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\begin{document}

\title{Benchmarking services in Outpatient hysteroscopy (OPH): a quality
improvement project}



\author[1]{Ayesha Mahmud}%
\author[2]{Paul Smith}%
\author[2]{T Justin Clark}%
\affil[1]{Royal Stoke University Hospital}%
\affil[2]{Birmingham Womens Hospital}%


\vspace{-1em}



  
  \date{May 23, 2024}


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\selectlanguage{english}
\begin{abstract}
Objective To develop a survey evaluating women's experience of
outpatient hysteroscopy (OPH) to generate data for benchmarking services
in the UK Design Quality improvement project and national survey.
Setting 77 hospitals with OPH services collected data over two-months.
Population 5151 women Methods The OPH-Patient Satisfaction Survey
(OPH-PSS) was developed using a multi-disciplinary approach. Good
practice guidance in hysteroscopy and existing survey's provided content
for the survey. Pilot testing identified aspects of the women's OPH
journey that contributed to a final survey that was rolled out
nationally. Main outcome variable Adequacy of OPH services reflected in
women's experience of their OPH journey and the quality of care being
delivered. Results The majority (3193, 76\%) of hysteroscopic procedures
were diagnostic. Most women (4485, 87\%) received adequate information
regarding OPH with 4581 (89\%) agreeing that analgesia was discussed.
5033 (97\%) felt involved in their care. Women commonly reported pain
(4490, 87\%), but \textgreater{}50\% regarded this as slight. 1 in 10
women felt anxious. 1217 (26\%) women experienced feeling faint.
Overall, \textgreater{}90\% (4,867) of women considered the OPH service
good. The mean score rating for overall level of care was considerably
high (9.7/10). Comparative pain scores for OPH vs the worst pain felt
during a menstrual period showed OPH to be less painful, except for
endometrial ablation (P=\textless{}0.001). Conclusion This novel survey,
evaluating women's experience of OPH (OPH-PSS), provides a useful tool
for benchmarking OPH services. Overall, the information provided to
women and their subsequent experience of OPH is good, but pain is
common.%
\end{abstract}%



\sloppy


\textbf{Objective}

To develop a survey evaluating women's experience of outpatient
hysteroscopy (OPH) to generate data for benchmarking services in the UK

\textbf{Design}

Quality improvement project and national survey.

\textbf{Setting}

77 hospitals with OPH services collected data over two-months.

\textbf{Population}

5151 women

\textbf{Methods}

The OPH-Patient Satisfaction Survey (OPH-PSS) was developed using a
multi-disciplinary approach. Good practice guidance in hysteroscopy and
existing survey's provided content for the survey. Pilot testing
identified aspects of the women's OPH journey that contributed to a
final survey that was rolled out nationally.

\textbf{Main outcome variable}

Adequacy of OPH services reflected in women's experience of their OPH
journey and the quality of care being delivered.

\textbf{Results}

The majority (3193, 76\%) of hysteroscopic procedures were diagnostic.
Most women (4485, 87\%) received adequate information regarding OPH with
4581 (89\%) agreeing that analgesia was discussed. 5033 (97\%) felt
involved in their care. Women commonly reported pain (4490, 87\%), but
\textgreater{}50\% regarded this as slight. 1 in 10 women felt anxious.
1217 (26\%) women experienced feeling faint. Overall, \textgreater{}90\%
(4,867) of women considered the OPH service good. The mean score rating
for overall level of care was considerably high (9.7/10). Comparative
pain scores for OPH vs the worst pain felt during a menstrual period
showed OPH to be less painful, except for endometrial ablation
(P=\textless{}0.001).

\textbf{Conclusion}

This novel survey, evaluating women's experience of OPH (OPH-PSS),
provides a useful tool for benchmarking OPH services. Overall, the
information provided to women and their subsequent experience of OPH is
good, but pain is common.

\emph{Funding statement:} The British Society for Gynaecological
Endoscopy (BSGE) contributed \selectlanguage{ngerman}£300 funding towards electronic data entry.

\emph{Keywords:} Outpatient hysteroscopy, ambulatory, gynaecology,
quality improvement, benchmarking, pain.

