@article{fa4146978a494f37b64932da3f21127c,
title = "A patient-preference cohort study of office versus inpatient uterine polyp treatment for abnormal uterine bleeding",
abstract = "Uterine polyps can cause abnormal bleeding in women. Conventional practise is to remove them under general anaesthesia but advances in technology have made it possible to perform polypectomy in the office setting. We conducted a patient-preference study to explore women{\textquoteright}s preferences for treatment setting and to evaluate the effectiveness and treatment experience of women undergoing uterine polypectomy. Three hundred ninety-nine women with abnormal uterine bleeding who were found to have uterine polyps at diagnostic hysteroscopy were recruited. Office polypectomies were performed in office hysteroscopy clinics, and inpatient procedures were undertaken in operating theatres. Three hundred twenty-four of 399 (81 %) expressed a preference for office treatment. There was no difference found between office treatment and inpatient treatment in terms of alleviating abnormal uterine bleeding as assessed by patients and in improving disease-specific quality of life. Acceptability was lower and patient pain scores were significantly higher in the office group. When offered a choice of treatment setting for uterine polypectomy, patients have a preference for office over inpatient treatment. Ambulatory gynaecology services should be available within healthcare systems to meet patient demand.",
keywords = "Abnormal uterine bleeding, Ambulatory gynaecology, Office polypectomy, Patient preference, Uterine polyp",
author = "Cooper, {Natalie A.M.} and Lee Middleton and Paul Smith and Elaine Denny and Lynda Stobert and Jane Daniels and Clark, {T. Justin} and K. Cannon and Farag, {K. A.} and K. Raychaudhuri and M. Reid and A. Zahid and J. Blunn and S. Guruswami and S. Irani and D. Robinson and T. Bingham and J. Gupta and S. Madari and D. Mellers and S. O'Connor and C. O'Hara and M. Pathak and V. Preece and E. Sangha and M. Shehmar and P. Trinham and A. Wilson and J. Dent and J. Macdonald and P. Sengupta and J. Davies and M. Jackson and J. Allen and S. Arnold and S. Wood and M. Labib and S. Moss and A. Antoniou and E. Morris and S. Sharma and K. Bhatia and M. Connor and A. Horne and S. Milne and K. Donnelly and T. Harrison and J. Gebbie and M. Roberts and C. Cunningham and {on behalf of the OPT trial collaborative group}",
note = "Funding Information: The study sponsors were the University of Birmingham and Birmingham Women's NHS Foundation Trust, and the study was funded by the National Institute of Health Research (NIHR) Health Technology Assessment Programme (06/404/84). The views and opinions expressed in this article are those of the authors and do not necessarily reflect those of the NIHR Health Technology Assessment Programme, the NIHR, the National Health Service or the English Department of Health. Publisher Copyright: {\textcopyright} 2016, The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.",
year = "2016",
month = nov,
day = "1",
doi = "10.1007/s10397-016-0946-4",
language = "English",
volume = "13",
pages = "313--322",
journal = "Gynecological Surgery",
issn = "1613-2076",
publisher = "Springer Verlag",
number = "4",
}