleeding question. Seventy-eight percent specifically asked patients about bleeding through their clothes, and 55% asked about changing social plans because of bleeding. Only 18% endorsed that asking about QOL was most essential for the evaluation of women with AUB. No physician characteristics such as years since completing residency, geography, or gender were associated with how commonly providers reported asking questions regarding impact of bleeding on QOL.

conclusionsPhysicians may not be optimizing patient-provider interactions during menstrual history taking with patients with AUB by failing to assess impact of AUB on QOL in a way that is meaningful to patients.

Indexed as

GynecologyObstetricsPractice Patterns, Physicians'AdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedPhysician-Patient RelationsPhysiciansQuality of LifeUterine Hemorrhageabnormal uterine bleedingclinical historyphysician surveyquality of life

Identifiers

PMID28318358
PMCPMC5512463
OpenAlexW2603477426

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.