Hormone Replacement Therapy (HRT)

Paper Summary:

This study examines the impact of the WHI as it relates to the prescription practices of physicians who have menopausal patients. The research explores such factors as the knowledge of the physicians as it pertains to the results of the WHI, years of practice, location of practice and the gender of the physicians. The paper hypothesizez that there will be some correlation between number of years in practice and the manner in which the results of the WHI are interpreted. Such a correlation is expected because a great deal of the existing research on this subject suggests that there is a correlation between these variables. The paper includes several long quotations, letters to physicians and the questionnaire.

Table of Contents:
Introduction
Background of the Problem
Statement of the Problem
Purpose of the Study
Definitions of Terms...
Limitations of the Study
Review of the Literature
What is Menopause
Women's Health Initiative (WHI)
Hormone Therapy
Post-menopausal Use of Hormone Therapy
Potentially Harmful Effects of PHT
Impact of WHI on Physicians Prescribing HRT
Impact of WHI on Women using HRT
Alternatives for HRT.
Conclusion
Methodology
Overview of the Proposed Study
Research Methods
Subjects
Materials
Proposed Data Analysis
Appendixes
American Society of Reproductive Medicine Recommended Practice Guidelines for Hormone Therapy
Introductory Letters
Physician Survey on Hormone Therapy
Questionnaire in Prescribing Attitudes if Physicians for Hormone Therapy

From the Paper:

"The primary limitation of the study is the response rate which was only 30%; although this type of response rate is consistent with a one-time physician survey. In addition the authors reiterate the idea that only one survey was sent so that the results of the survey would not be biased. The respondents were demographically comparable to non-respondents and the overall population of U.S. physicians. In addition the correlation between specialty and attitude was not restricted by gender, age, or region. Furthermore, worst-case assumptions in a sensitivity analysis did not alter the results of the evaluation."

Sample of Sources Used:

• Bad News About Hormone Replacement Therapy, 2002. Retrieved January 25, 2007 from;http://www.health.mcw.edu/article/1025191125.html
• Brett A., Carney P., McKeown R.E. (2005) Brief Report: Attitudes Toward Hormone Therapy After the Women's Health Initiative: Comparison of Internists and Gynecologists. Journal of General Internal Medicine. 20(5): 416-418.
• Caution Issued on Hormone Replacement Therapy.(2001) FDA Consumer. 35. (5). P 7.
• Krieger, N., Lo wy, I., Aronowitz, R. et al (2005). Hormone replacement therapy, cancer, controversies, and women's health: historical, epidemiological, biological, clinical, and advocacy perspectives. Journal of Epidemiology and Community Health. 59;pp 740-748
• Power, M.L., Shulkin J., Rossouw J. (2007) Evolving Practice Patterns and attitudes towards hormone therapy. Menp[ause: The Journal of the North American Menopause Society. Vol. 14 (1) pp. 20-28.

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