What question did this study set out to answer?

To examine heavy menstrual bleeding symptom severity and duration at the time of secondary care referral across socioeconomic deprivation, age, and ethnicity.

February 1, 2018BMJ OpenOpen Access

Sociodemographic differences in symptom severity and duration among women referred to secondary care for menorrhagia in England and Wales: a cohort study from the National Heavy Menstrual Bleeding Audit

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Authors

AKAmit KiranEli Lilly (United States)RGRebecca GearyUniversity of Liverpool IGIpek Gurol‐UrganciRoyal College of Obstetricians and Gynaecologists

Discussion

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Implication

Cohort study reveals greater symptom severity among socioeconomically deprived women referred for heavy menstrual bleeding, highlighting potential inequities in referral pathways.

Key Points

To examine heavy menstrual bleeding symptom severity and duration at the time of secondary care referral across socioeconomic deprivation, age, and ethnicity.
Analyzed cohort data from the National Heavy Menstrual Bleeding Audit linked to Hospital Episode Statistics for 15,325 women aged 18–60 referred to secondary care in England and Wales (February 2011 to January 2012).
Evaluated mean symptom severity (score 0–100), condition-specific quality of life (score 0–100), and symptom duration (≥1 year) at first outpatient visit.
Applied multivariable linear and logistic regression models adjusting for body mass index, parity, and comorbid conditions.
Across the cohort, the mean symptom severity score was 61.8, the mean quality of life score was 34.7, and 74% of women experienced symptoms for at least 1 year prior to referral.
Women in the most deprived quintile experienced significantly higher symptom severity (adjusted difference -6.1; 95% CI -7.2 to -4.9) and worse quality of life (adjusted difference 6.3; 95% CI 5.1 to 7.5) compared to the least deprived quintile.
Increasing age was independently associated with reduced symptom severity and improved condition-specific quality of life.

Cite This Study

Kiran et al. (2018) studied this question.

synapsesocial.com/papers/6a90fbdfefab70d99b73d897 https://doi.org/10.1136/bmjopen-2017-018444

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Implication

Cohort study reveals greater symptom severity among socioeconomically deprived women referred for heavy menstrual bleeding, highlighting potential inequities in referral pathways.

Sociodemographic differences in symptom severity and duration among women referred to secondary care for menorrhagia in England and Wales: a cohort study from the National Heavy Menstrual Bleeding Audit

Discussion

Member takes

Implication

Key Points

Cite This Study

Sociodemographic differences in symptom severity and duration among women referred to secondary care for menorrhagia in England and Wales: a cohort study from the National Heavy Menstrual Bleeding Audit

Discussion

Member takes

Implication

Key Points

Cite This Study

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