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001-es BibID:	BIBFORM082687
Első szerző:	Vitale, Salvatore Giovanni
Cím:	Hysteroscopic endometrial resection vs. hysterectomy for abnormal uterine bleeding : impact on quality of life and sexuality. Evidence from a systematic review of randomized controlled trials / Salvatore G. Vitale, Simone Ferrero, Michal Ciebiera, Fabio Barra, Péter Török, Jan Tesarik, George A. Vilos, Antonio Cianci
Dátum:	2020
ISSN:	1040-872X
Megjegyzések:	Objective: The aim of this systematic review is to summarize the current evidence regarding the effectiveness of hysterectomy and hysteroscopic endometrial techniques in improving quality of life, sexual function and psychological wellbeing of women affected from abnormal uterine bleeding (AUB). Methods: We performed a systematic literature search in PubMed/MEDLINE and Embase for original studies written in English (registered in PROSPERO - ?), using the terms "endometrial ablation", "endometrial destruction", "endometrial resection", "hysterectomy", "menorrhagia", "dysfunctional uterine bleeding", "quality of life", "sexuality" published up to April 2019. Results: Our literature search produced 159 records. After exclusions, 10 studies were included showing the following results: a) both types of treatments significantly improve quality of life and psychological wellbeing; b) hysterectomy is associated to higher rates of satisfaction; c) hysterectomy is not associated with a significant deterioration in sexual function. Conclusions: Hysterectomy is currently more advantageous in terms of improving AUB and satisfaction rates than endometrial destruction techniques. Furthermore, there are some evidence of a greater improvement in general health for women undergoing hysterectomy. However, high-quality prospective randomized controlled trials should be implemented to investigate the effectiveness of hysterectomy and endometrial ablation/resection in the improvement of quality of life outcomes in larger patient cohorts.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Abnormal uterine bleeding endometrial ablation endometrial resection hysterectomy quality of life sexuality
Megjelenés:	Current Opinion In Obstetrics & Gynecology. - 32 : 2 (2020), p. 159-165. -
További szerzők:	Ferrero, Simone Ciebiera, Michał Barra, Fabio Török Péter (1975-) (szülész-nőgyógyász) Tesarik, Jan Vilos, George Cianci, Antonio
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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