A quality‐of‐life questionnaire for heavy menstrual bleeding in Thai women receiving oral antithrombotics: Assessment of the translated Menstrual Bleeding Questionnaire

Abstract Background Heavy menstrual bleeding (HMB) is common among reproductive‐aged women receiving oral antithrombotics and frequently results in a negative impact on quality of life. Methods We translated the Menstrual Bleeding Questionnaire (MBQ) into Thai by forward translation, back‐translatio...

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Autores principales: Tinaram Rodpetch, Jittima Manonai, Pantep Angchaisuksiri, Kochawan Boonyawat
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Publicado: Wiley 2021
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spelling oai:doaj.org-article:fec598f65fd647d88a7cea56326163dd2021-11-29T09:35:28ZA quality‐of‐life questionnaire for heavy menstrual bleeding in Thai women receiving oral antithrombotics: Assessment of the translated Menstrual Bleeding Questionnaire2475-037910.1002/rth2.12617https://doaj.org/article/fec598f65fd647d88a7cea56326163dd2021-10-01T00:00:00Zhttps://doi.org/10.1002/rth2.12617https://doaj.org/toc/2475-0379Abstract Background Heavy menstrual bleeding (HMB) is common among reproductive‐aged women receiving oral antithrombotics and frequently results in a negative impact on quality of life. Methods We translated the Menstrual Bleeding Questionnaire (MBQ) into Thai by forward translation, back‐translation, pretesting, and cognitive interviewing. The translated questionnaire was content validated by a gynecologist. A validation study was conducted for the translated MBQ and defined the optimal score for the diagnosis of HMB. We then performed a cross‐sectional study to determine the prevalence of HMB using the translated MBQ. Reproductive‐aged Thai women who visited outpatient clinics receiving oral antithrombotics were asked to assess menstrual characteristics after receiving antithrombotics. The impact of menstruation on quality of life was assessed by using the MBQ. Results The translated MBQ had excellent reliability (intraclass correlation coefficient = 0.93) and discriminated between women with and without HMB (area under the receiver operating characteristic curve = 0.93). A score of 21.5 had 82.9% sensitivity and 83.1% specificity in the diagnosis of HMB. The mean (standard deviation) of the score was significantly higher in the HMB group than in the normal menstrual bleeding group (30.4 [9.4] vs 15.4 [5.6]; P < .001, respectively). Of the 49 women, the prevalence of HMB in patients receiving warfarin (n = 29), direct oral anticoagulants (n = 4), or antiplatelet agents (n = 16) was 27.6%, 25.0%, and 25.0%, respectively. Conclusions MBQ is a simple and valid tool that can be applied to screen women experiencing HMB. One‐fourth of reproductive‐aged women who received oral antithrombotics experienced HMB that impacted their quality of life.Tinaram RodpetchJittima ManonaiPantep AngchaisuksiriKochawan BoonyawatWileyarticleanticoagulantsantiplatelet drugsheavy menstrual bleedingquality of lifequestionnairesDiseases of the blood and blood-forming organsRC633-647.5ENResearch and Practice in Thrombosis and Haemostasis, Vol 5, Iss 7, Pp n/a-n/a (2021)
institution DOAJ
collection DOAJ
language EN
topic anticoagulants
antiplatelet drugs
heavy menstrual bleeding
quality of life
questionnaires
Diseases of the blood and blood-forming organs
RC633-647.5
spellingShingle anticoagulants
antiplatelet drugs
heavy menstrual bleeding
quality of life
questionnaires
Diseases of the blood and blood-forming organs
RC633-647.5
Tinaram Rodpetch
Jittima Manonai
Pantep Angchaisuksiri
Kochawan Boonyawat
A quality‐of‐life questionnaire for heavy menstrual bleeding in Thai women receiving oral antithrombotics: Assessment of the translated Menstrual Bleeding Questionnaire
description Abstract Background Heavy menstrual bleeding (HMB) is common among reproductive‐aged women receiving oral antithrombotics and frequently results in a negative impact on quality of life. Methods We translated the Menstrual Bleeding Questionnaire (MBQ) into Thai by forward translation, back‐translation, pretesting, and cognitive interviewing. The translated questionnaire was content validated by a gynecologist. A validation study was conducted for the translated MBQ and defined the optimal score for the diagnosis of HMB. We then performed a cross‐sectional study to determine the prevalence of HMB using the translated MBQ. Reproductive‐aged Thai women who visited outpatient clinics receiving oral antithrombotics were asked to assess menstrual characteristics after receiving antithrombotics. The impact of menstruation on quality of life was assessed by using the MBQ. Results The translated MBQ had excellent reliability (intraclass correlation coefficient = 0.93) and discriminated between women with and without HMB (area under the receiver operating characteristic curve = 0.93). A score of 21.5 had 82.9% sensitivity and 83.1% specificity in the diagnosis of HMB. The mean (standard deviation) of the score was significantly higher in the HMB group than in the normal menstrual bleeding group (30.4 [9.4] vs 15.4 [5.6]; P < .001, respectively). Of the 49 women, the prevalence of HMB in patients receiving warfarin (n = 29), direct oral anticoagulants (n = 4), or antiplatelet agents (n = 16) was 27.6%, 25.0%, and 25.0%, respectively. Conclusions MBQ is a simple and valid tool that can be applied to screen women experiencing HMB. One‐fourth of reproductive‐aged women who received oral antithrombotics experienced HMB that impacted their quality of life.
format article
author Tinaram Rodpetch
Jittima Manonai
Pantep Angchaisuksiri
Kochawan Boonyawat
author_facet Tinaram Rodpetch
Jittima Manonai
Pantep Angchaisuksiri
Kochawan Boonyawat
author_sort Tinaram Rodpetch
title A quality‐of‐life questionnaire for heavy menstrual bleeding in Thai women receiving oral antithrombotics: Assessment of the translated Menstrual Bleeding Questionnaire
title_short A quality‐of‐life questionnaire for heavy menstrual bleeding in Thai women receiving oral antithrombotics: Assessment of the translated Menstrual Bleeding Questionnaire
title_full A quality‐of‐life questionnaire for heavy menstrual bleeding in Thai women receiving oral antithrombotics: Assessment of the translated Menstrual Bleeding Questionnaire
title_fullStr A quality‐of‐life questionnaire for heavy menstrual bleeding in Thai women receiving oral antithrombotics: Assessment of the translated Menstrual Bleeding Questionnaire
title_full_unstemmed A quality‐of‐life questionnaire for heavy menstrual bleeding in Thai women receiving oral antithrombotics: Assessment of the translated Menstrual Bleeding Questionnaire
title_sort quality‐of‐life questionnaire for heavy menstrual bleeding in thai women receiving oral antithrombotics: assessment of the translated menstrual bleeding questionnaire
publisher Wiley
publishDate 2021
url https://doaj.org/article/fec598f65fd647d88a7cea56326163dd
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