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Scientific evidence changes prescribing practice - a comparison of the management of the climacteric and use of hormone replacement therapy among Swedish gynaecologists in 1996 and 2003

Thunell, Louise LU ; Milsom, I ; Schmidt, J and Mattsson, LA (2006) In BJOG: An International Journal of Obstetrics & Gynaecology 113(1). p.15-20
Abstract
Objectives To study changes in attitudes, knowledge and management strategies concerning hormone replacement therapy (HRT) among gynaecologists in Sweden. Design Comparative questionnaire study. Setting National survey. Population Practising gynaecologists. Methods In 1996, gynaecologists in Sweden (n = 1323) were invited to return a postal questionnaire concerning their attitudes, knowledge and management strategies concerning HRT. They were also asked about their own use of HRT. In 2003, a similar questionnaire was sent to practising gynaecologists (n = 1320) in Sweden. Main outcome measures Attitudes to and personal use of HRT. Results The response rate was 76% in 2003 when 11% of the gynaecologists thought that all women without... (More)
Objectives To study changes in attitudes, knowledge and management strategies concerning hormone replacement therapy (HRT) among gynaecologists in Sweden. Design Comparative questionnaire study. Setting National survey. Population Practising gynaecologists. Methods In 1996, gynaecologists in Sweden (n = 1323) were invited to return a postal questionnaire concerning their attitudes, knowledge and management strategies concerning HRT. They were also asked about their own use of HRT. In 2003, a similar questionnaire was sent to practising gynaecologists (n = 1320) in Sweden. Main outcome measures Attitudes to and personal use of HRT. Results The response rate was 76% in 2003 when 11% of the gynaecologists thought that all women without contraindications should be offered HRT compared with 44% in 1996 and 89% found it difficult to evaluate pros and cons with HRT in a clinical situation (74% in 1996). More gynaecologists in 2003 believed that HRT increased the risk :for breast cancer (95% vs 71%). Twenty-five percent in 2003 stated that risk factors for osteoporosis were absolute indications for HRT (60% in 1996). Current ischaemic heart disease was considered to be an indication for HRT by 7% in 2003 (60% in 1996). In 2003, current use of HRT was reported by 71% of female menopausal gynaecologists (88% in 1996). Conclusions Swedish gynaecologists were more cautious in their management strategies concerning HRT in 2003 compared with 1996, probably influenced by results from the Heart and Estrogen/Progestin Replacement Study (HERS) and Women's Health Initiative (WHI) studies. Current use of HRT was still high among female gynaecologists, although it had decreased since 1996. (Less)
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author
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type
Contribution to journal
publication status
published
subject
in
BJOG: An International Journal of Obstetrics & Gynaecology
volume
113
issue
1
pages
15 - 20
publisher
Wiley-Blackwell
external identifiers
  • wos:000234512900004
  • pmid:16398765
  • scopus:33644803430
ISSN
1471-0528
DOI
10.1111/j.1471-0528.2005.00805.x
language
English
LU publication?
yes
id
97688eb5-68d3-4f19-a4d2-d400b118ddbf (old id 421416)
date added to LUP
2016-04-01 15:43:34
date last changed
2021-08-11 02:16:27
@article{97688eb5-68d3-4f19-a4d2-d400b118ddbf,
  abstract     = {Objectives To study changes in attitudes, knowledge and management strategies concerning hormone replacement therapy (HRT) among gynaecologists in Sweden. Design Comparative questionnaire study. Setting National survey. Population Practising gynaecologists. Methods In 1996, gynaecologists in Sweden (n = 1323) were invited to return a postal questionnaire concerning their attitudes, knowledge and management strategies concerning HRT. They were also asked about their own use of HRT. In 2003, a similar questionnaire was sent to practising gynaecologists (n = 1320) in Sweden. Main outcome measures Attitudes to and personal use of HRT. Results The response rate was 76% in 2003 when 11% of the gynaecologists thought that all women without contraindications should be offered HRT compared with 44% in 1996 and 89% found it difficult to evaluate pros and cons with HRT in a clinical situation (74% in 1996). More gynaecologists in 2003 believed that HRT increased the risk :for breast cancer (95% vs 71%). Twenty-five percent in 2003 stated that risk factors for osteoporosis were absolute indications for HRT (60% in 1996). Current ischaemic heart disease was considered to be an indication for HRT by 7% in 2003 (60% in 1996). In 2003, current use of HRT was reported by 71% of female menopausal gynaecologists (88% in 1996). Conclusions Swedish gynaecologists were more cautious in their management strategies concerning HRT in 2003 compared with 1996, probably influenced by results from the Heart and Estrogen/Progestin Replacement Study (HERS) and Women's Health Initiative (WHI) studies. Current use of HRT was still high among female gynaecologists, although it had decreased since 1996.},
  author       = {Thunell, Louise and Milsom, I and Schmidt, J and Mattsson, LA},
  issn         = {1471-0528},
  language     = {eng},
  number       = {1},
  pages        = {15--20},
  publisher    = {Wiley-Blackwell},
  series       = {BJOG: An International Journal of Obstetrics & Gynaecology},
  title        = {Scientific evidence changes prescribing practice - a comparison of the management of the climacteric and use of hormone replacement therapy among Swedish gynaecologists in 1996 and 2003},
  url          = {http://dx.doi.org/10.1111/j.1471-0528.2005.00805.x},
  doi          = {10.1111/j.1471-0528.2005.00805.x},
  volume       = {113},
  year         = {2006},
}