Research type:
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Secondary Research (e.g. systematic review) |
Title (lead author) etc:
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Hysterectomy, endometrial ablation and Mirena® for heavy menstrual bleeding: a systematic review of clinical effectiveness and costeffectiveness analysis (Bhattacharya) 252 pages, Volume 15, number 19 |
DOI
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10.3310/hta15190 |
View/print executive summary
View/print abstract
View full text in pdf format (10261 KB)
Outputs from this project
- Middleton, LJ; Chapaneria, R; Bhattacharya, S; Cooper, KG; O'Donovan, P; et al.
Hysterectomy, endometrial destruction, and levonorgestrel releasing intrauterine system (Mirena) for heavy menstrual bleeding: systematic review and meta-analysis of data from individual patients. British Medical Journal 2010:341(3929):1-11.
- Roberts T E, Tsourapas A, Middleton L J, Champaneria R, Daniels J P, Cooper K G, Bhattacharya S, P M Barton PM..
Hysterectomy, endometrial ablation, and levonorgestrel releasing intrauterine system (Mirena) for treatment of heavy menstrual bleeding: cost effectiveness analysis. BMJ 2011; 342:d2202.
Go to our correspondence page to comment on this publication
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Headline: |
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 |
This report should be referenced as follows: |
Bhattacharya S, Middleton L, Tsourapas A, Lee A, Champaneria R, et al. Hysterectomy, endometrial ablation and Mirena® for heavy menstrual bleeding: a systematic review of clinical effectiveness and costeffectiveness analysis. Health Technol Assess
2011;15(19).
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Project ref: |
05/45/02 |
Original project title: |
Effectiveness and cost effectiveness of hysterectomy, microwave endometrial ablation and thermal balloon ablation for the treatment of menorrhagia |
Chief Investigator: |
Professor Siladitya Bhattacharya, Professor of Reproductive Medicine,
School of Medicine and Dentistry, University of Aberdeen
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Start Date: |
September 2007 |
Date of publication in HTA journal series |
May 2011
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Cost: |
£329,532 |
NRR* number, if applicable: |
N0484196287 (*National Research Register) The National Research Register was a public database of ongoing and recently completed research projects funded by, or of interest to, the United Kingdom's National Health Service (NHS). It is now an archive of projects from early 2000 to September 2007. Search the NRR archive. |
Project Protocol: |
Project protocol (pdf format, 256 kbytes)
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Printed copies of this title despatched:
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104 (Figures relate to the previous calendar month) |
URL of this page: |
http://www.hta.ac.uk/1616 |
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