\emph{Tweetable abstract (110 characters):} The development and
distribution of a national survey to provide benchmarking data for
outpatient hysteroscopy

\emph{Introduction}

Outpatient hysteroscopy (OPH) is the cornerstone of modern-day
ambulatory gynaecological surgery. \textsuperscript{1}Hysteroscopy is
the gold standard test to diagnose endometrial and structural uterine
cavity pathologies associated with abnormal uterine bleeding (AUB) and
reproductive failure. Furthermore, newer miniature technologies, have
facilitated operative OPH, where many common uterine treatments can be
conducted in the outpatient setting at the time of diagnosis; so-called
''see and treat'' practice; expanded to include procedures such as
endometrial ablation, polypectomy and myomectomy.\textsuperscript{2}

The safety, convenience and efficiency of this common ambulatory
procedure is well recognised.\textsuperscript{2-4}~However, as
outpatient hysteroscopy is performed in conscious patients, the pain and
acceptability of OPH has been thoroughly investigated and reported using
a variety of measures such as pain scores and bespoke, qualitative
questionnaires. \textsuperscript{5-8}

A recent national survey of OPH practice in the United Kingdom
highlighted several variations in OPH practice thereby raising questions
about women's experience of OPH.\textsuperscript{9} In this survey of
142 clinicians performing OPH, 85\% of respondents reported routinely
collecting patient feedback. However, 52\% of these respondents reported
using the NHS ``Friends and family test'', a measure that is inherently
non-specific to OPH. The survey also demonstrated that there was a lack
of standardisation in the assessment of the patient experience of OPH.

The lack of a uniformly accepted OPH tool to assess patient's experience
of OPH precludes valid assessment of this common procedure, especially
the comparative effectiveness of interventions such as surgical
techniques, health technologies, and pharmacological agents in reducing
pain and optimising patient experience. Moreover, there have been
concerns expressed from patient groups about the variation in the
quality of OPH service delivery and women experiencing unacceptable pain
during OPH with long-term consequences.\textsuperscript{10}

We, therefore, developed a questionnaire to evaluate the patient's views
and experience of OPH. Furthermore, we disseminated this tool across the
UK to assess women's perspective of their experiences of the OPH and to
generate data to benchmark OPH practice with the ultimate aim of
improving OPH services and optimising the patient experience.

\emph{Methods}

\emph{Development of the OPH-PSS}

In collaboration with a multi-disciplinary team of hysteroscopy experts
(British Society for Gynaecological Endoscopy (BSGE)), a pilot OPH
patient satisfaction survey (OPH-PSS) representing aspects of the OPH
journey was created based on current RCOG (Royal College of
Obstetricians and Gynaecologists) best practice guidance in
OPH\textsuperscript{11} with content from existing hysteroscopy surveys.
The various steps involved in the development of the OPH-PSS are shown
in Figure 1.

The content for the survey was provided by BSGE members sharing copies
of their local OPH questionnaires (4) and from conducting additional
internet searches to identify a pool of existing patient experience
questionnaires (8). This informed the creation of a draft survey, which
was then reviewed by the research team and the hysteroscopy subcommittee
of the BSGE and the BSGE Council. Duplicate information was removed as
well as formatting and wording finalised for pilot testing.

\emph{Pilot testing}

Pilot testing involved thirty women attending OPH services (Aug-Dec
2018) at two different hospital sites (Birmingham Women's and Children's
NHS Foundation Trust and Walsall Healthcare NHS Trust) in the West
Midlands region of the United Kingdom. Participation was voluntary, and
all feedback was anonymous. Women were asked to reflect on the
experience of the care they had received while completing the survey,
and to provide feedback regarding its content, layout and format of the
pilot survey. They were all asked if the survey represented aspects
important to them and made suggestions for improvement. This informed
successive revisions of the pilot survey until a final version was
agreed. Hence, pilot testing helped provide an understanding of women's
OPH journey and facilitated the modification of the pilot survey into
its final form.

Four key themes representing women's OPH journey were identified (Figure
2). These included aspects of care representing the continuum of their
OPH journey (before, during and after) and their overall experience. The
Women's OPH journey model (Figure 2) was used as a template to draft and
order the content of the final OPH-PSS. As a result, a two-page survey
representing women's OPH journey was created, ready for national role
out (Appendix S1). The final OPH-PSS was shared for feedback with over
100 nurse and medical OPH practitioners who were attending a national
BSGE Ambulatory Care Network (ACN) meeting in March 2019 and a national
role out to facilitate benchmarking of OPH experience was agreed by the
ACN. Minor amendments to the content were made in response to the ACN
feedback at this stage. This included deletion of one duplicate
statement and addition of a box to input operator code for appraisal
purposes.

