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Heavy menstrual bleeding clinical care standard indicators: 9-Local arrangements to measure and act upon patient-reported outcomes related to heavy menstrual bleeding

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 9-Local arrangements to measure and act upon patient-reported outcomes related to heavy menstrual bleeding
METeOR identifier:Help on this term667349
Registration status:Help on this termHealth, Standard 17/10/2018
Australian Commission on Safety and Quality in Health Care, Candidate 04/09/2018
Description:Help on this term

Evidence of local arrangements to measure and act upon patient-reported outcomes related to heavy menstrual bleeding.

Indicator set:Help on this termClinical care standard indicators: heavy menstrual bleeding Health, Standard 17/10/2018
Australian Commission on Safety and Quality in Health Care, Candidate 04/09/2018

Collection and usage attributes

Computation description:Help on this term

Local arrangements should specify:

  • a requirement to regularly measure patient-reported symptom severity and quality of life related to the patient's heavy menstrual bleeding;
  • a protocol outlining how a patient’s results will be used to inform their treatment and care.

Clinically-validated tools should be used for measurement (see Comments), administered at minimum at baseline (in primary care, this may be defined as first or second visit with a new presentation of heavy menstrual bleeding), and at clinically appropriate time intervals thereafter.

Computation:Help on this term

A healthcare setting where care is provided to patients with heavy menstrual bleeding which has documented evidence of local arrangements should record ‘Yes’. Otherwise, the healthcare setting should record ‘No'.

Comments:Help on this term

Examples of tools assessing both symptoms of heavy menstrual bleeding and condition-specific quality of life are:

  • Aberdeen Menorrhagia Severity Scale (AMSS)
  • Menorrhagia Multiattribute Scale (MMAS)
  • Menstrual Impact Questionnaire (MIQ)
  • Menstrual Bleeding Questionnaire (MBQ)

Representational attributes

Representation class:Help on this termCount
Data type:Help on this termReal
Unit of measure:Help on this termService event
Format:Help on this term

Yes/No

Accountability attributes

Other issues caveats:Help on this term

Applicable settings: primary care settings (including general practice, family planning and sexual health services), public and private specialist gynaecology clinics and practices, and public and private hospitals.

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

Reference documents:Help on this term

Bushnell, DM, Martin, ML, Moore, KA, Richter, HE, Rubin, A, & Patrick, DL 2010. Menorrhagia Impact Questionnaire: assessing the influence of heavy menstrual bleeding on quality of life. Current Medical Research and Opinion, 26(12), 2745-2755.

Gupta, J, Kai, J, Middleton, L, Pattison, H, Gray, R, Daniels, J, et al. 2013. Levonorgestrel intrauterine system versus medical therapy for menorrhagia. New England Journal of Medicine, 368(2), 128-137.

Lukes, AS, Muse, K, Richter, HE, Moore, KA, & Patrick, DL 2010. Estimating a meaningful reduction in menstrual blood loss for women with heavy menstrual bleeding. Current Medical Research and Opinion, 26(11), 2673-2678.

Matteson, KA, Scott, DM, Raker, CA, & Clark, MA 2015. The menstrual bleeding questionnaire: development and validation of a comprehensive patient-reported outcome instrument for heavy menstrual bleeding. British Journal of Obstetrics and Gynaecology, 122(5), 681-689.

Pattison, H, Daniels, JP, Kai, J, & Gupta, JK 2011. The measurement properties of the menorrhagia multi-attribute quality-of-life scale: a psychometric analysis. British Journal of Obstetrics and Gynaecology, 118(12), 1528-1531.

Ruta, DA, Garratt, AM, Chadha, YC, Flett, GM, Hall, MH, & Russell, IT 1995. Assessment of patients with menorrhagia: how valid is a structured clinical history as a measure of health status? Quality of Life Research, 4(1), 33-40.

Shaw, RW, Brickley, MR, Evans, L, & Edwards, MJ 1998. Perceptions of women on the impact of menorrhagia on their health using multi-attribute utility assessment. British Journal of Obstetrics and Gynaecology, 105(11), 1155-1159.

 

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