Educational package changed management of menorrhagia in primary care

The management of menorrhagia currently underuses non-hormonal treatments, resulting in referral and, potentially, hysterectomy. To see if this can be changed Fender et al (p 1246) introduced a package of education in 100 practices in East Anglia which were randomised to receive audiovisual presentations, written summaries, flow chart prompts, and a follow up meeting. Practices reported consultations with women with subjective menorrhagia and showed changes in referral and treatment patterns over a year. This educational package may provide a template for future educational strategies but long term influence needs to be assessed.

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Relevant Article

Randomised controlled trial of educational package on management of menorrhagia in primary care: the Anglia menorrhagia education study

Guy R K Fender, Andrew Prentice, Tess Gorst, Richard M Nixon, Stephen W Duffy, Nicholas E Day, and Stephen K Smith
BMJ 1999 318: 1246-1250. [Abstract] [Full Text] [PDF]