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Utility of the PALM‐COEIN classification of abnormal uterine bleeding for Indian gynecologists
Author(s) -
Bandi Nirmala D.,
Arumugam Chandrasekharan P.,
Venkata Meenakumari R.N.,
Nannam Lahari
Publication year - 2016
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2015.09.030
Subject(s) - medicine , uterine bleeding , palm , obstetrics and gynaecology , family medicine , gynecology , cross sectional study , obstetrics , pregnancy , physics , pathology , quantum mechanics , biology , genetics
Abstract Objective To study the clinical utility of the PALM‐COEIN classification for abnormal uterine bleeding in day‐to‐day practice in India. Methods Between April and November 2014, a cross‐sectional survey was undertaken of gynecologists practicing in Chittoor and Nellore. Doctors possessing a postgraduate degree in gynecology and obstetrics, and postgraduate students in the gynecology department of medical colleges were invited to participate. A validated questionnaire containing 15 questions was distributed, the opinions were collated, and the results analyzed. Results Among 150 invited gynecologists, 120 agreed to participate, and 119 completed the survey fully. Overall, 95 (79.8%) respondents were aware of the classification, and 56 (47.1%) responded that the PALM‐COEIN system is very good, 46 (38.7%) that it is average, and 17 (14.3%) that it is poor. By subgroup, 16 of 20 (80.0%) faculty members, 46 of 56 (82.1%) postgraduate students, and 33 of 43 (76.7%) practitioners responded that the system is useful. Conclusion Indian doctors generally believe that the PALM‐COEIN system is clinically useful and a step forward in the management of abnormal uterine bleeding.

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