Estrogen and progestin therapy to prevent osteoporosis: attitudes and practices of general internists and gynecologists

Journal of General Internal Medicine
G A GreendaleI Schiff

Abstract

To assess combined hormone therapy (CHT) prescribing patterns, possible impediments to CHT prescribing, and use of endometrial biopsy to monitor therapy. Mailed questionnaire survey. Gynecologists and general internists at two Boston teaching hospitals. Based on a 71% response rate, 72% of internists and 100% of gynecologists reported ever having prescribed CHT. Almost 60% of internists, compared with 8% of gynecologists, reported that over half of their female patients were older than 50 years of age. By logistic regression analysis of the internists' data, female gender of physician (odds ratio 11.0), belief that CHT decreases myocardial infarction risk (odds ratio 3.4), and knowledge of CHT's benefits and risks (odds ratio 2.8) were associated with prescribing. Endometrial biopsy was performed by a majority of physicians only when unexpected vaginal bleeding occurred and in cases of unclear menopausal transition. Physicians who were concerned about litigation were seven times more likely to perform baseline endometrial biopsy. In the authors' sample, as well as nationally, internists are more likely to provide care for menopausal women. Among internists, gender and knowledge are strongly associated with CHT prescribing. Thes...Continue Reading

References

Jan 1, 1989·American Journal of Public Health·D M MakucJ C Kleinman
Nov 1, 1988·American Journal of Public Health·E HemminkiS M McKinlay
Nov 5, 1987·The New England Journal of Medicine·D P KielM A Moskowitz
Oct 9, 1986·The New England Journal of Medicine·M L PadwickM I Whitehead
Feb 1, 1987·American Journal of Obstetrics and Gynecology·C S WeismanT M King
Jan 1, 1985·Social Science & Medicine·C S Weisman, M A Teitelbaum

❮ Previous
Next ❯

Citations

Jun 1, 1997·Journal of Psychosomatic Obstetrics and Gynaecology·E Hemminki, P Topo
Aug 1, 1993·Journal of General Internal Medicine·H WoodA B Nattinger
Jul 1, 1997·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·M Suarez-AlmazorP Davis
Jun 8, 2001·Journal of Women's Health & Gender-based Medicine·S HustonR H Rubin
Aug 19, 2000·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·A E SchneiderR S Phillips
Oct 1, 1994·American Journal of Public Health·N A BickellA T Evans
Dec 29, 2000·Menopause : the Journal of the North American Menopause Society·C G SolomonE W Seely
Jul 1, 1994·Journal of General Internal Medicine·W W LivingstonJ L Zazzali
Jan 29, 1999·Journal of Gerontological Nursing·K A Blair, N White
Apr 1, 1996·Journal of General Internal Medicine·T B SetoR S Phillips

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Vŭtreshni bolesti
T ShipkovM Shishenkov
Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology
T Kurokawa
Journal of the National Medical Association
Annals of Internal Medicine
V W Logan
© 2021 Meta ULC. All rights reserved