\emph{Setting}

All BSGE members were invited via email and through the BSGE website to
participate in a national data collection programme using the OPH-PSS.
Participating members were asked to collect data for all patients
undergoing OPH in their units over two months (from October to November
2019).

\emph{Data Collection}

Both electronic (Googleforms®) and paper data collection were used to
capture responses to the OPH-PSS. Participating units were advised to
use electronic data input where possible but also given the option to
post anonymised paper forms to the project team to optimise data
collection where human resources to input data electronically were
limited.

\emph{Statistical analysis}

All statistical analysis was performed using
SPSS\textsuperscript{®}version 20 (Chicago, IL, USA). Simple frequency
tables and proportions were used to present categorical variables. Pain
and experience scores were presented as means, standard deviations and
95\% confidence intervals. Following analysis to check the data was
normally distributed, comparisons of pain scores between centres and
procedure types were performed using the student t-test.

\emph{Results}

A total of 5151 patient responses were received from 77 participating
units. All data were collected on paper before electronic upload either
by the local participating units (1550, 30\%) or following postal
submission to the research project team (3601, 70\%).

\emph{Type of procedure}

The majority of the procedures (3193, 76\%) were recorded as diagnostic
(Table 1). Hysteroscopic polypectomy was the most common operative
procedure representing 713/1258, 57\% of such procedures. Where more
than one type of procedure was undertaken, the procedure was categorised
according to the following hierarchy: endometrial
ablation\textgreater{}myomectomy\textgreater{}polypectomy\textgreater{}insertion/retrieval
IUS\textgreater{} hysteroscopy +/- biopsy.

\emph{Procedural pain}

A comparison between the type of procedure and associated procedural
pain is also reported in Table 1. The mean pain score for diagnostic
hysteroscopy with or without endometrial biopsy was 5.2 / 10.
Hysteroscopic polypectomy was not associated with greater pain than
diagnostic procedures; however, hysteroscopic myomectomy and endometrial
ablation were associated with significantly higher pain scores.

\emph{Before hysteroscopy}

Most women (4485, 87\%) received written information before their
appointment. The written information was considered clear and
understandable by 3 out of every 4 women. Most women (4200, 82\%)
received written information about taking analgesia. Of these, 1 in 5
(18\%) did not take any analgesia. The majority of women (4103, 95\%)
considered the waiting area, reception and facilities to be at least
good, with more than 45\% of women considering them excellent (Table 2).

\emph{During hysteroscopy (About your consultation today)}

Women provided feedback regarding different aspects of their
consultation (Table 3). Almost all women (5113, 98\%) agreed that staff
provided understandable information and that they were able to ask
questions and to discuss any worries. Similarly, the vast majority
(4581, 89\%), of women agreed that they were offered an opportunity to
discuss pain relief.

The majority of women (5113, 98\%) agreed that their questions were
satisfactorily answered. In addition, 5033 (97\%) of women agreed that
they felt involved in the decisions regarding their care. Nearly all
women agreed that they were treated with respect and dignity and given
privacy during their consultation. Similarly, almost all women agreed
that all aspects of their care were dealt with confidentially. Most
women (5099, \textgreater{}90\%) strongly agreed that staff were
courteous and polite. Similarly, the vast majority of women agreed that
they were advised on their plan for recovery and management (Table 3).

\emph{Your experience (considering your expectations of today's
consultation)}

Taking into account the information that women were provided from the
appointment letter or patient information leaflet (PIL) before their
hysteroscopy, they were asked about their procedural experience (Table
4). Half of all, women (53\%) did not feel any distress during their
hysteroscopy. Of those women experiencing distress, most, 6 out of 10,
considered the degree of distress as slight. Overall, just over 1 in 10
women experienced at least some distress and nearly 5 in 100 women
experienced distress most or all of the time. Most women,
\textgreater{}85\%, experienced pain during hysteroscopy. Of those women
experiencing pain, just over half considered the degree of pain as
slight. Overall, 40\% of women experienced at least some pain, and 15\%
of women experienced pain most or all of the time. 70\% of women felt
mostly or constantly in control, whilst 1 in 20 women did not feel any
semblance of control.

