Evaluation of abnormal uterine bleeding: comparison of three outpatient procedures within cohorts defined by age and menopausal status

Abstract

Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. NHS libraries can subscribe free of charge. Public libraries can subscribe at a very reduced cost of £100 for each volume (normally comprising 30-40 titles). The commercial subscription rate is £300 per volume. Please see our website for details. Subscriptions can only be purchased for the current or forthcoming volume. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA NHS R&D HTA ProgrammeT he research findings from the NHS R&D Health Technology Assessment (HTA) Programme directly influence key decision-making bodies such as the National Institute for Clinical Excellence (NICE) and the National Screening Committee (NSC) who rely on HTA outputs to help raise standards of care. HTA findings also help to improve the quality of the service in the NHS indirectly in that they form a key component of the 'National Knowledge Service' that is being developed to improve the evidence of clinical practice throughout the NHS.The HTA Programme was set up in 1993. Its role is to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of care.The HTA programme commissions research only on topics where it has identified key gaps in the evidence needed by the NHS. Suggestions for topics are actively sought from people working in the NHS, the public...

Investigation of Women with Postmenopausal Uterine Bleeding: Clinical Practice Recommendations

“…However, in randomized trials from Scotland, the Tao Brush (Cook Medical; Bloomington, IN; USA) was found to be superior to the Pipelle catheter in obtaining a satisfactory endometrial sample (72% to 43%) 56,57 (Class 1b). Endometrial cytology with liquid-based techniques has also been described to have a high sensitivity for carcinoma, but it has not been compared with blind sampling 58 (Class 3).…”

Laparoscopic Myomectomy for Large Fibroids with Synchronized use of Uterine Artery Embolization

“…1 According to hospital episode statistics, UK 10,559 hysterectomies were performed due to menorrhagia in 2002. 2 A patient preference study in the UK showed that approximately 85% women would consider a 50:50 chance of treatment failure to avoid a hysterectomy.…”

Histeroscopia Diagnóstica: Rendimiento en El Estudio De La Metrorragia E Inocuidad Ante Un Eventual Cáncer De Endometrio, Revisión De La Literatura

“…De acuerdo a lo examinado y valorando los estudios randomizados controlados y publicados últimamen-te (3,32), existirían esfuerzos para lograrlo. Sin embargo, a falta de protocolos definidos, existen algunas recomendaciones y conceptos generales que pueden aplicarse al estudio del endometrio sintomático:…”

“…Menos frecuentes en general son el cáncer endometrial y otros tumores malignos, los cuales son excepcionales en mujeres jóvenes. Es necesario estudiar 3.000-4.000 mujeres con alteraciones de flujos rojos menores de 40 años para encontrar un cáncer endometrial (3). En contraste, alrededor del 10% de las metrorragias postmenopáusicas presenta un cáncer uterino, principalmente de endometrio, existiendo series que oscilan entre 5-60% de los casos, dependiendo de los factores de riesgo presentes (4).…”