Randomised trial of an integrated educational strategy to reduce investigation rates in young women with dysfunctional uterine bleeding

Judith Searle, Sonia Grover, Anita Santin, Prue C. Weideman
In: Australian and New Zealand Journal of Obstetrics and Gynaecology · 2002 · vol. 42(4) , pp. 397–402 · doi:10.1111/j.0004-8666.2002.00397.x · PMID:12403289 · W2016184074
article OA: closed CC0 ⤵ 1 in-corpus citation
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

An educational intervention improved evidence-based behavior among clinicians but did not reduce hysteroscopy or D&C rates for young women with dysfunctional uterine bleeding after six months.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

OBJECTIVES: To assess the effectiveness of an integrated educational strategy to change clinician behaviour and reduce the number of hysteroscopies and/or dilatation and curettages for women 40 years or less with dysfunctional uterine bleeding (DUB). DESIGN: Randomised controlled trial with six-month follow-up. SETTING: Public teaching hospital gynaecology units with 12,000-13,000 relevant procedures per year. PARTICIPANTS: Six public gynaecology units made up of 62 gynaecologists or trainees allocated at random to intervention group - three, or control group - 3. Intervention An educational strategy that included dissemination of evidence-based guidelines via a problem-based interactive workshop facilitated by an opinion leader and a laminated algorithm and guidelines. MAIN OUTCOME MEASURES: The number of hysteroscopies and/or dilatation and curettages performed for DUB on women 40 years or less, clinician behaviour change and perceived booking rates of the procedure. RESULTS: At six months, there was no significant effect on the number of hysteroscopies and/or dilatation and curettages performed but there was an increase in evidence-based behaviour. CONCLUSIONS: While the evidence-based educational strategy for the appropriate investigation of young women with DUB resulted in clinician behaviour change when applied to theoretical cases, it did not result in a reduction in hysteroscopy/D&C rates at six months.

My notes (saved in your browser only)

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (1)

Cited by (1)

References (28)

Cited by (1)

Source provenance

openalex
last seen: 2026-05-11T06:01:13.017405+00:00
License: CC0 · commercial use OK