Most women, \textgreater{}60\%, did not feel any embarrassment and of
those women who did, most considered the degree of embarrassment as
slight. Most women (\textgreater{}70\%), admitted to feeling anxious,
most considered the degree of anxiety as slight. Just over 1 in 10 women
experienced anxiety most or all of the time. Nearly 24\% of women
undergoing OPH felt faint, although most only felt this slightly (Table
4).

\emph{Your overall experience}

Most women, \textgreater{}90\%, considered the service as at least good
with \textgreater{}80\% considering the service excellent. Only 1 in 100
women considered the service as either fair, poor or very poor. When
asked if they would choose the outpatient setting if in the same
situation again, 90\% agreed, with nearly 7 out of 10 women strongly
agreeing. Of those women not agreeing to choose the outpatient setting
if in the same situation again, the majority, 6 out of 10, were unsure,
neither agreeing nor disagreeing. Approximately 3 in 100 women would not
agree to choose the outpatient setting if in the same situation again.
The mean score rating for the overall level of care was 9.7/10. (See
supplementary information Tables 6, 7 and 8)

\emph{Procedural pain compared to menstrual pain}

Women rated the discomfort or pain experienced during OPH and that
during a menstrual period on a scale of 0-10 (none-worst). On
comparison, the mean pain score for an OPH procedure was less than the
worst level of pain or discomfort experienced during a menstrual period
(Table 5). Data was analysed to assess pain scores specific to the type
of OPH procedure. It was observed that the mean pain score for an OPH
procedure was less than the worst level of pain or discomfort
experienced during a menstrual period for all outpatient hysteroscopic
procedures except for outpatient endometrial ablation (Table 5).

\emph{Discussion}

\textbf{Main findings}

A new OPH patient satisfaction survey (OPH-PSS) was developed in
collaboration with the BSGE, with multi-disciplinary input and patient
and public involvement (PPI). Women provided feedback and insight
regarding their OPH journey leading to the development of a new
standardised assessment tool suitable for benchmarking OPH services
nationally. In two months, 5151 completed responses were received from
77 Units across the UK. This large return reflects the high prevalence
of the procedure in contemporary gynaecological practice and infers the
acceptability and utility of the developed survey tool. The majority of
procedures were recorded as diagnostic. The survey was designed to
assess all aspects of the patients OPH journey, including pre, peri and
post-procedural experiences. The global rating of overall care was
extremely high, with a mean score rating of 9.7 out of 10. Over 90\% of
women considered the OPH service they experienced as at least good, with
over 80\% considering the service excellent. Consistent with these
findings, 90\% agreed that they would choose the outpatient setting if
the same situation arose again, with nearly 7 out of 10 women strongly
agreeing. These findings suggest that for the vast majority of women,
OPH is a safe, tolerable experience. This conclusion is further
strengthened by the finding that overall, the mean pain score for OPH
was less than the worst level of pain or discomfort experienced during a
menstrual period.

The mean pain score for diagnostic hysteroscopy with or without
endometrial biopsy was 5.2 / 10, and this intensity of pain was less
than the worst pain experienced by women during their menstrual periods.
It should be noted the most common operative procedure of polypectomy
was not associated with greater pain than diagnostic procedures.
Procedure specific data for other OPH procedures such as myomectomy and
endometrial ablation were too limited to draw any conclusions. Whilst
most women experienced pain, over half considered this to be slight.
However, 15\% of women reported feeling pain nearly all the time. Whilst
women's experience of OPH was variable, most did not experience
substantial levels of pain, distress, anxiety, or embarrassment and felt
in control. Vaso-vagal reactions from stimulation of the cervix are one
of the most common side-effects of OPH \textsuperscript{11}, but 70\% of
respondents did not report feeling faint, and most women that did report
this symptom felt the intensity as slight.

Before their consultation, the majority of women reported receiving
written information in a clear and understandable format that included
material about taking analgesia. These findings show that current
patient information leaflets are fit for purpose. Standardised patient
information leaflets (PILs) are available via the
RCOG\textsuperscript{12} and newer alternative video-information
resources are becoming available.\textsuperscript{13} It is important
that such resources are updated regularly to reflect current guidance,
which may change as more evidence becomes available.

