Clinician knowledge, attitudes, and barriers to management of vulvovaginal atrophy: variations in primary care and gynecology

Menopause : the Journal of the North American Menopause Society
Kimberly K VescoAmanda L Clark

Abstract

Vulvovaginal atrophy is a common, but under-recognized condition affecting postmenopausal women. To guide development of an intervention to boost its detection and treatment, we surveyed primary care and gynecology clinicians practicing in an integrated healthcare system. We constructed a three-part survey that contained (1) eight multiple-choice knowledge questions; (2) three Likert-scale questions regarding clinicians' likelihood of assessing for vulvovaginal atrophy symptoms at a routine (well) visit, confidence in advising patients about symptoms and counseling about therapy; and (3) a 12-item check list of potential barriers to diagnosis and treatment. Analyses were performed using multiple regression. Of the 360 clinicians who were sent an e-mail request, 119 (90 primary care, 29 gynecology) completed the survey (33%). Responders and nonresponders did not differ by age, specialty, or clinician type. The proportion with correct responses to knowledge questions differed between primary care (63%) and gynecology (77%) (adjusted mean difference [AMD] =16, 95% CI [10-22]). Primary care clinicians were less likely than gynecology clinicians to assess for symptoms (AMD = 1.04, 95% CI [0.55-1.52]), and were less confident about t...Continue Reading

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Citations

Jun 6, 2019·Menopause : the Journal of the North American Menopause Society·Tali SaharAhinoam Lev-Sagie
Apr 3, 2019·Menopause : the Journal of the North American Menopause Society·Amanda ClarkKimberly Vesco
Sep 25, 2019·Medicina·Stefania AlvisiMaria Cristina Meriggiola
Jul 30, 2019·Menopause : the Journal of the North American Menopause Society·Amanda ClarkKimberly Vesco
Jul 30, 2019·Menopause : the Journal of the North American Menopause Society·Tali SaharAhinoam Lev-Sagie
Jul 22, 2020·American Journal of Obstetrics and Gynecology·Kimberly K VescoAmanda L Clark
Sep 1, 2021·Journal of Midwifery & Women's Health·Jean M Marino
Sep 2, 2021·Menopause : the Journal of the North American Menopause Society·Amy L EdwardsTina Cartwright

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