Heavy Menstrual Bleeding-Visual Analog Scale, an Easy-to-Use Tool for Excessive Menstrual Blood Loss That Interferes with Quality-of-Life Screening in Clinical Practice

Josep Perelló, Pau Pujol, Montse Pérez, Maite Artés, Joaquím Calaf
In: Women's Health Reports · 2022 · vol. 3(1) , pp. 483–490 · doi:10.1089/whr.2021.0139 · PMID:35651998 · W4229375848
article OA: gold CC0 ⤵ 1 in-corpus citation
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This study validates a visual analog scale (HMB-VAS) for screening heavy menstrual bleeding by assessing bleeding intensity and its impact on daily life, showing good performance and ease of use.

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Abstract

Background: Heavy menstrual bleeding (HMB) is defined as excessive menstrual blood loss that interferes with quality of life (QoL). The methods for assessing HMB are not suited for clinical practice. We analyzed the validity of a combined visual analog scale (VAS) tool assessing the intensity of menstrual bleeding (VASInt) and its impact on activities of daily living (VASImp) to identify women with HMB. Materials and Methods: Analysis conducted in the data set used to validate the Spanish HMB screening tool SAMANTA questionnaire. A logistic regression analysis was used to construct the model. Reference standard was the pictorial blood loss assessment chart (PBAC). The performance of the HMB-VAS and the SAMANTA questionnaire was compared. Correlation with SAMANTA questionnaire, PBAC, and other QoL measurements was assessed. Results: < 0.0001 for both). Conclusion: The HMB-VAS shows good performance for HMB screening, providing an easy-to-use alternative to other psychometric tools.

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