Outpatient uterine assessment and treatment unit in patients with abnormal uterine bleeding: an economic modelling study

Interventions to improve access to care for abnormal uterine bleeding: A systematic scoping review

“…There were 10 experimental studies, including three quasi‐experimental studies 12,25,32 and seven randomized controlled studies 20,21,24,27–29,31 . There were five prospective studies 15–17,19,26 and six retrospective studies 13,14,18,20,22,23 .…”

“…Thirteen of 20 studies investigated interventions to improve access that focused on changes at the healthcare service (organizational) level. Organizational interventions included one study creating a multidisciplinary team, 12 six bringing services together, 13–18 one developing a care pathway, 19 and five creating an outpatient setting for procedures 20–24 . Population‐based interventions comprised six studies targeting patient education and engagement using decision aids for shared decision making in physician consultations 25–29,31 .…”

“…This “Bridges pathway” involved the use of evidence‐based guidelines by the general practitioner for the management of AUB and access to booking for investigations and surgical treatment. Interventions such as changing a diagnostic procedure to the outpatient setting, creating an outpatient assessment and treatment unit, outpatient microwave endometrial ablation, outpatient polyp treatment, or office hysteroscopy, reduced the cost per patient when compared with procedures in the inpatient setting, and saved theater time 20–4 …”

“…Following title screening, we included 314 records, which was reduced to 91 after abstract screening. After full‐text screening, 21 papers 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 were included. Two papers 29 , 30 were from one study, so the total number of included studies was 20.…”

The role of immunological factors in the development of abnormal uterine bleeding in women of reproductive age with extragenital disorders

“…The lifestyle of modern women has reduced the duration of physiological amenorrhea. Due to the influence of adverse environmental conditions and nutrition, there was an increase in menstrual disorders, which led to a rise in AUB prevalence and a decrease in reproductive function [8,9]. Given the high relevance of this abnormality, identifying the causes of AUB can prevent the development of complications and long-term consequences such as infertility and / or malignant neoplasms.…”