Evidence map›Paper›PMID 31579169›Full record

ArticleJournal of mid-life health

A Clinicopathological Correlation of International Federation of Gynecology and Obstetrics's PALM-COEIN Classification of Abnormal Uterine Bleeding: Indian Scenario.

Kanika Singh, Charu Agarwal, Mukta Pujani, Sujata Raychaudhuri, Nimisha Sharma, Varsha Chauhan, Raina Chawla, Rashmi Ahuja, Mitasha Singh

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Article in Journal of mid-life health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 22 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Kanika SinghDepartment of Pathology, ESIC Medical College, Faridabad, Haryana, India.
Charu AgarwalDepartment of Pathology, ESIC Medical College, Faridabad, Haryana, India.
Mukta PujaniDepartment of Pathology, ESIC Medical College, Faridabad, Haryana, India.
Sujata RaychaudhuriDepartment of Pathology, ESIC Medical College, Faridabad, Haryana, India.
Nimisha SharmaDepartment of Pathology, ESIC Medical College, Faridabad, Haryana, India.
Varsha ChauhanDepartment of Pathology, ESIC Medical College, Faridabad, Haryana, India.
Raina ChawlaDepartment of Obstetrics and Gynaecology, ESIC Medical College and Hospital, Faridabad, Haryana, India.
Rashmi AhujaDepartment of Obstetrics and Gynaecology, ESIC Medical College and Hospital, Faridabad, Haryana, India.
Mitasha SinghDepartment of Community Medicine, ESIC Medical College, Faridabad, Haryana, India.
ESIC Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbnormal uterine bleeding (AUB) is a common problem affecting the women of reproductive age group and may also have a significant impact on their physical, social, and emotional aspects directly affecting their quality of life. The International Federation of Gynecology and Obstetrics (FIGO) devised a universally acceptable system of nomenclature and classification, namely PALM-COEIN classification of AUB in the year 2011. The objective of the present study was to analyze the structural (PALM) and functional (COEIN) component of FIGO system in the Indian scenario. MATERIALS AND

methodsThree hundred patients with complaints of AUB were taken. A clinical diagnosis according to PALM-COEIN system was made after thorough history and clinical examination. Additional investigations if required were done, and endometrial sampling or hysterectomy was done whichever indicated. A histological diagnosis was made, and each case was allocated a category according to PALM-COEIN classification. A clinicopathological correlation was done in the hysterectomy cases for structural causes (PALM).

resultsLeiomyoma (30%) was the most common cause of AUB closely followed by adenomyosis (29.66%) overall. The clinicopathological correlation in hysterectomy cases was good with concordance rate of 85.03%. The concordance between clinical and pathological diagnoses for AUB-L, AUB-A, AUB-M, and AUB-A, L was statistically significant with

conclusionA good clinicopathological correlation was seen in the cases when classified according to PALM-COEIN classification. The system also provides for consideration of multiple etiologies contributing toward AUB both clinically and histopathologically. However, histopathology remains the cornerstone in establishing the accurate diagnosis as the cases without specific symptoms can be missed clinically.

Indexed as

Abnormal uterine bleedingFIGOHysterectomyPALM–COEIN

Identifiers

PMID31579169
PMCPMC6767954
OpenAlexW2976329436

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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.