Management of Malignant Vulval Melanoma: A Retrospective Case Series and Review of the Literature.

Objectives: The aims of the study were to evaluate clinicopathologic features, management, and outcomes in vulval melanoma and to review the literature.

Materials And Methods: Data were collected retrospectively on patients with vulval melanoma from 2001 to 2017 in 5 gynecological oncology cancer centers (Bristol, Taunton, Truro, Plymouth, and Cheltenham). SPSS software was used for univariate and multivariate statistical analysis.

Attitudes of women with menstrual disorders to the use of clinical guidelines in their care.

Background: Despite their growing influence on patient management and outcomes, very little is known about patients' perceptions of clinical guidelines. This is a significant omission, particularly for services advocating patient-centred care and informed decision making.

Objectives: To explore the knowledge and attitudes of women with menstrual disorders towards the use of evidence-based clinical guidelines for their condition.

Limited role of multi-attribute utility scale and SF-36 in predicting management outcome of heavy menstrual bleeding.

Objective: To compare the value of SF36v2 versus multi-attribute utility score (MAS) for predicting treatment outcome in heavy menstrual bleeding (HMB).

Study Design: Longitudinal observational study, in an outpatient service of a large UK teaching hospital. 193 women took part.

An integrated care pathway for menorrhagia across the primary-secondary interface: patients' experience, clinical outcomes, and service utilisation.

Background: "Referral" characterises a significant area of interaction between primary and secondary care. Despite advantages, it can be inflexible, and may lead to duplication.

Objective: To examine the outcomes of an integrated model that lends weight to general practitioner (GP)-led evidence based care.

Factors affecting the outcome of endometrial ablation using Cavaterm plus.

Objective: To study treatment outcome using the modified technique: Cavaterm plus.

Study Design: Retrospective postal questionnaire, in a large teaching hospital. One hundred and twenty-eight women with menorrhagia were treated between February 2001 and April 2003.