Evidence map›Paper›PMID 41080354›Full record

ArticleCureus2025

Screening Yield of Inherited Bleeding Disorder Questionnaires in Women With Chronic Heavy Menstrual Bleeding (HMB): A Cross-Sectional Study.

Anum Faiz, Madina Eltayeb Dawelbait Radwan, Safa Iqbal, Sagar Vinayak, Deepti Gowda, Kaushalendra Mani Tripathi, Ghulam M Mahmood, Hamaida Akbar, Mubashra Kanwal, Ankita Sunil and 2 more

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
4 · The record

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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

12 authors.

Anum FaizCardiology Medicine, Jinnah Hospital Lahore, Lahore, PAK.
Madina Eltayeb Dawelbait RadwanObstetrics and Gynecology, Aljabal Primary Health Care Center, Jazan, SAU.
Safa IqbalNeurosurgery, Shifa International Hospitals Limited, Islamabad, PAK.
Sagar VinayakInternal Medicine, American University of Barbados School of Medicine, Bridgetown, BRB.
Deepti GowdaMedicine, Hull University Teaching Hospitals NHS Trust, Hull, GBR.
Kaushalendra Mani TripathiInternal Medicine, White River Medical Center, Batesville, USA.
Ghulam M MahmoodInternal Medicine, King Edward Medical University, Lahore, PAK.
Hamaida AkbarInternal Medicine, Fatima Memorial Hospital, Lahore, PAK.
Mubashra KanwalInternal Medicine, Mayo Hospital, Lahore, PAK.
Ankita SunilInternal Medicine, Thumbay University Hospital, Ajman, ARE.
Racha Al NiaziOrthodontics, Dubai Health, Dubai, ARE.
Aurooba NaeemMedicine, Shifa International Hospitals Limited, Islamabad, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Chronic disease, heavy menstrual bleeding (HMB), is among the common conditions that may negatively impact the overall health and quality of life of women. HMB is commonly associated with inherited bleeding disorders (IBDs); nonetheless, it remains underdiagnosed in Pakistan. Early detection may result in a more successful curative regimen and the prevention of unnecessary interventions, made possible by screening. This research aimed to investigate the diagnostic yield of an IBD questionnaire screening in women with persistent HMB. Methods The research study used a cross-sectional design at the Outpatient Gynecology Department of Shifa International Hospitals Limited, Islamabad, Pakistan, between October 2024 and June 2025. Convenience sampling was used to recruit 350 women with self-reported chronic HMB, confirmed by structured history, who were included. A structured questionnaire containing demographic information, as well as sections from the International Society on Thrombosis and Haemostasis Bleeding Assessment Tool (ISTH-BAT) and the Menstrual Bleeding Questionnaire (MBQ), was used to collect the data. Descriptive statistics, correlation, independent t-tests, ANOVA, chi-square tests, and multiple regression analyses were performed using IBM SPSS Statistics for Windows, Version 26 (Released 2019; IBM Corp., Armonk, NY, USA). Results Of the total, 229 (65%) of the participants had a history of a diagnosis of an IBD, and 208 (59%) had a family history of a bleeding disorder. Women with a family history and women with IBDs had significantly higher mean ISTH-BAT and MBQ scores (p < 0.001). There were positive associations between ISTH-BAT scores and MBQ (r = 0.312, p < 0.001), indicating that higher ISTH-BAT scores were associated with a greater perception of menstrual burden. Among the IBDs, von Willebrand disease had the highest scores. Regression analysis showed that ISTH-BAT scores (B = 0.165, 95% CI: 0.076-0.254, p < 0.001), age (B = 0.328, 95% CI: 0.052-0.604, p = 0.020), family history (B = 0.842, 95% CI: 0.272-1.412, p = 0.004), previous diagnosis (B = 0.612, 95% CI: 0.109-1.115, p = 0.017), and the presence of bleeding symptoms (B = 0.533, 95% CI: 0.130-0.936, p = 0.010) were significant predictors of MBQ scores (R² = 0.362). Conclusions Screening via questionnaire was effective in detecting women at risk of IBDs among those with chronic HMB. Standardized bleeding assessment in gynecological practice may enable many women to be diagnosed earlier, undergo effective treatment, and avoid anemia and unnecessary surgical procedures.

Indexed as

diagnostic yieldheavy menstrual bleedinginherited bleeding disordersmenstrual bleeding questionnairepakistan

Identifiers

PMID41080354
PMCPMC12513563

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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.