Cargando…

Confidence in Women’s Health: A Cross Border Survey of Adult Nephrologists

A range of women’s health issues are intimately related to chronic kidney disease, yet nephrologists’ confidence in counseling or managing these issues has not been evaluated. The women’s health working group of Cure Glomerulonephropathy (CureGN), an international prospective cohort study of glomeru...

Descripción completa

Detalles Bibliográficos
Autores principales: Hendren, Elizabeth M., Reynolds, Monica L., Mariani, Laura H., Zee, Jarcy, O’Shaughnessy, Michelle M., Oliverio, Andrea L., Moore, Nicholas W., Hill-Callahan, Peg, Rizk, Dana V., Almanni, Salem, Twombley, Katherine E., Herreshoff, Emily, Nester, Carla M., Hladunewich, Michelle A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406323/
https://www.ncbi.nlm.nih.gov/pubmed/30717445
http://dx.doi.org/10.3390/jcm8020176
_version_ 1783401274772815872
author Hendren, Elizabeth M.
Reynolds, Monica L.
Mariani, Laura H.
Zee, Jarcy
O’Shaughnessy, Michelle M.
Oliverio, Andrea L.
Moore, Nicholas W.
Hill-Callahan, Peg
Rizk, Dana V.
Almanni, Salem
Twombley, Katherine E.
Herreshoff, Emily
Nester, Carla M.
Hladunewich, Michelle A.
author_facet Hendren, Elizabeth M.
Reynolds, Monica L.
Mariani, Laura H.
Zee, Jarcy
O’Shaughnessy, Michelle M.
Oliverio, Andrea L.
Moore, Nicholas W.
Hill-Callahan, Peg
Rizk, Dana V.
Almanni, Salem
Twombley, Katherine E.
Herreshoff, Emily
Nester, Carla M.
Hladunewich, Michelle A.
author_sort Hendren, Elizabeth M.
collection PubMed
description A range of women’s health issues are intimately related to chronic kidney disease, yet nephrologists’ confidence in counseling or managing these issues has not been evaluated. The women’s health working group of Cure Glomerulonephropathy (CureGN), an international prospective cohort study of glomerular disease, sought to assess adult nephrologists’ training in, exposure to, and confidence in managing women’s health. A 25-item electronic questionnaire was disseminated in the United States (US) and Canada via CureGN and Canadian Society of Nephrology email networks and the American Society of Nephrology Kidney News. Response frequencies were summarized using descriptive statistics. Responses were compared across provider age, gender, country of practice, and years in practice using Pearson’s chi-squared test or Fisher’s exact test. Among 154 respondents, 53% were women, 58% practiced in the US, 77% practiced in an academic setting, and the median age was 41–45 years. Over 65% of respondents lacked confidence in women’s health issues, including menstrual disorders, preconception counseling, pregnancy management, and menopause. Most provided contraception or preconception counseling to less than one woman per month, on average. Only 12% had access to interdisciplinary pregnancy clinics. Finally, 89% felt that interdisciplinary guidelines and/or continuing education seminars would improve knowledge. Participants lacked confidence in both counseling and managing women’s health. Innovative approaches are warranted to improve the care of women with kidney disease and might include the expansion of interdisciplinary clinics, the development of case-based teaching materials, and interdisciplinary treatment guidelines focused on this patient group.
format Online
Article
Text
id pubmed-6406323
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-64063232019-03-22 Confidence in Women’s Health: A Cross Border Survey of Adult Nephrologists Hendren, Elizabeth M. Reynolds, Monica L. Mariani, Laura H. Zee, Jarcy O’Shaughnessy, Michelle M. Oliverio, Andrea L. Moore, Nicholas W. Hill-Callahan, Peg Rizk, Dana V. Almanni, Salem Twombley, Katherine E. Herreshoff, Emily Nester, Carla M. Hladunewich, Michelle A. J Clin Med Article A range of women’s health issues are intimately related to chronic kidney disease, yet nephrologists’ confidence in counseling or managing these issues has not been evaluated. The women’s health working group of Cure Glomerulonephropathy (CureGN), an international prospective cohort study of glomerular disease, sought to assess adult nephrologists’ training in, exposure to, and confidence in managing women’s health. A 25-item electronic questionnaire was disseminated in the United States (US) and Canada via CureGN and Canadian Society of Nephrology email networks and the American Society of Nephrology Kidney News. Response frequencies were summarized using descriptive statistics. Responses were compared across provider age, gender, country of practice, and years in practice using Pearson’s chi-squared test or Fisher’s exact test. Among 154 respondents, 53% were women, 58% practiced in the US, 77% practiced in an academic setting, and the median age was 41–45 years. Over 65% of respondents lacked confidence in women’s health issues, including menstrual disorders, preconception counseling, pregnancy management, and menopause. Most provided contraception or preconception counseling to less than one woman per month, on average. Only 12% had access to interdisciplinary pregnancy clinics. Finally, 89% felt that interdisciplinary guidelines and/or continuing education seminars would improve knowledge. Participants lacked confidence in both counseling and managing women’s health. Innovative approaches are warranted to improve the care of women with kidney disease and might include the expansion of interdisciplinary clinics, the development of case-based teaching materials, and interdisciplinary treatment guidelines focused on this patient group. MDPI 2019-02-03 /pmc/articles/PMC6406323/ /pubmed/30717445 http://dx.doi.org/10.3390/jcm8020176 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hendren, Elizabeth M.
Reynolds, Monica L.
Mariani, Laura H.
Zee, Jarcy
O’Shaughnessy, Michelle M.
Oliverio, Andrea L.
Moore, Nicholas W.
Hill-Callahan, Peg
Rizk, Dana V.
Almanni, Salem
Twombley, Katherine E.
Herreshoff, Emily
Nester, Carla M.
Hladunewich, Michelle A.
Confidence in Women’s Health: A Cross Border Survey of Adult Nephrologists
title Confidence in Women’s Health: A Cross Border Survey of Adult Nephrologists
title_full Confidence in Women’s Health: A Cross Border Survey of Adult Nephrologists
title_fullStr Confidence in Women’s Health: A Cross Border Survey of Adult Nephrologists
title_full_unstemmed Confidence in Women’s Health: A Cross Border Survey of Adult Nephrologists
title_short Confidence in Women’s Health: A Cross Border Survey of Adult Nephrologists
title_sort confidence in women’s health: a cross border survey of adult nephrologists
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406323/
https://www.ncbi.nlm.nih.gov/pubmed/30717445
http://dx.doi.org/10.3390/jcm8020176
work_keys_str_mv AT hendrenelizabethm confidenceinwomenshealthacrossbordersurveyofadultnephrologists
AT reynoldsmonical confidenceinwomenshealthacrossbordersurveyofadultnephrologists
AT marianilaurah confidenceinwomenshealthacrossbordersurveyofadultnephrologists
AT zeejarcy confidenceinwomenshealthacrossbordersurveyofadultnephrologists
AT oshaughnessymichellem confidenceinwomenshealthacrossbordersurveyofadultnephrologists
AT oliverioandreal confidenceinwomenshealthacrossbordersurveyofadultnephrologists
AT moorenicholasw confidenceinwomenshealthacrossbordersurveyofadultnephrologists
AT hillcallahanpeg confidenceinwomenshealthacrossbordersurveyofadultnephrologists
AT rizkdanav confidenceinwomenshealthacrossbordersurveyofadultnephrologists
AT almannisalem confidenceinwomenshealthacrossbordersurveyofadultnephrologists
AT twombleykatherinee confidenceinwomenshealthacrossbordersurveyofadultnephrologists
AT herreshoffemily confidenceinwomenshealthacrossbordersurveyofadultnephrologists
AT nestercarlam confidenceinwomenshealthacrossbordersurveyofadultnephrologists
AT hladunewichmichellea confidenceinwomenshealthacrossbordersurveyofadultnephrologists