在初级保健中看到的男性和女性患者之间的性功能障碍管理差距:一项观察性研究
Elizabeth E Stanley1, Elizabeth Pfoh2, Laura Lipold3
1Cleveland Clinic Lerner College of Medicine, Cleveland, USA. stanlee2@ccf.org.
Journal of general internal medicine
|September 4, 2024
概括
由初级保健医生 (PCP) 诊断的女性性功能障碍 (FSD) 患者接受的治疗比由专家诊断的患者少. 经过PCP诊断的勃起功能障碍 (ED) 患者得到了更多的治疗,突出了女性的护理差距.
科学领域:
- 生殖医学 生殖医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 一般医学 一般医学.
背景情况:
- 女性性功能障碍 (FSD) 影响了12%的美国女性,但初级保健医生 (PCP) 觉得没有准备好处理它.
- 勃起功能障碍 (ED) 通常在初级保健中得到管理,与FSD形成鲜明对比.
- 在初级保健机构中,性功能障碍的诊断和治疗存在显著差异.
研究的目的:
- 为了比较FSD和ED在初级保健中的诊断和管理模式.
- 确定影响医生治疗性功能障碍的因素.
- 为了评估FSD与ED在初级保健中的护理质量.
主要方法:
- 在2016-2022年期间被诊断患有FSD或ED的初级保健患者的回顾性观察研究.
- 对性功能障碍管理的分析,包括转诊和指南一致的药物处方.
- 多变量后勤回归模型根据医生专业和患者特征评估了管理的几率.
主要成果:
- 与ED患者 (n=16,591) (41%) 相比,FSD患者 (n=6540) 的治疗频率较低 (33%).
- PCP诊断与FSD管理的几率较低 (aOR0.59),但ED的几率较高 (aOR1.52).
- 大多数管理的患者接受了药物治疗 (96%的FSD,97%的ED).
结论:
- 患有FSD的初级保健患者在PCP诊断时,相比于妇产科医生,接受治疗的可能性较低.
- 调查结果显示,女性性功能障碍的护理质量存在重大差距.
- 管理方面的差异表明需要改善PCP培训和支持FSD治疗.
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