Attitudes and practices about postmenopausal hormone therapy among female gynecologists in Brazil

Filho, Alberto Soares Pereira; Soares, José Maria; Arkader, Jacob; Maciel, Gustavo Arantes Rosa; Baracat, Edmund Chada

doi:10.1016/j.maturitas.2004.06.018

Cited by 8 publications

(7 citation statements)

References 27 publications

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“…There was good (κ = 0.64) agreement between MFT and YCT on choosing the final 77 applicable full-text studies for potential inclusion. Of these studies, 40 were excluded for various reasons, leaving 37 studies [5], [7], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45], [46], [47], [48], [49], [50], [51], [52], [53], [54], [55], [56], [57], [58], [59], [60], [61], [62] included in our analyses (See figure 1). …”

Section: Resultsmentioning

confidence: 99%

“…We included eleven qualitative studies [40], [53], [54], [55], [56], [57], [58], [59], [60], [61], [62] and 27 quantitative studies [7], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45], [46], [47], [48], [49], [50], [51], [52], [63], reporting 31 independent studies. One study [40] included both qualitative and quantitative study.…”

Section: Resultsmentioning

confidence: 99%

“…Studies were completed in Asia [7], [28], [29], [35], [48], [51], [63], Europe [7], [32], [34], [36], [38], [39], [43], [44], [45], [46], [49], North America [7], [30], [31], [37], [41], [42], [50], [52], South America [33], Latin America [7], Oceania [47] and the Middle East [40].…”

Section: Resultsmentioning

confidence: 99%

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Knowledge, Perceptions and Information about Hormone Therapy (HT) among Menopausal Women: A Systematic Review and Meta-Synthesis

et al. 2011

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BackgroundThe use of hormone therapy (HT) by menopausal women has declined since the Women's Health Initiative randomized trial (WHI) in 2002 demonstrated important harms associated with long-term use. However, how this information has influenced women's knowledge and attitudes is uncertain. We aimed to evaluate the attitudes and perceptions towards HT use, as well as specific concerns and information sources on HT since the WHI trial.Method/ResultsWe did a systematic review to assess the attitudes and knowledge towards HT in women, and estimate the magnitude of the issue by pooling across the studies. Using meta-synthesis methods, we reviewed qualitative studies and surveys and performed content analysis on the study reports. We pooled quantitative studies using a random-effects meta-analysis. We analyzed 11 qualitative studies (n = 566) and 27 quantitative studies (n = 39251). Positive views on HT included climacteric symptom control, prevention of osteoporosis and a perceived improvement in quality of life. Negative factors reported included concerns about potential harmful effects, particularly cancer risks. Sources of information included health providers, media, and social contact. By applying a meta-synthesis approach we demonstrate that these findings are broadly applicable across large groups of patients.ConclusionsAlthough there are clear hazards associated with long-term HT use, many women view HT favorably for climacteric symptom relief. Media, as a source of information, is often valued as equivalent to health providers.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Knowledge, Perceptions and Information about Hormone Therapy (HT) among Menopausal Women: A Systematic Review and Meta-Synthesis

et al. 2011

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“…48 One study showed that the frequency of ever use of HT by postmenopausal gynecologists was high prior to the WHI report (71.4%), a fact that may have influenced prescription. 49 After that, the vast majority of male and female specialists in this area admitted being aware of the WHI results (95.9%), and although 84.6% stated that those results could not be extrapolated to forms of HT other than those evaluated in the study, a significant decrease in prescription was self-reported. 50 Another finding of the ELSA-Brasil study was the inappropriate use of thyroxine by more educated women and those with higher incomes 51 and of benzodiazepines by those with health insurance, 52 and this would appear to support this interpretation of the results and indicate the need for further studies on the quality of the private medical care often used by the more privileged socioeconomic classes in Brazil.…”

Section: Discussionmentioning

confidence: 89%

Postmenopausal hormone therapy in the Brazilian Longitudinal Study of Adult Health (ELSA‐Brasil): who still uses it?

Aquino

Almeida

Menezes

et al. 2016

Pharmacoepidemiology and Drug

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“…Brazilian gynecologists very frequently self-prescribe HT 22 and this high rate of personal use may be related to the extensive knowledge of the intervention studies mentioned.…”

Section: Discussionmentioning

confidence: 99%

Conhecimento, atitude e pratica dos ginecologistas sobre terapia hormonal em mulheres na pos-menopausa apos a publicação do Womes's Health Initiative

Lazar¹

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Dedico este trabalho... À minha esposa Maria Cristina, pelo constante carinho com que envolve e protege todos os quatro homens de sua vida. Aos meus três filhos, Felippe, Fernando e Flavio (Pi, Fê e Fla), pela inocente percepção de que na vida nunca paramos de estudar e aprender. A alguém que considero como a um filho e em quem deposito muita expectativa, meu sobrinho Victor. Ao meu irmão Frederico por estar sempre ao meu lado, quase sempre mais preocupado comigo do que com si próprio. À minha irmã Heloisa (in memorian), pelo exemplo de vida que deixou ao enfrentar com coragem um inimigo invencível sem nunca sequer balbuciar um lamento nem tampouco esboçar um único sinal de fraqueza. vi Quanto mais o tempo passa, mais difícil defini-la em palavras. Meu reflexo, complemento, extensão... Por conhecê-la tão bem, sei que não serão com palavras que vou agradecê-la. Talvez baste um simples olhar Obrigado Suely Carvalho, por estar ao meu lado em todas as minhas realizações como Médico Às vezes você abusa no exercício de uma das qualidades mais nobres do ser humano, Ser Prestativo Muitas vezes, coloca a ajuda aos outros à frente de seus próprios interesses. Obrigado, Estevão Valpereiro. Sorte das pessoas que como eu desfrutam de seu convívio e amizade vii À minha orientadora Prof a. Dr a. Lucia Helena Simões da Costa Paiva, Não poderia deixar de agradecê-la pela inestimável colaboração na realização deste estudo. Mais importante que os títulos de Mestre e Doutor, a convivência ao longo dos últimos sete anos me fez aprender o verdadeiro sentido das palavras honestidade, integridade e obstinação viii Agradecimentos Sirlei Siani de Morais, primeiro pensei em agradecê-la pela valiosa ajuda, paciência e eficiência na realização da estatística deste trabalho. Hoje, apesar da pequena convivência, confesso que diante da "pessoa", os números tornaram-se secundários.

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Attitudes and practices about postmenopausal hormone therapy among female gynecologists in Brazil

Cited by 8 publications

References 27 publications

Knowledge, Perceptions and Information about Hormone Therapy (HT) among Menopausal Women: A Systematic Review and Meta-Synthesis

Knowledge, Perceptions and Information about Hormone Therapy (HT) among Menopausal Women: A Systematic Review and Meta-Synthesis

Postmenopausal hormone therapy in the Brazilian Longitudinal Study of Adult Health (ELSA‐Brasil): who still uses it?

Conhecimento, atitude e pratica dos ginecologistas sobre terapia hormonal em mulheres na pos-menopausa apos a publicação do Womes's Health Initiative

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