{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T16:11:20Z","timestamp":1777479080303,"version":"3.51.4"},"reference-count":7,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2007,7,6]],"date-time":"2007-07-06T00:00:00Z","timestamp":1183680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2007,9]]},"abstract":"<jats:p><jats:bold>Objective\u2002<\/jats:bold> To assess patients\u2019 preferences for diagnostic management of postmenopausal bleeding (PMB).<\/jats:p><jats:p><jats:bold>Design\u2002<\/jats:bold> A structured interview.<\/jats:p><jats:p><jats:bold>Setting\u2002<\/jats:bold> A teaching hospital with office hysteroscopy facilities.<\/jats:p><jats:p><jats:bold>Population\u2002<\/jats:bold> Thirty\u2010nine women with PMB and with a completed work\u2010up including an office hysteroscopy.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> A structured interview was taken from 39 women who had had an office hysteroscopy in the diagnostic work\u2010up for PMB. Women were informed about the probability of endometrial carcinoma versus benign disease and about advantages and disadvantages of different diagnostic strategies, i.e. expectant management after ultrasound or complete diagnostic work\u2010up, including invasive procedures.<\/jats:p><jats:p><jats:bold>Main outcome measures\u2002<\/jats:bold> Women were informed about the probability of endometrial carcinoma versus benign disease and about advantages and disadvantages of different diagnostic strategies, i.e., expectant management after ultrasound or complete diagnostic work\u2010up including invasive procedures. Women were asked to make a trade\u2010off between different options.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Most women wanted to be 100% certain that carcinoma could be ruled out. Only 5% of the women were willing to accept more than 5% risk of false reassurance. If the risk of recurrent bleeding due to benign disease exceeded 25%, the majority of women would prefer immediate diagnosis and treatment of benign lesions.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> Women with PMB are prepared to undergo hysteroscopy to rule out any risk on cancer. This finding implicates that the measurement of endometrial thickness with transvaginal ultrasound as a first\u2010line test in the assessment of PMB should be reconsidered.<\/jats:p>","DOI":"10.1111\/j.1471-0528.2007.01424.x","type":"journal-article","created":{"date-parts":[[2007,7,6]],"date-time":"2007-07-06T11:02:13Z","timestamp":1183719733000},"page":"1146-1149","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Patients\u2019 preferences in the evaluation of postmenopausal bleeding"],"prefix":"10.1111","volume":"114","author":[{"given":"A","family":"Timmermans","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BC","family":"Opmeer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Veersema","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BWJ","family":"Mol","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,7,6]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.280.17.1510"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2004.00357.x"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2001.810902.x"},{"key":"e_1_2_6_5_2","unstructured":"NVOG (Dutch Society of Obstetrics and Gynaecology).NVOG\u2010richtlijn Abnormaal vaginaal bloedverlies in de postmenopauze [NVOG Guideline: Abnormal vaginal bleeding during postmenopause].2003[www.nvog\u2010documenten.nl] Accessed 1 October 2004."},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.312.7023.71"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2006.03.015"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2003.00176.x"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1471-0528.2007.01424.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1471-0528.2007.01424.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T22:43:44Z","timestamp":1697409824000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/j.1471-0528.2007.01424.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,7,6]]},"references-count":7,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2007,9]]}},"alternative-id":["10.1111\/j.1471-0528.2007.01424.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1471-0528.2007.01424.x","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,7,6]]},"assertion":[{"value":"2007-07-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}