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Screening for coagulation disorders in adolescents with abnormal uterine bleeding
Jennifer L Kulp1, Christine N Mwangi, Meredith Loveless
1Department of Obstetrics and Gynecology, Johns Hopkins University, Baltimore, Maryland 21224, USA.
Journal of Pediatric and Adolescent Gynecology
|March 4, 2008
Summary
Most adolescents with abnormal uterine bleeding are not screened for bleeding disorders. Pediatric gynecologists are more likely to screen for these conditions than other specialists.
Area of Science:
- Gynecology
- Pediatrics
- Hematology
Background:
- Abnormal uterine bleeding (AUB) is a common gynecological issue in adolescents.
- Coagulation disorders are a frequent underlying cause of AUB in this population.
- Routine screening for bleeding disorders is crucial for timely diagnosis and management.
Purpose of the Study:
- To assess the frequency of coagulation disorder screening in adolescents with AUB.
- To determine if screening practices varied by healthcare provider specialty.
Main Methods:
- Retrospective chart review of adolescents (≤18 years) with AUB.
- Data collected included provider type, patient history, and laboratory tests.
- Statistical analysis using the chi-square test (P < 0.05 significance).
Main Results:
- Only 36.6% of providers documented screening questions for bleeding disorders.
- Laboratory screening for coagulation disorders was performed in only 14.6% of patients.
- Pediatric gynecologists documented screening questions more frequently (68.8%) than gynecologists (31.4%) or pediatricians (25.8%).
Conclusions:
- The majority of adolescents with AUB are not adequately screened for underlying bleeding disorders.
- Screening practices for coagulation disorders differ significantly among pediatric gynecologists, gynecologists, and pediatricians.
- Improved screening protocols are needed to ensure comprehensive evaluation of adolescents with AUB.
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