Abnormal Uterine Bleeding: a Review of Patient-Based Outcome Measures

Matteson KA, Boardman LA, Munro MG, Clark MA. Abnormal uterine bleeding: a review of patient-based outcome measures. Fertil Steril. 2009;92(1):205–216. doi:10.1016/j.fertnstert.2008.04.023.

Objectives
To summarize and evaluate the patient-based outcome measures (PBOMs) that have been used to study women with abnormal uterine bleeding (AUB)

Design
Systematic review

Setting
Original articles that used at least one PBOM and were conducted within a population of women with AUB

Patients
Women with AUB

Interventions
The titles, abstracts, and studies were systematically reviewed for eligibility. PBOMs used in eligible studies were summarized. Essential psychometric properties were identified and a list of criteria for each property was generated.

Main Outcome Measures
“Quality” of individual PBOMs as determined using the listed criteria for psychometric properties.

Results
Nine hundred eighty three studies referenced AUB and patient reported outcomes. Of these, eighty studies met the eligibility criteria. Fifty different instruments were used to evaluate amount of bleeding, bleeding related symptoms, or menstrual bleeding-specific quality of life. The “quality” of each of these instruments was evaluated on eight psychometric properties. The majority of instruments had no documentation of reliability, precision, or feasibility. There was not satisfactory evidence that any one instrument completely addressed all eight psychometric properties.

Conclusions
Studies of women with AUB are increasingly utilizing PBOMs. Many different PBOMs were used; however no single instrument completely addressed eight important measurement properties.

Disponível Em:<https://www.ncbi.nlm.nih.gov/>