Overall, almost all women felt that aspects of their consultation were
dealt with appropriately. Communication seemed of a high standard, with
most women reporting feeling at ease, with their concerns being
addressed and staff treating them with respect and dignity. The vast
majority of women had the opportunity to discuss pain relief and were
given adequate post-procedural advice.

\emph{Revised final OPH-PSS}

The results of the OPH-PSS survey were shared for feedback with over 150
nurse and medical OPH practitioners who were attending a national BSGE
Ambulatory Care Network (ACN) meeting in March 2020. Participants
suggested a minor amendment to the location of the patient procedural
information collection box. This was moved from the back of the survey
to the front to avoid the risk of missing data during future data
collection. Generally, they found the survey easy to use for data
collection.

\textbf{Strengths and limitations}

The strength of this project lies in its women-centred,
multi-disciplinary approach with PPI involvement in the development of a
new OPH-PSS. The tool was designed to be comprehensive, covering all
aspects of the OPH experience and not simply restricting evaluation to
the procedure itself. In this way, valid information was acquired
pertaining to the quality of care before, during and after the
procedure. Moreover, the sample is, to our knowledge, by far the largest
obtained evaluating women's experience of OPH. The large sample allowed
the generation of precise estimates for various outcomes and with 77
different UK centres providing data enhances the generalisability of
these findings.

Although pilot testing was able to rectify most issues with the OPH-PSS
procedural information was found to be missing in 680 (13.2\%) submitted
forms. For the purpose of analysis, it was assumed that all patients,
where the specific hysteroscopic procedure was not defined, had a
diagnostic hysteroscopy procedure performed. This assumption was
conservative but may have led to an overestimate of pain associated with
diagnostic procedures. Furthermore, OPH alone was not a response option
on the survey, rather OPH with or without an endometrial biopsy.
Endometrial biopsy is known to be more painful than
OPH\textsuperscript{14}, and so again, the average pain associated with
diagnostic OPH may have been exaggerated. To avoid similar issues in the
future, the final OPH-PSS has been modified to include procedural
details at the beginning of the survey for staff to complete before
seeking patient feedback, and diagnostic OPH without endometrial biopsy
is a specific response category.

\textbf{Implications for clinical practice and research}

The modified survey should be made readily visible (for example on the
BSGE website for download {[}https://www.bsge.org.uk{]}) and available
for use by OPH units to allow comparison and benchmarking. In this way,
areas of good practice can be highlighted, and explanations for
excellent performance explored and shared with the wider gynaecological
community. Conversely, areas of sub-optimal performance can be more
readily identified, enquiries instigated and remedial measures put in
place, such as rectifying staffing, infrastructure or equipment
deficiencies, changing appointment schedules, improving patient
information and offering additional clinician training, as appropriate.

The national survey should be repeated within the next 2 to 5 years to
evaluate whether the overall practice has improved as gauged from the
mean scores/responses acquired compared to the index survey conducted at
the end of 2019. Further work is needed to produce the OPH-PSS in other
languages to ensure that the experience of all the UK community is
obtained and to allow the use of the survey internationally enhancing
generalisability further and acquiring global perspectives. The OPH-PSS
should also be formatted electronically for completion to aid wider
dissemination.

The exploration of potential reasons behind the individual scores of
participating women was beyond the scope of this project. However,
qualitative research could be targeted at women reporting poor
experiences, especially relating to the experience of unacceptable pain
during hysteroscopy.

\emph{Conclusion}

We have developed a new women-centred outpatient hysteroscopy patient
satisfaction survey (OPH-PSS) suitable for routine use in outpatient
hysteroscopy. This survey has provided important insight towards women's
experiences of OPH. It remains a useful resource for clinicians
practising OPH and for benchmarking performance across different units.
This will allow centres to not only collect and report data on patient
satisfaction for their OPH services but also to help identify gaps for
improving services and be used for local appraisal and training.
Locally, units may find it helpful to integrate the questionnaire within
their routine OPH service structure.

\emph{Disclosure of Interests}

AM, PS and TJC have nothing to disclose. Completed disclosure of
interest forms will be available to view online as supporting
information.

