73 Total Self-BAT scores associated with choice of heavy menstrual bleeding treatment Table 2: Self-BAT scores per age group. Self-BAT total score All respondents n=231 18-30yrs n=27 31-41yrs n=58 42-52yrs n=146 Self-BAT total, median (range) 6 (2-17) 6 (3-14) 6 (2-17) 6 (2-16) Self-BAT abnormal total score, n (%) 156 (68%) 22 (81%) 44 (76%) 90 (62%) Self-BAT domain score Epistaxis score, median (range) 0 (0-4) 0 (0-3) 0 (0-4) 0 (0-3) Cutaneous score, median (range) 0 (0-2) 0 (0-2) 0 (0-1) 0 (0-1) Bleeding minor wounds score, median (range) 0 (0-3) 0 (0-1) 0 (0-3) 0 (0-3) Oral cavity score, median (range) 1 (0-3) 1 (0-3) 1 (0-1) 1 (0-3) Gastrointestinal bleeding score, median (range) 0 (0-3) 0 (0-3) 0 (0-2) 0 (0-2) Hematuria score, median (range) 0 (0-3) 0 (0-2) 0 (0-2) 0 (0-3) Tooth extraction score, median (range) 0 (0-3) 0 (0-3) 0 (0-3) 0 (0-3) Surgery score, median (range) 0 (0-4) 0 (0) 0 (0-3) 0 (0-4) Menorrhagia score, median (range) 3 (1-4) 3 (1-4) 3 (1-4) 4 (1-4) Postpartum hemorrhage score, median (range) 0 (0-3) 0 (0-3) 0 (0-3) 0 (0-3) Muscle hematomas score, median (range) 0 (0-2) 0 (0-2) 0 (0-1) 0 (0-1) Hemarthrosis score, median (range) 0 (0) 0 (0) 0 (0) 0 (0) Central nervous system bleeding score, median (range) 0 (0) 0 (0) 0 (0) 0 (0) Other bleeding symptoms score, median (range) 0 (0-3) 1 (0-2) 1 (0-2) 0 (0-3) Legend: Abnormal total self-BAT score per age group: ≥5 points in age (19-30 yrs), ≥6 points in 31-40 yrs) and (41 and 52). Surgical HMB treatment consisted of endometrial ablation (EA) or a hysterectomy. Of the 231 included patients, 23 (10%) underwent a hysterectomy of which 20 patients (20/23; 87%) had a self-BAT score ≥6 (total self-BAT score median 7, range 4-14) . The prevalence of abnormal self-BAT score did not appear to be associated with EA nor EA plus hormonal therapy (Table 4). However, EA ablation was more often performed when the self-BAT score was ≥6. Also, all subsequent hysterectomies after EA (10/92; 11%) were performed in women with a self-BAT score ≥6. Two patients underwent a hysterectomy under the age of 30 years, at respectively 28 years (self-BAT score 7) and 29 years (self-BAT score 6). The prevalence of an abnormal self-BAT score in the ‘hysterectomy plus hysterectomy after EA group’ versus ‘no hysterectomy group’ was statistically significant different between groups with self-BAT scores <6 versus ≥6 (women 31-52 years) (OR 4.3; 95% CI,1.2; 15.3; p=0.02) (Table 4). 5
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