Educational pack improves GP's management of menorrhagia

Menorrhagia is an important health problem for women but there is a gap between best management evidence and practice. On p 523 Fender et al report on a randomised control trial of an educational pack delivered to 100 general practitioners in East Anglia. They conducted a before and after audit to validate methods and findings and adjust for the effects of confounders. They found that women from practices who received the educational packs were five times more likely to receive tranexamic acid as first line treatment and were more likely to be given appropriate treatment before referral. The authors speculate that this might be why there was an increased chance of hysterectomy in the intervention group, with these women proceeding to appropriate surgery as a result of the educational pack.

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Relevant Article

Management of menorrhagia: an audit of practices in the Anglia menorrhagia education study

Guy R K Fender, Andrew Prentice, Richard M Nixon, Tess Gorst, Stephen W Duffy, Nicholas E Day, and Stephen K Smith
BMJ 2001 322: 523-524. [Extract] [Full Text] [PDF]