\emph{Contribution to Authorship}

TJC conceived the study. AM planned and carried out the project under
TJC's guidance. PS performed the statistical analysis. AM, PS and TJC
carried out data interpretation. AM drafted the manuscript. TJC and PS
provided comments and contributed to the development of the final
version of the manuscript.

\emph{Details of Ethics Approval}

Formal ethical approval was not sought because this was a service
improvement project and questionnaires were fully anonymised.

\emph{Funding}

The BSGE contributed £300 funding towards electronic data entry.

\emph{Acknowledgements}

The authors would like to acknowledge the contribution of the women that
participated in this project. We would also like to thank the BSGE
council and BSGE members that provided critical feedback and input
throughout this project.

\emph{References}

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\end{enumerate}

\emph{Table 1: Comparison between type of procedure and procedural pain
(N=5151)}\selectlanguage{english}
\begin{longtable}[]{@{}llllllll@{}}
\toprule
\begin{minipage}[b]{0.12\columnwidth}\raggedright\strut
\textbf{Type of procedure}\strut
\end{minipage} & \begin{minipage}[b]{0.12\columnwidth}\raggedright\strut
\textbf{Number} \textbf{(\%)}\strut
\end{minipage} & \begin{minipage}[b]{0.12\columnwidth}\raggedright\strut
\textbf{Mean pain during procedure}\strut
\end{minipage} & \begin{minipage}[b]{0.12\columnwidth}\raggedright\strut
\textbf{95\% confidence interval}\strut
\end{minipage} & \begin{minipage}[b]{0.12\columnwidth}\raggedright\strut
\textbf{95\% confidence interval}\strut
\end{minipage} & \begin{minipage}[b]{0.12\columnwidth}\raggedright\strut
\textbf{Standard Deviation (SD)}\strut
\end{minipage} & \begin{minipage}[b]{0.12\columnwidth}\raggedright\strut
\textbf{Mean difference from control}\strut
\end{minipage} & \begin{minipage}[b]{0.12\columnwidth}\raggedright\strut
\textbf{P value compared to control}\strut
\end{minipage}\tabularnewline
\midrule
\endhead
\begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\textbf{lower bound}\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\textbf{upper bound}\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\textbf{Diagnostic hysteroscopy +/- biopsy}\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
3893 (75.6)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
5.2\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
5.12\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
5.29\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
2.724\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
Control\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
Control\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\textbf{Insertion/Retrieval of IUCD*/Mirena or Levosert IUS**}\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
449 (8.7)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
5.16\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
4.91\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
5.41\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
2.654\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
- 0.039\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.776\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\textbf{Hysteroscopic polypectomy}\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
713 (13.8)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
5.1\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
4.91\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
5.29\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
2.59\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
- 0.102\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.358\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\textbf{Myomectomy}\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
30 (0.6)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
6.37\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
5.37\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
7.36\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
2.671\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
1.164\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.02\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\textbf{Endometrial Ablation}\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
62 (1.2)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
6.48\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
5.8\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
7.16\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
2.59\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
1.28\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\textless{}0.001\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\textbf{Other (RPOC***, adhesiolysis)}\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
4 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
6.25\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
4.25\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
8.25\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
1.258\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
1.047\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.442\strut
\end{minipage}\tabularnewline
\bottomrule
\end{longtable}

