Evidence map›Paper›PMID 36376071›Full record

Observational studyThe British journal of general practice : the journal of the Royal College of General Practitioners2022

Medical treatment for heavy menstrual bleeding in primary care: 10-year data from the ECLIPSE trial.

Joe Kai, Brittany Dutton, Yana Vinogradova, Nicholas Hilken, Janesh Gupta, Jane Daniels

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in The British journal of general practice : the journal of the Royal College of General Practitioners, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.2field-weighted citation impact, top 12% 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, 13 citations in OpenAlex.

  1. Article
  2. Quantifying menorrhagia and overview of nonsurgical management of heavy menstrual bleeding.Hematology. American Society of Hematology. Education Program · 2024
    Review
  3. Women's experiences of heavy menstrual bleeding and medical treatment: a qualitative study in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  4. Review
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

6 authors at 2 institutions in 1 country.

Joe KaiCentre for Academic Primary Care, University of Nottingham, Nottingham.ORCID 0000-0001-9040-9384
Brittany DuttonCentre for Academic Primary Care, University of Nottingham, Nottingham.ORCID 0000-0001-5146-4911
Yana VinogradovaCentre for Academic Primary Care, University of Nottingham, Nottingham.ORCID 0000-0002-3030-5257
Nicholas HilkenNottingham Clinical Trials Unit, University of Nottingham, Nottingham.
Janesh GuptaCentre for Women's and Newborn Health, University of Birmingham, Birmingham.ORCID 0000-0003-3052-8423
Jane DanielsNottingham Clinical Trials Unit, University of Nottingham, Nottingham.ORCID 0000-0003-3324-6771
University of Nottingham · GBBirmingham Women's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeavy menstrual bleeding (HMB) is a common problem that can significantly affect women's lives. There is a lack of evidence on long-term outcomes after seeking treatment.

aimTo assess continuation rates of medical treatments and rates of surgery in women 10 years after initial management for HMB in primary care. DESIGN AND

settingThis was a prospective observational cohort study.

methodWomen with HMB who participated in the ECLIPSE primary care trial (ISRCTN86566246) completed questionnaires 10 years after randomisation to the levonorgestrel-releasing intrauterine system (LNG-IUS) or other usual medical treatments (oral tranexamic acid, mefenamic acid, combined oestrogen-progestogen; or progesterone alone). Outcomes were rates of surgery, medical treatments, and quality of life using the 36-item Short-Form Health Survey (SF-36) and EuroQoL EQ-5D.

resultsThe responding cohort of 206 women was demographically and clinically representative of the original trial population. Mean age at baseline was 41.9 years (SD 4.9) and 53.7 years (SD 5.1) at follow-up. Over the 10-year follow-up, 60 of 206 (29.1%) women had surgery (hysterectomy

conclusionMedical treatments for women with HMB can be successfully initiated in primary care, with low rates of surgery and improvement in quality of life observed a decade later.

Indexed as

Intrauterine Devices, MedicatedMenorrhagiaFemaleHumansLevonorgestrelPrimary Health CareProspective StudiesQuality of LifeLevonorgestrelcohort studiesendometrial ablation techniquesfemalehysterectomymenorrhagiaprimary health carequality of life

Identifiers

PMID36376071
PMCPMC9710803
OpenAlexW4307869271

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.