医生与患者对更年期相关症状负担的协调:来自美国和欧洲的现实世界的证据

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Sheryl Kingsberg¹, Rossella E Nappi^2,3, Megan Scott⁴

¹University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA.

Climacteric : the journal of the International Menopause Society

|October 14, 2024

概括

医生经常低估了更年期血管运动症状 (VMS) 和相关影响的严重程度. 这项研究发现患者和医生之间存在轻微至中度的对齐,这表明需要更好地沟通关于VMS和其他更年期症状.

科学领域:

更年期研究研究更年期研究.
瘤学支持性护理支持性护理
患者与医生之间的沟通

背景情况:

血管运动症状 (VMS) 显著影响自然更年期或乳腺癌内分泌治疗的妇女的生活质量.
准确评估VMS严重程度和相关症状对于有效管理至关重要.
患者和医生之间症状感知上的差异可能导致低于最佳的护理.

研究的目的:

评估医生和患者对更年期症状负担和影响的评估之间的一致性.
为了比较自然VMS (nVMS) 与内分泌疗法 (iVMS) 诱导的VMS中的症状感知.

主要方法:

一项涉及美国和欧洲1029个医生-病人对的横截面调查.
医生和患者报告了VMS和其他更年期症状.
权衡的科恩卡帕分析评估了医生和患者反应之间的一致性.

主要成果:

在VMS严重程度方面观察到轻微的一致性 (nVMS κ=0.1364; iVMS κ=0.1014).
在28.1% (nVMS) 和29.6% (iVMS) 的病例中,患者报告的VMS比医生更严重.
医生报告的非VMS症状不足,例如睡眠障碍,认知困难和情绪变化.

结论:

关于更年期症状的医生和患者对齐是有限的,医生经常低估症状严重程度.
需要改进的沟通策略,以弥合VMS和相关的更年期症状的感知差距.
解决报告不足的症状可以提高患者的护理和生活质量.

关键词:

更年期绝经绝经更年期特定的生活质量 (MENQOL) 调查问卷.乳腺癌乳腺癌乳腺癌内分泌疗法是一种内分泌疗法.诱导的更年期患者医生对齐的调整现实世界的证据.症状负担症状负担血管运动的症状.

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