*Intrauterine Contraceptive Device

**Intrauterine System

***Retained Products of Conception

\emph{Table 2: Women's responses to questions `Before your Consultation'
(n=5151)}\selectlanguage{english}
\begin{longtable}[]{@{}llll@{}}
\toprule
\begin{minipage}[b]{0.22\columnwidth}\raggedright\strut
\textbf{Before your consultation}\strut
\end{minipage} & \begin{minipage}[b]{0.22\columnwidth}\raggedright\strut
\textbf{Before your consultation}\strut
\end{minipage} & \begin{minipage}[b]{0.22\columnwidth}\raggedright\strut
\textbf{Before your consultation}\strut
\end{minipage} & \begin{minipage}[b]{0.22\columnwidth}\raggedright\strut
\textbf{Before your consultation}\strut
\end{minipage}\tabularnewline
\midrule
\endhead
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\textbf{Questions}\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\textbf{Response options}\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\textbf{Number of responses (n)}\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\textbf{Percentage (\%)}\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{Did you receive any written information (e.g. a leaflet or
instructions about where to acquire information e.g. on-line) prior to
your appointment?}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Yes\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
4485\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
87.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
No\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
574\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
11.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Yes; No (both selected in error)\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
4\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
88\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
1.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{Did you feel that the information was clear and understandable?
(not applicable if you answered No to the question above)}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Yes - I knew what to expect\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
3923\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
76.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Yes - to some extent\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
591\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
11.5\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not too Sure\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
88\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
1.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
No - wish I knew what to expect\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
46\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
No - it was not useful\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
14\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.3\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not Applicable\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
256\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
5\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
233\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
4.5\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{Did you receive advice to take painkillers before the
appointment?}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Yes - took some\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
3444\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
66.9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Yes - did not take any\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
756\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
14.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
No - wish I had\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
341\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
6.6\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
No - no need\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
530\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
10.3\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
80\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
1.5\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{What did you think of the waiting area, reception and
facilities?}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Excellent\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
2417\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
46.9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Very Good\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
1686\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
32.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Good\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
765\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
14.9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Fair\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
192\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
3.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Poor\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
8\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
0.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
83\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
1.6\strut
\end{minipage}\tabularnewline
\bottomrule
\end{longtable}

\emph{Table 3: Women's responses to questions `About your Consultation'
(n=5151)}\selectlanguage{english}
\begin{longtable}[]{@{}llll@{}}
\toprule
\begin{minipage}[b]{0.22\columnwidth}\raggedright\strut
\textbf{About your consultation}\strut
\end{minipage} & \begin{minipage}[b]{0.22\columnwidth}\raggedright\strut
\textbf{About your consultation}\strut
\end{minipage} & \begin{minipage}[b]{0.22\columnwidth}\raggedright\strut
\textbf{About your consultation}\strut
\end{minipage} & \begin{minipage}[b]{0.22\columnwidth}\raggedright\strut
\textbf{About your consultation}\strut
\end{minipage}\tabularnewline
\midrule
\endhead
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\textbf{Questions}\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\textbf{Response options}\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\textbf{Number of responses (n)}\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\textbf{Percentage (\%)}\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{Staff explained things in a way I could easily understand.}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
4630\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
89.9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
483\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
9.4\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Neither Agree or Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
14\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.3\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
2\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
3\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
19\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.4\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{I felt able to ask questions and to discuss any worries.}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
4538\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
88.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
521\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
10.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Neither Agree or Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
21\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.4\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
11\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
3\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
57\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
1.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{I was offered an opportunity to discuss pain relief.}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
3655\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
71\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
926\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
18\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Neither Agree or Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
390\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
7.6\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
15\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.3\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
99\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
1.9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
66\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
1.3\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{My questions were answered to my satisfaction.}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
4321\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
83.9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Agree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
707\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
13.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Neither Agree or Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
52\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Strongly Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
4\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
0.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
4\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
0.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
63\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
1.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{I felt involved in the decisions regarding my care.}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
4298\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
83.4\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
735\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
14.3\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Neither Agree or Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
70\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
1.4\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
8\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
4\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
36\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{I was treated with respect and dignity.}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
4745\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
92.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
332\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
6.4\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Neither Agree or Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
8\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
2\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
2\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
62\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
1.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{I was given enough privacy.}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
4724\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
91.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
370\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
7.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Neither Agree or Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
7\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
4\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
2\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
44\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{All aspects of my care were dealt with confidentially.}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
4637\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
90\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
429\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
8.3\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Neither Agree or Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
22\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.4\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
1\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
62\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
12\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
4637\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
90\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{The staff were courteous and polite.}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
4864\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
94.4\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
235\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
4.6\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Neither Agree or Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
4\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
1\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
1\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
46\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{I was given advice regarding my recovery and management
plan.}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
4413\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
85.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Agree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
577\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
11.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Neither Agree or Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
82\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
1.6\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
9\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Strongly Disagree\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
5\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
0.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
65\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
1.3\strut
\end{minipage}\tabularnewline
\bottomrule
\end{longtable}

