Hysterectomy, endometrial ablation and Mirena for heavy menstrual bleeding: a systematic review of clinical effectiveness and costeffectiveness analysis
Bhattacharya S, Middleton LJ, Tsourapas A, Lee AJ, Champaneria R, Daniels JP, Roberts T, Hilken NH, Barton P, Gray R, Khan KS, Chien P, O'Donovan P, Cooper KG and the International Heavy Menstrual Bleeding Individual Patient Data Meta-analysis Collaborative Group
Record ID 32010000270
English
Authors' recommendations:
Study found that despite longer hospital stay and time to resumption of normal activities, more women were satisfied after hysterectomy than after endometrial ablation. There is some suggestion that Mirena is potentially cheaper and more effective than first-generation ablation techniques, with rates of satisfaction similar to second-generation techniques; there is limited evidence to suggest that hysterectomy is preferable to Mirena. Although the most cost-effective strategy, hysterectomy may not be considered an initial option owing to its invasive nature and higher risk of complications.
Details
Project Status:
Completed
URL for project:
http://www.hta.ac.uk/1616
Year Published:
2011
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
England, United Kingdom
MeSH Terms
- Hysterectomy
- Menorrhagia
- Microwaves
Contact
Organisation Name:
NIHR Health Technology Assessment programme
Contact Address:
NIHR Journals Library, National Institute for Health and Care Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name:
journals.library@nihr.ac.uk
Contact Email:
journals.library@nihr.ac.uk
Copyright:
2011 Queen’s Printer and Controller of HMSO
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.