OBJECTIVE Menopause symptoms affect quality of life and financial well-being but are often unaddressed in primary care clinics. Therefore, we evaluated the extent of menopause symptom documentation in electronic health records (EHRs) by primary health care professionals. METHODS We retrospectively reviewed adult women who reported moderate or higher vasomotor symptoms on a Mayo Clinic survey conducted from March 1, 2021, through June 30, 2021. We then assessed adequacy of menopause symptom documentation in the EHRs of these women who had primary care visits during the survey period. We reviewed the percentage of documented vasomotor symptoms from May 1, 2019, through May 1, 2021. RESULTS In the Mayo Clinic Health System-Northwest Wisconsin Region, 229 women self-reported moderate or higher vasomotor symptoms in the Mayo Clinic survey. Although only 23% of these women had vasomotor symptoms listed in the EHR clinical problem lists, 60% of these women had vasomotor symptoms documented in their clinic notes from the primary care visit. Approximately 6% of women reported hormone therapy use for management of menopause symptoms, and nearly 15% reported use of nonhormone prescription therapies for vasomotor symptoms. CONCLUSIONS A greater proportion of women in our study had EHR documentation of bothersome menopause symptoms than those reported in other studies, but vasomotor symptoms remain generally untreated. We need better methods for identifying midlife women with bothersome menopause symptoms in primary care clinics so that appropriate treatment options, including hormone therapy, can be discussed and offered.

中文翻译：

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在初级保健环境中解决更年期症状：弥合护理服务差距的机会。


目的 更年期症状会影响生活质量和财务状况，但在初级保健诊所中往往得不到解决。因此，我们评估了初级卫生保健专业人员在电子健康记录 （EHR） 中记录更年期症状的程度。方法 我们回顾性回顾了 2021 年 3 月 1 日至 2021 年 6 月 30 日进行的梅奥诊所调查中报告中度或重度血管舒缩症状的成年女性。然后，我们评估了在调查期间进行初级保健就诊的这些女性的 EHR 中更年期症状记录的充分性。我们回顾了 2019 年 5 月 1 日至 2021 年 5 月 1 日记录的血管舒缩症状的百分比。结果在梅奥区域医疗系统-威斯康星州西北部地区，229 名女性在梅奥诊所的调查中自我报告了中度或高度血管舒缩症状。尽管这些女性中只有 23% 有 EHR 临床问题列表中列出的血管舒缩症状，但这些女性中有 60% 在初级保健就诊的临床记录中记录了血管舒缩症状。大约 6% 的女性报告使用激素疗法来控制更年期症状，近 15% 的女性报告使用非激素处方疗法治疗血管舒缩症状。结论 与其他研究中报告的女性相比，我们研究中更大比例的女性有令人烦恼的更年期症状的 EHR 记录，但血管舒缩症状通常仍未得到治疗。我们需要更好的方法在初级保健诊所识别具有令人烦恼的更年期症状的中年妇女，以便讨论和提供适当的治疗方案，包括激素治疗。