\emph{Table 4: Women's responses to questions `Your experience'
(n=5151)}\selectlanguage{english}
\begin{longtable}[]{@{}llll@{}}
\toprule
\begin{minipage}[b]{0.22\columnwidth}\raggedright\strut
\textbf{YOUR EXPERIENCE (CONSIDERING YOUR EXPECTATIONS OF TODAY'S
CONSULTATION)}\strut
\end{minipage} & \begin{minipage}[b]{0.22\columnwidth}\raggedright\strut
\textbf{YOUR EXPERIENCE (CONSIDERING YOUR EXPECTATIONS OF TODAY'S
CONSULTATION)}\strut
\end{minipage} & \begin{minipage}[b]{0.22\columnwidth}\raggedright\strut
\textbf{YOUR EXPERIENCE (CONSIDERING YOUR EXPECTATIONS OF TODAY'S
CONSULTATION)}\strut
\end{minipage} & \begin{minipage}[b]{0.22\columnwidth}\raggedright\strut
\textbf{YOUR EXPERIENCE (CONSIDERING YOUR EXPECTATIONS OF TODAY'S
CONSULTATION)}\strut
\end{minipage}\tabularnewline
\midrule
\endhead
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\textbf{Questions}\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\textbf{Response options}\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\textbf{Number of responses (n)}\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\textbf{Percentage (\%)}\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{Did you feel distressed?}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not at all\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
2747\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
53.3\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Slightly\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
1591\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
30.9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Somewhat\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
429\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
8.3\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Mostly\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
161\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
3.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Constantly\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
63\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
1.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
160\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
3.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{Did you feel pain?}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not at all\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
464\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Slightly\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
2456\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
47.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Somewhat\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
1247\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
24.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Mostly\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
643\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
12.5\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Constantly\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
144\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
2.8\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
197\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
3.8\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
233\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
4.5\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{Did you feel in control?}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not at all\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
276\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
5.4\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Slightly\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
420\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
8.2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Somewhat\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
550\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
10.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Mostly\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
1361\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
26.4\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Constantly\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
2282\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
44.3\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
262\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
5.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{Did you feel embarrassed?}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not at all\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
3345\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
64.9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Slightly\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
1120\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
21.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Somewhat\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
338\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
6.6\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Mostly\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
89\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
1.7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Constantly\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
56\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
1.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
203\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
3.9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{Did you feel anxious?}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not at all\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
1257\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
24.4\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Slightly\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
2314\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
44.9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Somewhat\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
799\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
15.5\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Mostly\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
405\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
7.9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Constantly\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
219\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
4.3\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
157\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
3.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
\emph{Did you feel faint}\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
Not at all\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
3762\strut
\end{minipage} & \begin{minipage}[t]{0.24\columnwidth}\raggedright\strut
73\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Slightly\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
830\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
16.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Somewhat\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
255\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
5\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Mostly\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
108\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
2.1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Constantly\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
24\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
0.5\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
Not answered\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
172\strut
\end{minipage} & \begin{minipage}[t]{0.22\columnwidth}\raggedright\strut
3.3\strut
\end{minipage}\tabularnewline
\bottomrule
\end{longtable}

\emph{Table 5: Pain experienced with outpatient hysteroscopy compared to
the worst level of discomfort or pain experienced during a menstrual
period (n=5151)}\selectlanguage{english}
\begin{longtable}[]{@{}llll@{}}
\toprule
What would be the worst level of discomfort or pain you might experience
(or used to experience) during a period on a scale of 0-10: & Mean &
Mean & 5.51\tabularnewline
\midrule
\endhead
& 95\% Confidence Interval for Mean & Lower Bound & 5.44\tabularnewline
& & Upper Bound & 5.58\tabularnewline
& Median & Median & 6\tabularnewline
& Std. Deviation & Std. Deviation & 2.648\tabularnewline
& Interquartile Range & Interquartile Range & 4\tabularnewline
What level of discomfort or pain you experienced during the procedure on
the same scale of 0-10: & Mean & Mean & 5.22\tabularnewline
& 95\% Confidence Interval for Mean & Lower Bound & 5.14\tabularnewline
& & Upper Bound & 5.29\tabularnewline
& Median & Median & 5\tabularnewline
& Std. Deviation & Std. Deviation & 2.694\tabularnewline
& Interquartile Range & Interquartile Range & 4\tabularnewline
\bottomrule
\end{longtable}

\selectlanguage{english}
\FloatBarrier
\end{document}

