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Table 2 Examples of nonvalidated PBACs to determine MBL

From: Pictorial methods to assess heavy menstrual bleeding in research and clinical practice: a systematic literature review

Publication

N

Sanitary products

Deviation from validated PBAC

Validated cut-off score for HMB

PBAC referenced

Biri et al. (2008) [46]

600

NR

• Icon-3 tampon score = 20

• Cut-off score = 50

100

Higham

Rott et al. (2009) [47]

46

NR

• Icon-3 tampon score = 15

• Icons different

100

Higham

Kouides et al. (2009) [42]

116

Kotex Curved Maxi Tampax Super

• Towel and tampon brands

100

Higham

Hacioglu et al. (2016) [61]

90

Free to choose

• Icons different

185

Janssen

Herman et al. (2016) [65]

900

NR

• Cut-off score = 150

100

Higham

Jacot-Guillarmod at el. (2010) [49]

N/A

NR

• Icon-3 tampon score = 20

• Icons different

100

Higham

Lopes et al. (2010) [41]

Lab tests

Kotex Ultraslim

• Icon-3 towel score = 10

• Icons different

100

Higham

Nahidi et al. (2011) [55]

160

NR

• Icons different

• Cut-off score quoted as 80 mL

100

Higham

Donnez et al. (2015) [54]

242

‘Standardized’,

brand not identified

• Clots equated to circle diameters

100

Higham

Dasharathy et al. (2012) [57]

201

Free to choose

• Number of towel icons = 4

• Icons different

• Cut-off score = 72.5

80 mL

Wyatt

Hashim et al. (2012) [15]

95

Always Ultra Core Plus

• Towel brand

185

Janssen

Goshtasebi et al. (2013) [44]

90

Panberes

• Towel brand

185

Janssen

Hald et al. (2014) [56]

429

Free to choose

• Icons different

• Cut-off score = 160

100

Higham

Mawet et al. (2014) [43]

280

Always Ultra

Normal/Super Plus

• Towel brand

• Icons different

80 mL

Wyatt

Brôlmann et al. (2016) [59]

50

NR

• Cut-off score = 120

80 mL

Wyatt

Ashraf et al. (2017) [60]

152

NR

• No stains on towel icons 1 and 3 or tampon icon 3

100

Higham

Han et al. (2018) [71]

95

NR

• Cut-off score = 130

185

Janssen

Gopimohan et al. (2015) [69]

45

Stayfree Secure Regular

• Cut-off score = 100

150

Zakherah

Gorgen et al. (2009) [64]

60

Unknown

• Cut-off score = 75

100

Higham

Barrington et al. (1997) [62]

50

‘Same brand used’

Not identified

• Icons different

• Scoring system different

100

Higham

Van Dongen et al. (2009) [72]

21

NR

• Cut-off score = 200

100

Higham

Kashefi et al. (2015) [63]

71

‘Same towels used’

Not identified

• Icon-3 tampon score = 20

NR

Higham

  1. N is the number of participants in study for which data are available. HMB heavy menstrual bleeding, MBL menstrual blood loss, NR not reported, PBAC pictorial blood loss assessment chart