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Medical abortion or vacuum aspiration? Two year follow up of a patient preference trial (1997)

Howie, F. L. ; Henshaw, R. C. ; Naji, S. A. ; [et al.]

Oxford, UK : Blackwell Publishing Ltd

BJOG 104 (1997), S. 0

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ISSN: 1471-0528

Source: Blackwell Publishing Journal Backfiles 1879-2005

Topics: Medicine

Notes: Objective To describe and compare health outcomes two years after medical abortion or vacuum aspiration in women recruited into a patient preference trial during 1990 to 1991.Design Women recruited to the original, partially randomised study were contacted for assessment using a structured interview.Setting Grampian region of Scotland, UK.Participants One hundred and forty women who had participated in a partially randomised study of first trimester abortion two years previously.Intervention Vacuum aspiration or medical abortion using mifepristone and gemeprost.Main outcome measures Long-term general, reproductive and psychological health; acceptability of procedure; perceived value of choice of method of termination.Results There were no significant differences between women who had undergone medical abortion or vacuum aspiration two years previously in general, reproductive or psychological health. Almost all women placed a high value on the provision of choice of method of termination. There was a significant difference in perception of long term procedure acceptability among women who had been randomised to a method of termination.Conclusions Women should have the opportunity to choose the method of termination. This opportunity will result in high levels of acceptability, particularly at gestations under 50 days of amenorrhoea.

Type of Medium: Electronic Resource

URL: http://dx.doi.org/10.1111/j.1471-0528.1997.tb12028.x

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Population screening for low bone mineral density: Do non-attenders have a lower risk of osteoporosis? (1994)

Torgerson, D. J. ; Donaldson, C. ; Garton, M. J. ; [et al.]

Springer

Osteoporosis international 4 (1994), S. 149-153

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ISSN: 1433-2965

Keywords: Body weight ; Non-attendance ; Osteoporosis ; Response bias ; Risk factors ; Screening

Source: Springer Online Journal Archives 1860-2000

Topics: Medicine

Notes: Abstract Poor compliance may be detrimental to the effectiveness of a screening programme if those at greatest risk of the disease do not attend. Therefore we undertook a study to test whether non-attenders to a screening programme for low bone density, a risk factor for osteoporosis, were at a differential risk of low bone density compared with attenders. Seven hundred and eighty-nine women aged 45–49 years living within 32 km of Aberdeen were selected at random from the Community Health Index and invited to attend for screening for low bone density as a risk of factor for osteoporosis. Attenders and non-attenders were surveyed regarding their risk factors for osteoporosis. Non-attenders were significantly heavier than attenders. In addition, 6 non-attenders who subsequently chose to attend had significantly higher body weight and bone mineral density, at Ward's triangle, than initial attenders. Non-attenders to a screening service for bone density may be at lower risk of developing osteoporosis. Non-attendance, therefore, would not be detrimental to the cost-effectiveness of a screening service for bone density. However, this study indicates there is a potential for response bias in studies of bone density and osteoporosis.

Type of Medium: Electronic Resource

URL: http://dx.doi.org/10.1007/BF01623061

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Assessment of patients with menorrhagia: How valid is a structured clinical history as a measure of health status? (1995)

Ruta, D. A. ; Garratt, A. M. ; Chadha, Y. C. ; [et al.]

Springer

Quality of life research 4 (1995), S. 33-40

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ISSN: 1573-2649

Keywords: Health status ; menorrhagia ; reliability ; validity

Source: Springer Online Journal Archives 1860-2000

Topics: Medicine

Notes: Abstract A patient-administered questionnaire for menorrhagia based on the type of questions asked when taking a gynaecological history was developed and tested using the following steps: literature reviews, devising the questions, testing responses for internal consistency and test-retest reliability and validating the questionnaire by comparing patient's scores with their responses to the SF-36 general health measure, and with family practitioner perceptions of severity. The main sample consisted of 351 women with menorrhagia, 246 referred to gynaecology ambulatory clinics and 105 from four large training practices in North-east Scotland. Following testing, two questions were discarded from the questionnaire. The final questionnaire demonstrated a good level of reliability and the resulting patient scores correlated significantly with their scores on the scales making up the general health measure. The questions asked in taking a clinical history from a woman with menorrhagia can be used to construct a valid and reliable measure of health status. This clinical measure may be a useful guide in selection for treatment and in the assessment of patient outcome following treatment.

Type of Medium: Electronic Resource

URL: http://dx.doi.org/10.1007/BF00434381

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Responsiveness of the SF-36 and a condition-specific measure of health for patients with varicose veins (1996)

Garratt, A. M. ; Ruta, D. A. ; Abdalla, M. I. ; [et al.]

Springer

Quality of life research 5 (1996), S. 223-234

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ISSN: 1573-2649

Source: Springer Online Journal Archives 1860-2000

Topics: Medicine

Notes: Abstract Approaches to measuring patient perceptions of outcome for varicose veins were tested using a postal questionnaire incorporating a clinically derived specific measure of varicose veins severity and the SF-36 health survey. The questionnaire was administered to 373 patients with varicose veins, 287 of whom had been referred to hospital for their varicose veins and 86 who had just consulted a general practitioner for the condition. The response rate exceeded 75%. Test-retest reliability was assessed by mailing patients a similar questionnaire at two weeks. The validity of the two instruments was assessed by comparing patient scores to general practitioner ratings of symptom severity and complications associated with varicose veins. Standardized response means (mean change in scores divided by the standard deviation of the change in scores) were used to quantify and compare the responsiveness of the two measures. Levels of test-retest reliability, as assessed by the intraclass correlation coefficient, were acceptable and the instruments appear to have good levels of validity. Patients who were or were not admitted to hospital for surgery on their veins had significant improvements in perceived health status on both the specific measure and the SF-36. The specific measure was the most responsive to changes in health status for both patients who were admitted to hospital for surgery and those receiving alternative forms of management. These two approaches might be suitable as part of a package of outcome measures for use in clinical trials to assess the effectiveness of different interventions for varicose veins.

Type of Medium: Electronic Resource

URL: http://dx.doi.org/10.1007/BF00434744

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