prikaz prve stranice dokumenta Quality of Life, Anxiety and Depression in Women Treated with Hysteroscopic Endometrial Resection or Ablation for Heavy Menstrual Bleeding: Systematic Review and Meta-Analysis of Randomized Controlled Trials
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Scientific paper - Review paper
Quality of Life, Anxiety and Depression in Women Treated with Hysteroscopic Endometrial Resection or Ablation for Heavy Menstrual Bleeding: Systematic Review and Meta-Analysis of Randomized Controlled Trials
Medicina, 58 (2022), 11; 1664. https://doi.org/10.3390/medicina58111664
Vitale, Salvatore Giovanni; Riemma, Gaetano; Mikuš, Mislav; Carugno, Jose; Torella, Marco; Reyes-Muñoz, Enrique; Cela, Vito; Perez Medina, Tirso; Della Corte, Luigi; Pacheco, Luis Alonso; Haimovich, Sergio; De Franciscis, Pasquale; Angioni, Stefano

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Vitale, S. G., Riemma, G., Mikuš, M., Carugno, J., Torella, M., Reyes Muñoz, E. ... Angioni, S. (2022). Quality of Life, Anxiety and Depression in Women Treated with Hysteroscopic Endometrial Resection or Ablation for Heavy Menstrual Bleeding: Systematic Review and Meta-Analysis of Randomized Controlled Trials. Medicina, 58. (11). doi: 10.3390/medicina58111664

Vitale, Salvatore Giovanni, et al. "Quality of Life, Anxiety and Depression in Women Treated with Hysteroscopic Endometrial Resection or Ablation for Heavy Menstrual Bleeding: Systematic Review and Meta-Analysis of Randomized Controlled Trials." Medicina, vol. 58, no. 11, 2022. https://doi.org/10.3390/medicina58111664

Vitale, Salvatore Giovanni, Gaetano Riemma, Mislav Mikuš, Jose Carugno, Marco Torella, Enrique Reyes Muñoz, Vito Cela, et al. "Quality of Life, Anxiety and Depression in Women Treated with Hysteroscopic Endometrial Resection or Ablation for Heavy Menstrual Bleeding: Systematic Review and Meta-Analysis of Randomized Controlled Trials." Medicina 58, no. 11 (2022). https://doi.org/10.3390/medicina58111664

Vitale, S. G., et al. (2022) 'Quality of Life, Anxiety and Depression in Women Treated with Hysteroscopic Endometrial Resection or Ablation for Heavy Menstrual Bleeding: Systematic Review and Meta-Analysis of Randomized Controlled Trials', Medicina, 58(11). doi: 10.3390/medicina58111664

Vitale SG, Riemma G, Mikuš M, Carugno J, Torella M, Reyes Muñoz E, and sur.. Quality of Life, Anxiety and Depression in Women Treated with Hysteroscopic Endometrial Resection or Ablation for Heavy Menstrual Bleeding: Systematic Review and Meta-Analysis of Randomized Controlled Trials. Medicina [Internet]. 2022 November 17 [cited 2024 December 20];58(11). doi: 10.3390/medicina58111664

S. G. Vitale, et al., "Quality of Life, Anxiety and Depression in Women Treated with Hysteroscopic Endometrial Resection or Ablation for Heavy Menstrual Bleeding: Systematic Review and Meta-Analysis of Randomized Controlled Trials", Medicina, vol. 58, no. 11, November 2022. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:672281. [Accessed: 20 December 2024]

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Metadata
Title (english)Quality of Life, Anxiety and Depression in Women Treated with Hysteroscopic Endometrial Resection or Ablation for Heavy Menstrual Bleeding: Systematic Review and Meta-Analysis of Randomized Controlled Trials
AuthorSalvatore Giovanni Vitale
AuthorGaetano Riemma
AuthorMislav Mikuš
AuthorJose Carugno
AuthorMarco Torella
AuthorEnrique Reyes-Muñoz
AuthorVito Cela
AuthorTirso Perez Medina
AuthorLuigi Della Corte
AuthorLuis Alonso Pacheco
AuthorSergio Haimovich
AuthorPasquale De Franciscis
AuthorStefano Angioni
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Gynecology and Obstetrics)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Abstract (english)
Background and Objectives: Hysteroscopic endometrial resection (ER) or global endometrial ablation (GEA) are feasible methods to treat heavy menstrual bleeding (HMB). The aim of this systematic review and meta-analysis of randomized controlled trials (RCTs) was to assess patient’s quality of life (QoL) in women treated with ER/GEA compared to hysterectomy. Materials and Methods: Electronic searches in MEDLINE Scopus, ClinicalTrials.gov, EMBASE, PROSPERO and Cochrane CENTRAL were conducted from their inception to July 2022. Inclusion criteria were RCTs of premenopausal women with HMB randomized to conservative surgical treatment (ER/GEA) or hysterectomy. The primary outcome was the evaluation of QoL using the SF-36 score. Results: Twelve RCTs (2773 women) were included in the analysis. Women treated with hysteroscopic ER/GEA showed significantly lower scores for the SF-36 general health perception (mean difference (MD) −8.56 [95% CI −11.75 to −5.36]; I2 = 0%), social function (MD −12.90 [95% CI −23.90 to −1.68]; I2 = 91%), emotional role limitation (MD −4.64 [95% CI −8.43 to −0.85]; I2 = 0%) and vitality (MD −8.01 [95% CI −14.73 to −1.30]; I2 = 74%) domains relative to hysterectomy. Anxiety, depression scores and complication rates were similar between treatments. Relative to uterine balloon therapy, amenorrhea was more common with EA/GER (relative risk 1.51 [95% CI 1.03 to 1.20] I2 = 28%), but posttreatment satisfaction was similar. Conclusions: Women’s perception of QoL might be seen to be less improved after hysteroscopic ER/GEA rather than hysterectomy. However, such findings need to be confirmed by additional trials due to the high number of outdated studies and recent improvements in hysteroscopic instrumentation and techniques.
Keywords (english)
Languageenglish
Publication typeScientific paper - Review paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedicina
Numberingvol. 58, no. 11, 1664
e-ISSN1648-9144
DOIhttps://doi.org/10.3390/medicina58111664
URN:NBNurn:nbn:hr:105:672281
Publication2022-11-17
Document URLhttps://www.mdpi.com/1648-9144/58/11/1664
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2023-06-19 09:16:01