PMID: 11910599Mar 26, 2002Paper

A general practice pilot audit study to assess advice and treatment offered to women following hysterectomy

Climacteric : the Journal of the International Menopause Society
S V DrewJ W Studd

Abstract

Current evidence suggests that information and treatment offered to women post-hysterectomy to prevent osteoporosis are poor. To pilot a general practice audit protocol, to assess its ability to identify hysterectomized women and to offer appropriate information on fracture prevention. A pilot audit study was designed to assess advice offered to hysterectomized women aged 25-64 years. Data on ovarian status were evaluated. Women were recalled for counselling if there was no evidence of advice on fracture prevention and if they were not taking hormone replacement therapy (HRT). Change in HRT usage was used as the outcome measure to assess the impact of the audit. Baseline data were collated for 5743 women. In 1456 (25%), both ovaries were removed and 4029 (70%) had one or both ovaries conserved; 258 (5%) had incomplete ovarian data. The average age at hysterectomy with both ovaries removed was 43.9 years, and with conservation of one or both ovaries was 40.5 years and 40.1 years, respectively. Some 2888 (50%) were ever-users of HRT (both ovaries removed 70%, one ovary removed 53%, both ovaries conserved 44%). A total of 2083 (36%) were known current users (both ovaries removed 53%, one ovary removed 40%, both ovaries conserved 3...Continue Reading

References

Oct 3, 1992·BMJ : British Medical Journal·T Seeley
Apr 1, 1992·British Medical Bulletin·E DalyM Vessey
Oct 1, 1989·British Journal of Obstetrics and Gynaecology·D H BarlowD M Hart
Mar 1, 1985·Annals of Internal Medicine·B EttingerC E Cann
Jul 1, 1995·Obstetrics and Gynecology·N R WatsonP Milligan
Mar 1, 1995·American Journal of Obstetrics and Gynecology·P RavnL Nilas
Nov 25, 1995·BMJ : British Medical Journal·A J IsaacsK McPherson

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Citations

May 3, 2003·Climacteric : the Journal of the International Menopause Society·C DomoneyA Mocroft

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