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Date of Graduation
Capstone Project (On-Campus Access Only)
Master of Science in Physician Assistant Studies
Judy Ortiz, PA-C
OBJECTIVE: To evaluate the change in fibroid specific and health-related quality of life associated with uterine artery embolization (UAE). To consider the impact of specific factors, including the change in symptom severity, health-related quality of life scores, and uterine size on patient satisfaction following UAE.
STUDY DESIGN: A validated, fibroid specific, symptom and health-related quality of life questionnaire (UPS-QOL) was mailed to 81 women who had undergone UAE from July 1998 through August 2002. The primary outcome measure was change in fibroid symptoms and health-related quality of life (HRQL) following UAE. Secondary outcomes included objective measures of patient satisfaction, and documented decrease in uterine volume following UAE.
RESULTS: Questionnaires were completed by 64 women (80.0%) at a mean of 32.1 months from the procedure. Symptom Severity scores from UFS-QOL decrease by a mean of 35.2% and Total HRQL scores increased by a mean of 35.7% following UAE. Both of these indicated improvement. There was a direct association between a woman's overall self-reported satisfaction with the procedure and her change in symptom severity and total HRQL score (p < 0.0001 and P = 0.0004). Satisfaction was also significantly associated with the decrease in uterine volume following UAE(p = 0.0196).
Conclusion: UAE offers an alternative management option for some women with symptomatic uterine fibroids. Women who undergo UAE have a significant decrease in symptom severity and increased HRQL. UFS-QOL provides a sensitive means to detect f changes in fibroid-symptom outcome. Satisfaction measures can also be standardized to , better assess and compare important outcomes of alternative therapies for uterine fibroids.
Upton, Elizabeth, "Patient satisfaction and disease specific quality of life following uterine artery embolization" (2003). School of Physician Assistant Studies. 327.