HOME >> MEDICINE >> NEWS
Women find physician guidelines on estrogen replacement therapy are lacking

Harvard Pilgrim Health Care's Harvard Medical School study shows women's concerns are not addressed

According to a study published in the August 17th edition of the Annals of Internal Medicine, physician guidelines are woefully inadequate in helping physicians counsel women in their decision-making process about whether to take postmenopausal estrogen replacement therapy. Based on their findings, the study's authors say that future guidelines should instruct physicians to incorporate patients' perspectives into the counseling process.

Currently, the American College of Physicians, American College of Obstetrics and Gynecology and the U.S. Preventive Services Task Force publish guidelines that recommend that caregivers counsel patients about the risks and benefits of therapy. All recommendations incorporate the best epidemiological evidence for hormone replacement therapy; however, they do not reflect the counseling needs expressed by patients.

For this study, Maureen T. Connelly, MD, and other researchers at the Department of Ambulatory Care and Prevention, a joint department of Harvard Pilgrim Health Care and Harvard Medical School, conducted indepth interviews of 26 women who had received a prescription for hormone replacement therapy. The women identified, on average, 15 factors as critical to their decision-making. The predominant influencing factors include: health care provider opinion, (96%); what media said was important, (81%); experiences and opinions of friends, (77%); and fear of breast cancer, (77%).

"Our findings support several studies that point to a substantial dissatisfaction with the decision-making process," Connelly said. "Admittedly, this is a complex issue; however, greater information about what the patient is thinking may help clinicians structure the time they spend and the materials they provide to patients. It is our hope that f
'"/>

Contact: Bill Schaller
schaller@hms.harvard.edu
617-432-0441
Harvard Medical School
17-Aug-1999


Page: 1 2

Related medicine news :

1. The European Society of Cardiology launches Women at Heart
2. Women less likely to get quality heart attack care
3. Statement on the findings of the Womens Health Study
4. Women should be advised not to drink alcohol in pregnancy
5. Women with thyroid problem have lower risk of breast cancer
6. Women successfully treated to prevent preterm labor at low risk for recurrent episode
7. Womens heart risk underestimated by doctors, resulting in less preventive care than in men
8. Women, drinking to their health
9. Women want annual pap smears
10. Women In Government report on eliminating cervical cancer
11. Women need less morphine after hysterectomies with new treatment

Post Your Comments:
(Date:10/31/2014)... kind, Rice University researchers have mapped how information flows ... become metastatic. The research reveals a common pattern in ... and form new tumors. Researchers say the commonality may ... the genetic switches that cancer must flip to form ... two of the main players in cancer metastasis. , ...
(Date:10/31/2014)... Colorado (PRWEB) October 31, 2014 Daily Gossip ... method is actually described as the fastest fat loss program ... in less than a month. , There is no wonder ... loss eBook of all time. The new nutrition and workout ... nutrition and fitness expert. , According to the author ...
(Date:10/31/2014)... 2014 With all the preparations families ... feels they may overlook one critical area – the ... concentration, school performance and even behavior. Typical children’s vision ... identify progressive vision problems, and to address this challenge, ... new initiative: The Awesome Eyes Student Vision Program. ...
(Date:10/31/2014)... may make it hard for you to remember simple things, ... house keys, a small study suggests. Tests on 18 ... called spatial memory -- was impaired when sleep apnea disrupted ... sleep weren,t affected. REM sleep is the deepest level of ... the first time that sleep apnea, an increasingly common medical ...
(Date:10/31/2014)... four older Americans say that either they or a ... according to the latest issue of The Gerontological Society ... ( PP&AR ), which goes on to show that ... to honor patients, end-of-life health care wishes. , This ... and Options ," features 12 articles that present new ...
Breaking Medicine News(10 mins):Health News:Decoding the emergence of metastatic cancer stem cells 2Health News:Decoding the emergence of metastatic cancer stem cells 3Health News:Xtreme Fat Loss Diet Review Reveals How to Transform Your Body in 25 Days 2Health News:New School Vision Initiative Announced by Dr. Rosenak’s Optical Options; Program Aims to Help Recognize Unseen Vision Problems That Impact School Success 2Health News:New School Vision Initiative Announced by Dr. Rosenak’s Optical Options; Program Aims to Help Recognize Unseen Vision Problems That Impact School Success 3Health News:Sleep Apnea May Steal Some of Your Memory: Study 2Health News:Advance directives can benefit patients, families, and health care system 2
(Date:10/30/2014)... , Oct. 30, 2014 /CNW/ - Atlantic Canadians ... agreement reached between Canada,s provinces ... Keon , President of the Canadian Generic Pharmaceutical Association ... the comments while speaking at the Atlantic Summit on ... , which is being hosted by the Public ...
(Date:10/30/2014)... Stryker Orthopaedics, the Official Joint Replacement Products ... out its debut year of the relationship at the ... This marks the eleventh tournament stop along ... brand has activated on-site with the "Stryker Mobility Zone" ... the importance of joint health.  The ...
(Date:10/30/2014)... , Oct. 30, 2014 WuXi PharmaTech (Cayman) ... R&D capability and technology platform company serving the pharmaceutical, ... China and the United ... representative office in the Tel Aviv ... office will promote WuXi,s broad platform of integrated R&D ...
Breaking Medicine Technology:Atlantic Canadians to Save $560-Million Through Unprecedented Three-Year Pan-Canadian Agreement on Generic Prescription Medicines 2Atlantic Canadians to Save $560-Million Through Unprecedented Three-Year Pan-Canadian Agreement on Generic Prescription Medicines 3Stryker Mobility Zone Makes Final Stop Of 2014 At Charles Schwab Cup Championship 2Stryker Mobility Zone Makes Final Stop Of 2014 At Charles Schwab Cup Championship 3Stryker Mobility Zone Makes Final Stop Of 2014 At Charles Schwab Cup Championship 4WuXi AppTec Launches Representative Office in Israel, Forms Strategic Collaboration with Pontifax 2
Cached News: