Knowledge, attitude and prescription practice of menopausal hormone replacement therapy by doctors in UITH, Ilorin Nigeria.
Keywords:
Menopause, hormone replacement therapy, doctorsAbstract
Objective: This study aimed to evaluate the knowledge, attitude and prescription practice of menopausalHRT (mHRT) by doctors in UITH, Ilorin.
Method: All consenting doctors in O&G, Internal Medicine, Family Medicine, Public Health and Interns at the UITH completed a structured questionnaire. SPSS software version 22 was used for analysis. Associations between categorical variables were tested using the chi-square (÷2) while the student-t test was used for the continuous variables (p <0.05).
Results: Eighty doctors, 56 males and 24 females responded. Majority (63.8%) rated their knowledge of mHRT average; (17.5%) believed they had good knowledge, while (18.7%) had poor knowledge. Gynaecologists had the highest mHRT Knowledge Score (72.4) while public health doctors had the lowest (33.7), (83.7%) had no formal training on the use of mHRT. Fifty-five percent did not think menopause should be treated. Just 25% prescribed mHRT where 58.8% had no reason for not prescribing. Only 18.8% had ever referred menopause patients to specialists. Forty percent use alternative therapies for menopausal symptoms, majorly vitamins and herbs.
Conclusion: The knowledge, attitude and prescription practice of the studied doctors was poor. Trainings are still needed in this area.
References
The North American Menopause Society. Menopause – Clinical Care Recommendations (Internet). 2015 (Cited 2015 Oct 20).
Available from:
http://www.menopause.org/publications/clinica l-care-recommendations/chapter-1menopauseEstrogen
Hamid S, Al-Ghufli F R, Raessi H A, Al Dhufairi K M, Al-Dhaheri N S, Al-Maskari F et al. Women's knowledge, attitude and practice towards menopause and hormone replacement therapy: a facility-based study in Al-ain, United Arab Emirates. J Ayub Med Coll Abbottabad 2014;26(4):448-54.
Writing group for the Women's Health Initiative Investigators. Risks and benefits of Estrogen and Progestin in healthy postmenopausal women. Principal results from the Women's Health Initiative randomized controlled trial. JAMA 2002;288,3:321-33.
Rossouw JE, Prentice RL, Manson JE, Wu L, Barad D, Barnabei VM et al. Postmenopausal hormone therapy and the risk of cardiovascular disease by age and years since menopause. JAMA. 2007;297(13):1465-77.
Hill DA, Hill SR. Counselling patients about hormone therapy and alternatives for m e n o p a u s a l s y m p t o m s . A m F a m
Physician.2010;82(7):801-7.
Shafi S, Samad Z, Syed S, Sharif A, Khan MAU, Nehal US et al. Hormone replacement therapy menopause with a better future – a survey of views on hormone replacement therapy (HRT). JPMA 2001;51:450-5.
Nkwo P. Treatment Preferences And Awareness Of HRT Among Nigerian Menopausal Women. The internat J of Geriatrics and Gerontology 2009; 6 (1): 1. 2009;5.
Ande AB, Omu OP, Ande OO, Olagbuji NB. Features and perceptions of menopausal women in Benin City, Nigeria. Annals of African Medicine 2011;10(4):300-4.
Roberts PJ, Sibbald B. Hormone replacement therapy: the views of general practitioners and practice nurses. British Journal of General Practice 2000;50:986-91.
National Population Commission, Nigeria. POPULATION DISTRIBUTION BY SEX,
STATE, LGAS AND SENATORIAL
DISTRICT: 2006 CENSUS PRIORITY
TABLES, VOL 3 (Internet) 2006. (Cited 2015 Nov 1).
A v a i l a b l e a t :
http://www.population.gov.ng/index.php/public ations/140-population-distribution-by-sexstate-lgas-and-senatorial-district-2006-censuspriority-tables-vol-3.
Mueller KA, Sanchez GJ, Sievert LL. Sources of information and HRT prescribing practices among gynecologists in Puebla, Mexico. Maturitas. 2003 Jun 30;45(2):137-44.
Pereira Filho AS, Júnior JM, Arkader J, Maciel GA, Baracat EC. Attitudes and practices about postmenopausal hormone therapy among female gynecologists in Brazil. Maturitas. 2005 Jun 16;51(2):146-53..
Elinson L, Cohen MM, Elmslie T. Hormone replacement therapy: a survey of Ontario physicians' prescribing practices. Cmaj. 1999 Sep 21;161(6):695-8.
IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp
Al-Eassa AA, Al-Fadel AM, Al-Ajmi MA, AlNajjar AA, Makboul GM, Elshazly M.
Knowledge and attitude of primary care doctors towards management of postmenopausal symptoms. Alexandria Journal of Medicine. 2012;48(2).
Manson, J.E., Chlebowski, D.R.T., Stefanick,
M.L., Aragaki, M.A.K., Rossouw, J.E., Prentice, R.L., Anderson, G., Howard, B.V., Thomson, C.A., LaCroix, A.Z. and Wactawski-Wende, J., 2013. The Women's Health Initiative hormone therapy trials: update and overview of health outcomes during the intervention and poststopping phases. JAMA: the journal of the American Medical Association, 310(13), p.1353.
Manson JE, Aragaki AK, Rossouw JE, Anderson
GL, Prentice RL, LaCroix AZ, Chlebowski RT,
Howard BV, Thomson CA, Margolis KL, Lewis CE. Menopausal hormone therapy and long-term all-cause and cause-specific mortality: the Women's Health Initiative randomized trials. Jama. 2017 Sep 12;318(10):927-38.
Manson JE, Chlebowski RT, Stefanick ML, Aragaki AK, Rossouw JE, Prentice RL, Anderson G, Howard BV, Thomson CA, LaCroix AZ, Wactawski-Wende J. Menopausal hormone therapy and health outcomes during the intervention and extended poststopping phases of the Women's Health Initiative randomized trials. Jama. 2013 Oct 2;310(13):1353-68.
Mueller KA, Sanchez GJ, Sievert LL. Sources of information and HRT prescribing practices among gynecologists in Puebla, Mexico. Maturitas. 2003 Jun 30;45(2):137-44.
Birkhäuser MH, Reinecke I. Current trends in hormone replacement therapy: perceptions and usage. Climacteric. 2008 Jan 1;11(3):192-200.
Nkwo PO. Suboptimal management of severe menopausal symptoms by Nigerian
Gynaecologists: a call for mandatory continuing medical education for physicians. BMC women's health. 2009 Dec;9(1):30.
Day A. Lessons from the Women's Health
Initiative: primary prevention and gender health. Cmaj. 2002 Aug 20;167(4):361-2.
Stefanick ML, Cochrane BB, Hsia J, Barad DH, Liu JH, Johnson SR. The Women's Health Initiative postmenopausal hormone trials: overview and baseline characteristics of participants. Annals of epidemiology. 2003 Oct;13(9 Suppl):S78.
Kaplan B, Aschkenazi-Steinberg S, Yogev Y, Nahum R, Sulkes J, Phisher M. Gynecologists' trends and attitudes toward prescribing hormone replacement therapy during menopause. Menopause. 2002 Sep 1;9(5):354-9.
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