Journal article
Confidence in Women’s Health: A Cross Border Survey of Adult Nephrologists
Journal of clinical medicine, Vol.8(2), p.176
02/03/2019
DOI: 10.3390/jcm8020176
PMCID: PMC6406323
PMID: 30717445
Abstract
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.
Details
- Title: Subtitle
- Confidence in Women’s Health: A Cross Border Survey of Adult Nephrologists
- Creators
- Elizabeth M. Hendren - Sunnybrook Health Science CentreMonica L. Reynolds - University of North Carolina at Chapel HillLaura H. Mariani - University of MichiganJarcy Zee - Arbor Research Collaborative for HealthMichelle M. O’Shaughnessy - Stanford UniversityAndrea L. Oliverio - University of MichiganNicholas W. Moore - Arbor Research Collaborative for HealthPeg Hill-Callahan - Arbor Research Collaborative for HealthDana V. Rizk - University of Alabama at BirminghamSalem Almanni - The Ohio State University Wexner Medical CenterKatherine E. Twombley - Medical University of South CarolinaEmily Herreshoff - University of MichiganCarla M. Nester - University of IowaMichelle A. Hladunewich - Sunnybrook Health Science Centre
- Resource Type
- Journal article
- Publication Details
- Journal of clinical medicine, Vol.8(2), p.176
- DOI
- 10.3390/jcm8020176
- PMID
- 30717445
- PMCID
- PMC6406323
- NLM abbreviation
- J Clin Med
- ISSN
- 2077-0383
- eISSN
- 2077-0383
- Publisher
- MDPI
- Grant note
- DOI: 10.13039/100000062, name: National Institute of Diabetes and Digestive and Kidney Diseases, award: UM1DK100845, UM1DK100846, UM1DK100876, UM1DK100866, and UM1DK100867
- Language
- English
- Date published
- 02/03/2019
- Academic Unit
- Nephrology, Dialysis and Transplantation; Stead Family Department of Pediatrics; Internal Medicine
- Record Identifier
- 9984353936002771
Metrics
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