Management of menopause: a survey of physicians from the Middle East and Africa.

IF 2.9 4区 医学 Q1 OBSTETRICS & GYNECOLOGY
Climacteric Pub Date : 2023-10-01 Epub Date: 2023-03-31 DOI:10.1080/13697137.2023.2190509
S A Beshyah, L Alwatban, A Ekhzaimy, H E Mustafa, D K Abdelmannan, M Merheb, M Bashir
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Abstract

Objective: This study evaluated physicians' perceptions, practices, confidence, comfort level and prior training in managing menopause.

Methods: A survey was conducted of a convenience sample of physicians from the Middle East and Africa (MEA) in 2019. We covered knowledge of symptoms, menopausal hormone therapy (MHT), other menopause management strategies and prior training in menopause medicine.

Results: Of the 254 participants, 64.2% were seniors in family medicine (36.4%), endocrinology (36.0%), gynecology (15.8%) and internal medicine (13.8%). Fewer than one-third (28.8%) correctly identified the diagnostic criteria of menopause. Almost all recognized vasomotor symptoms (99.5%), vaginal dryness (96.2%) and mood disturbance (94.3%), but to a lesser extent other symptoms. Inconsistency and critical gaps were identified in responses to competence questions on six case studies. They recalled having occasional (43.2%) or no training (19.4%) in menopause medicine and rated their preparedness to treat menopause widely. A total of 66.2% agreed that training is very important. Variation between specialties was identified.

Conclusion: Many physicians recognize the importance of education in menopause management, but their responses revealed critical knowledge gaps that underscored the need for comprehensive, evidence-based menopause management.

更年期管理:一项针对中东和非洲医生的调查。
目的:本研究评估了医生在管理更年期方面的认知、实践、信心、舒适度和先前的培训。方法:2019年对来自中东和非洲(MEA)的医生进行了一项方便抽样调查。我们涵盖了症状知识、更年期激素治疗(MHT)、其他更年期管理策略以及之前的更年期医学培训。结果:254名参与者中,64.2%是家庭医学(36.4%)、内分泌(36.0%)、妇科(15.8%)和内科(13.8%)的老年人。只有不到三分之一(28.8%)的人正确地确定了更年期的诊断标准。几乎所有公认的血管舒缩症状(99.5%)、阴道干燥(96.2%)和情绪障碍(94.3%),但在较小程度上还有其他症状。在对六个案例研究的能力问题的答复中发现了不一致和重大差距。他们回忆起偶尔(43.2%)或没有接受过更年期医学培训(19.4%),并对他们广泛治疗更年期的准备情况进行了评估。66.2%的受访者认为培训非常重要。发现了不同专业之间的差异。结论:许多医生认识到教育在更年期管理中的重要性,但他们的回答揭示了关键的知识差距,强调了全面、循证的更年期管理的必要性。
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来源期刊
Climacteric
Climacteric 医学-妇产科学
CiteScore
1.70
自引率
7.10%
发文量
53
审稿时长
1 months
期刊介绍: Climacteric is the official journal of the International Menopause Society (IMS). As an international peer-reviewed journal it publishes original research and reviews of all aspects of aging in women. Climacteric was founded by the IMS in 1998 and today has become a leading journal in the publication of peer-reviewed papers on the menopause, climacteric and mid-life health. Topics covered include endocrine changes, symptoms attributed to the menopause and their treatment, hormone replacement and alternative therapies, lifestyles, and the counselling and education of peri- and postmenopausal women. Climacteric, published bimonthly, also features regular invited reviews, editorials and commentaries on recent developments. The editorial review board of Climacteric includes leading scientific and clinical experts in the field of midlife medicine and research and is headed by its Editor-in-Chief, Professor Rod Baber of Australia. He and his team of Associate Editors act independently to set a clear editorial policy, co-ordinate peer review, and ensure a rapid response to submitted papers.
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