Programme d'amélioration de la prise en charge des saignements utérins anormaux chez les femmes pré-ménopausées

 

Sarah Maheux-Lacroix

Centre hospitalier universitaire de Québec [CHUQ]

 

Domaine : services de santé

Programme Chercheurs-boursiers cliniciens - Junior 1

Concours 2018-2019

Menstrual disorders, such as heavy bleeding, affect almost one-third of women in their lifetime and have a significant impact on their quality of life, in addition to generating high costs for the society. Management varies depending on the presence or absence of uterine abnormalities, such as polyps or fibroids. Vaginal ultrasound is widely recognized as first-line imaging, but new examinations with better diagnostic accuracy, such as ultrasonography with saline infusion and hysteroscopy (visualization of the inside of the uterus with a camera) in outpatient clinic, have been proposed as alternatives. However, we know very little about their use, accessibility, efficiency and relative costs.

This program will provide a better understanding of how women with menstrual disorders are currently investigated and what this health problem represents in terms of cost and utilization of resources. Data will be used to identify the strengths and weaknesses of current practices in order to improve clinical guidelines. This research will also identify processes to facilitate clinical trials in this population and allow for a large-scale clinical trial comparing different imaging options. This program has the potential to significantly improve the management of this very common gynecological condition by identifying clinical pathways that optimize women's satisfaction and quality of life while reducing associated costs.