Monitoring of von Willebrand disease

Alesci, S.; Bickhardt, K; Krekeler, S.; Llugaliu, B.; Asmelash, G.; Miesbach, Wolfgang

doi:10.1055/s-0037-1619107

Cited by 1 publication

(2 citation statements)

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“…8,9 Small retrospective studies and case reports showed highly successful results regarding EA in women diagnosed with VWD. [10][11][12][13] The aim of the current study was to investigate the association between the outcomes of EA in relationship to ISTH-BAT scores in women with HMB. This gives insight and could facilitate tailored gynaecological counselling and treatment to women with HMB.…”

Section: Introductionmentioning

confidence: 99%

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The ISTH‐BAT score and outcomes after endometrial ablation in women with heavy menstrual bleeding

Eising,

Punt,

Schermer

et al. 2023

Haemophilia

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BackgroundThe International Society on Thrombosis and Haemostasis bleeding assessment tool (ISTH‐BAT), is used during the diagnostic workup of bleeding disorders. Data on ISTH‐BAT scores in women with heavy menstrual bleeding (HMB) undergoing endometrial ablation (EA) could be essential in optimizing HMB counselling.ObjectiveTo investigate the postsurgical incidence of amenorrhea, dysmenorrhea, quality of life, re‐intervention after EA, and ISTH‐BAT score.MethodsThis study included women who have undergone EA because of HMB. During a follow‐up of 2 to 5 years, ISTH‐BAT, pictorial blood assessment chart (PBAC), and Short Form‐36 survey (SF‐36) were administered. At 10 years of follow‐up surgical re‐interventions were evaluated.ResultsSeventy‐one women were included of whom 77% (n = 55) had an ISTH‐BAT score < 6, versus 23% (n = 16) ISTH‐BAT score ≥6 (mean age 46.3 versus 42.3, p = 0.004). In the ISTH‐BAT ≥6 group versus < 6 group, amenorrhea occurred in 63% (10/16) versus 82% (45/55) (p = 0.111), dysmenorrhea in 38% (6/16) versus 18% (10/55) (p = 0.111), and surgical re‐intervention in 19% (3/16) versus 25% (14/55) (p = 0.582). SF‐36 item (Bodily) pain was lower in the ISTH‐BAT ≥6 group versus < 6 (median score 58.7 vs. 80.0, p = 0.104).ConclusionsAn ISTH‐BAT score ≥6 may be related to a lower amenorrhea incidence and higher dysmenorrhea rate after EA.

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Section: Introductionmentioning

confidence: 99%

“…Re‐intervention rates vary but are typically around 10% 8,9 . Small retrospective studies and case reports showed highly successful results regarding EA in women diagnosed with VWD 10–13 …”

Section: Introductionmentioning

confidence: 99%