Résumé :
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[BDSP. Notice produite par INIST 00yw4R0x. Diffusion soumise à autorisation]. Objective-To investigate the management of menorrhagia in primary care and its impact on referral and hysterectomy rates. Design-Prospective observational study. Setting-11 general practices from the Somerset Morbidity Project. Subjects-885 women consulting their general practitioner with menorrhagia over four years. Main outcome measures-Proportions of these women investigated and treated with drugs in primary care, referred to a gynaecologist and undergoing operative procedures. The relation between investigation and prescribing in primary care and referral to and surgery in secondary care. Results-Less than half of women had a vaginal examination (42%, 95% CI 39% to 45%), or a full blood count (39%, 95% CI 36% to 43%). Almost a quarter of women, 23% (95% CI 20% to 26%), received no drugs and 37% (95% CI 34% to 40%) received norethisterone. Over a third, 38% (95% CI 34% to 40%), of women were referred, and once referred 43% (95% CI 38% to 48%) of women were operated on. Women referred to a gynaecologist were significantly more likely to have received tranexamic acid andlor mefenamic acid in primary care (X2=16.4, df=1, p
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