Sydora Beate C, Yuksel Nese, Veltri Nicole L, Marillier Justin, Sydora Christoph P, Yaskina Maryna, Battochio Lori, Shandro Tami M L, Ross Sue
Department of Obstetrics and Gynecology, Faculty of Medicine and Dentistry.
Women and Children's Health Research Institute, University of Alberta.
Menopause. 2018 Jan;25(1):102-105. doi: 10.1097/GME.0000000000000942.
The goal of this study was to describe the characteristics, menopause symptoms, and treatment progressions in women cared for at an interdisciplinary menopause clinic.
We conducted a retrospective review of patient charts from women attending a multidisciplinary menopause clinic. Data collected from the charts included patient demographics, menopause symptoms, other concurrent medical conditions, and treatment recommendations. Data were entered into Research Electronic Data Capture database and analyzed descriptively. Generic symptom severity questionnaires were used to compare severity scores from initial to follow-up visits.
Among the 198 women (mean age 52.1 y [±SD 6.3], 63.6% postmenopausal), the most common moderate/severe menopause symptoms were as follows: difficulty staying asleep or waking frequently (76.3%), tiredness (73.7%), and lack of interest in sex (60.1%). Women tended to have complex chronic medical conditions, with 54.5% suffering from four or more concurrent medical conditions. The majority of women (70.2%) were recommended various forms of hormone therapy. Women with a follow-up visit at 3 to 4 months reported a reduction in symptom severity.
Our study addresses a gap in published information on patient characteristics and treatment in menopause-specific interdisciplinary clinics. The chart review highlights the variety of symptom experience and complexity of care faced in a menopause clinic. Rigorous prospective studies including standardized data collection and follow-up are needed to help guide clinicians in managing complex menopause patients.
本研究旨在描述在一家跨学科更年期诊所接受治疗的女性的特征、更年期症状及治疗进展。
我们对在一家多学科更年期诊所就诊的女性患者病历进行了回顾性分析。从病历中收集的数据包括患者人口统计学信息、更年期症状、其他并发疾病以及治疗建议。数据录入研究电子数据采集数据库并进行描述性分析。使用通用症状严重程度问卷比较初诊和复诊时的严重程度评分。
在198名女性（平均年龄52.1岁[±标准差6.3]，63.6%已绝经）中，最常见的中度/重度更年期症状如下：难以入睡或频繁醒来（76.3%）、疲倦（73.7%）以及对性生活缺乏兴趣（60.1%）。女性往往患有复杂的慢性疾病，54.5%的女性患有四种或更多种并发疾病。大多数女性（70.2%）被建议采用各种形式的激素治疗。在3至4个月时进行复诊的女性报告症状严重程度有所降低。
我们的研究填补了已发表的关于更年期特异性跨学科诊所患者特征及治疗信息方面的空白。病历回顾凸显了更年期诊所中症状体验的多样性以及护理的复杂性。需要开展包括标准化数据收集和随访在内的严格前瞻性研究，以帮助指导临床医生管理复杂的更年期患者。
