Factors affecting shared decision-making concerning menopausal hormone therapy,Annals of the New York Academy of Sciences

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Factors affecting shared decision-making concerning menopausal hormone therapy
Annals of the New York Academy of Sciences ( IF 4.1 ) Pub Date : 2024-07-17 , DOI: 10.1111/nyas.15185
Kanyada Koysombat _{1,

2} , Annice Mukherjee ₃ , Sandhi Nyunt _{1,

2} , Hugo Pedder ₄ , Yana Vinogradova ₅ , Jo Burgin ₆ , Harshida Dave ₇ , Alexander N Comninos _{1,

2} , Vikram Talaulikar ₈ , Julia V Bailey ₉ , Waljit S Dhillo _{1,

2} , Ali Abbara _{1,

2}

Affiliation

Menopausal hormone therapy (MHT) is an effective treatment for menopause-related symptoms. Menopause management guidelines recommend a personalized approach to menopause care, including MHT use. Decision-making around menopause care is a complex, iterative process influenced by multiple factors framed by perspectives from both women and healthcare providers (HCPs). This narrative review aims to summarize evidence around factors affecting decision-making regarding menopause-related care. For HCPs, the provision of individualized risk estimates is challenging in practice given the number of potential benefits and risks to consider, and the complexity of the data available, especially within time-limited consultations. Women seeking menopause care have the difficult task of making sense of the benefit versus risk profiles to make choices in line with their decisional needs influenced by sociocultural/economic, educational, demographic, and personal characteristics. The press, social media, and influential celebrities also impact the perception of menopause and decision-making around it. Understanding these factors can lead to improved participation in shared decision-making, satisfaction with the decision and decision-making process, adherence to treatment, reduced decisional regret, efficient use of resources, and ultimately long-term satisfaction with care.

中文翻译：

影响绝经期激素治疗共同决策的因素

更年期激素疗法（MHT）是治疗更年期相关症状的有效方法。更年期管理指南建议采用个性化的更年期护理方法，包括使用 MHT。围绕更年期护理的决策是一个复杂、反复的过程，受到女性和医疗保健提供者 (HCP) 观点所影响的多种因素的影响。本叙述性综述旨在总结影响更年期相关护理决策的因素的证据。对于 HCP 来说，考虑到需要考虑的潜在利益和风险的数量以及可用数据的复杂性，特别是在有时间限制的咨询中，提供个性化风险评估在实践中具有挑战性。寻求更年期护理的女性面临着一项艰巨的任务，即了解收益与风险状况，以便根据受社会文化/经济、教育、人口和个人特征影响的决策需求做出选择。媒体、社交媒体和有影响力的名人也会影响人们对更年期的看法和相关决策。了解这些因素可以改善对共同决策的参与、对决策和决策过程的满意度、坚持治疗、减少决策后悔、有效利用资源，并最终对护理产生长期满意度。

更新日期：2024-07-17

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