A randomized trial among women with heavy menstruation -- impact of a decision aid on treatment outcomes and costs.
OBJECTIVE: To evaluate the effects of a decision aid for menorrhagia on treatment outcomes and costs over a 12-month follow-up. DESIGN: Randomized trial and pre-trial prospective cohort study. SETTING AND PARTICIPANTS: Gynaecology outpatient clinics in 14 Finnish hospitals, 363 (randomized trial) pl...
| Publicado en: | Health Expectations Vol. 7; no. 4; pp. 327 - 338 |
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| Autores principales: | , , , , , |
| Formato: | clinical trial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106579172&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106579172 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Dec2004 vid: 7 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106579172 106579172 2005034821 10.1111/j.1369-7625.2004.00297.x NLM15544685 106579172 ppf: 327 ppct: 11 formats: fmt: @attributes: type: P tig: atl: A randomized trial among women with heavy menstruation -- impact of a decision aid on treatment outcomes and costs. aug: au: Vuorma S Teperi J Aalto A Hurskainen R Kujansuu E Rissanen P affil: Researcher STAKES, PO Box 220 FIN-00531 Helsinki, Finland; sirkku.vuorma@welho.com sug: subj: Decision Making, Patient Menorrhagia Economics Menorrhagia Therapy Treatment Outcomes Adult Chi Square Test Clinical Trials Female Fisher's Exact Test Funding Source Mann-Whitney U Test Middle Age P-Value Patient Satisfaction Prospective Studies Psychological Well-Being Quality of Life Questionnaires Research Instruments Scales T-Tests Two-Tailed Test Human Adult: 19-44 years Middle Aged: 45-64 years Female ab: OBJECTIVE: To evaluate the effects of a decision aid for menorrhagia on treatment outcomes and costs over a 12-month follow-up. DESIGN: Randomized trial and pre-trial prospective cohort study. SETTING AND PARTICIPANTS: Gynaecology outpatient clinics in 14 Finnish hospitals, 363 (randomized trial) plus 206 (cohort study) patients with menorrhagia. INTERVENTION: A decision aid booklet explaining menorrhagia and treatment options, mailed to patients before their first clinic appointment. MAIN OUTCOME MEASURES: Health related quality of life, psychological well-being, menstrual symptoms, satisfaction with treatment outcome, use and cost of health care services. RESULTS: All study groups experienced overall improvement in health-related quality of life, anxiety, and psychosomatic and menstrual symptoms, but not in sexual life. Treatment in the intervention group was more active than in the control group, with more frequent course of medication and less undecided treatments. However, there were no marked disparities in health outcomes, satisfaction with treatment outcome and costs. Total costs (including productivity loss) per woman because of menorrhagia over the 12-month follow-up were 2760 and 3094 in the intervention and control group, respectively (P = 0.1). The pre-trial group also had a significantly lower rate of uterus saving surgery compared with the control group, but no difference in costs because of menorrhagia treatment. CONCLUSION: Despite some differences in treatment courses, a decision aid for menorrhagia in booklet form did not increase the use of health services or treatment costs, nor had it impact on health outcomes or satisfaction with outcome of treatment. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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