Page 107 - The diagnostic work-up of women with postmenopausal bleeding
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Table A2. Diagnostic work-up in women with recurrent bleeding, during total follow-up
TVS 2 (10)
3 (9.7)
3 (9.7) 19 (61.3) 6 (19.4)
4 (12.9) 2 (6.5)
3 (9.7) 4 (12.9) 22 (71) 2 (6.5)
1 (3.2) 5 5 (16.1)
1 (3.2) -
5 (16.1) 15 (48.4) 1 (3.2) 10 (32.3)
Diagnostic work-up: a RCT
Hysteroscopy (N=20)
Expectant management (N=31)
Diagnostic work-up at first contact with recurrent bleeding
TVS+sampling Hysteroscopy (+/- histology) No work-up
1 (5) 6 (30) 11 (55)
Reason for no diagnostic work-up
Patient 5 (25)
General practitioner Gynaecologist
3 (15) 3 (15)
Diagnostic work-up total follow-up
TVS 4 (20)
TVS + sampling Hysteroscopy (+/- histology) No work-up
Patient
Endometrium <4 mm
Benign result endometrial sampling Carcinoma in endometrial sampling
Benign
Benign polyp Endometrial cancer No result
3 (15) 11 (55) 2 (10)
5 (25) 4 (20) 1 (5) 1 (5)
4 (20) 7 (35) 2 (10) 7 (35)
Reason for no hysteroscopy
Definite pathology result
Numbers (percentages of women with recurrent bleeding)
Table A3. Patient characteristics of women with recurrent bleeding within the first year after randomisation
Median age (IQR), years 56 (53-63) 57 (54-61)
Recurrent bleeding <1 year n=51
No recurrent bleeding < 1 year=147
Median (IQR) BMI, kg/m2
Median (IQR) years since menopause Median (IQR) endometrial thickness, mm
28.5 (25.1-34) 4 (2-13)
6 (5-9)*
28.7 (24.3-33.7) 5 (2-11)
8 (6-12)
*indicates significantly different result by comparing with women without recurrent bleeding in the first year.
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