Barbra Streisand Women's Heart Center, Smidt Heart Institute, Cedars Sinai Medical Center, Los Angeles, CA.
Cancer J. 2022;28(3):191-195. doi: 10.1097/PPO.0000000000000594.
The burden of untreated menopause symptoms in midlife women is substantial and can result in reduced quality of life as well as lost work productivity, lost opportunities for advancement at work, and increased health care costs. Unfortunately, the health care system is largely unprepared to help women manage these symptoms, which have a mean duration of 7 to 9 years. Hormone therapy usage rates have plummeted following publication of the results of the Women's Health Initiative trials due to safety concerns. In addition, postgraduate medical training programs include minimal to no training on menopause management. These and other factors have contributed to what is essentially a menopause management vacuum. This vacuum created a market opportunity, particularly given the fact that midlife women are potent drivers of the global economy. In this review, we outline the menopause management gaps and discuss a multipronged approach to close these gaps and improve the care of midlife women.
绝经相关症状未得到治疗会给中年女性带来沉重负担，不仅降低生活质量，还会导致工作生产力下降、错失工作晋升机会、增加医疗保健费用。遗憾的是，医疗体系在很大程度上还没有准备好帮助女性管理这些症状，这些症状的平均持续时间为 7 至 9 年。由于安全性问题，妇女健康倡议试验结果公布后，激素治疗使用率大幅下降。此外，研究生医学培训计划中几乎没有或没有关于更年期管理的培训。这些因素和其他因素共同导致了更年期管理的真空状态。这一真空状态创造了一个市场机会，尤其是考虑到中年女性是全球经济的主要推动力。在这篇综述中，我们概述了更年期管理的差距，并讨论了一种多管齐下的方法来缩小这些差距，改善中年女性的护理。
