BJOG. 2008 Jan;115(1):31-7.
A survey of women's views of Thermachoice
endometrial ablation in the outpatient versus
day case setting.
Marsh F, Bekker H, Duffy S.
Department of Obstetrics and Gynaecology, St
James's University Hospital, Leeds, UK. medfm@leeds. Ac.uk
Objectives:
To determine women's preference
towards Thermachoice being performed either
awake in the outpatient setting or under general
anaesthetic (GA) as a day case.
Design:
Questionnaire. Setting Large teaching hospital.
POPULATION: One hundred women. Methods:
The
questionnaire was developed from prior research
on factors associated with preference for
procedures performed in the outpatient versus
day case setting. MAIN OUTCOME MEASURES: (1)
Describe women's preference towards outpatient
versus day case Thermachoice and other
menorrhagia treatments. (2) Identify variations
in preference by demographic characteristics and
prior experience of anaesthesia. Results There
was an exact split in preference with 50%
preferring Thermachoice as an outpatient and 50%
as a day case. The mean age of women preferring
outpatient Thermachoice was significantly higher
(41.5 years) than those preferring day case
(33.5 years) (P < 0.005). Women with children
and a higher qualification were more likely to
opt for outpatient Thermachoice. A previous bad
experience of GA was associated with preference
for outpatient Thermachoice. Spending less time
in hospital, attending for one visit, feeling
well straight after treatment and choosing the
treatment setting were important factors to the
majority of women. Most women (70%) who opted
for Thermachoice as a menorrhagia treatment
would prefer to have it performed in the
outpatient setting. Conclusions:
If the
Department of Heath is to target services
towards women's choice, there is a need to
increase the provision of outpatient menorrhagia
treatments, such as Thermachoice, to more women
in the UK.
   
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