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How do Japanese gynecologists view hormone replacement therapy for survivors of endometrial cancer? Japanese Gynecologic Oncology Group (JGOG) survey.

Authors :
Yokoyama, Yoshihito
Ito, Kiyoshi
Takamatsu, Kiyoshi
Takehara, Kazuhiro
Nakanishi, Toru
Harano, Kenichi
Watari, Hidemichi
Susumu, Nobuyuki
Aoki, Daisuke
Saito, Toshiaki
Source :
International Journal of Clinical Oncology; Oct2015, Vol. 20 Issue 5, p997-1004, 8p
Publication Year :
2015

Abstract

Background: This survey sought to determine Japanese gynecologists' attitudes concerning administering hormone replacement therapy (HRT) for patients after surgery for endometrial cancer (EC). Methods: Eight hundred and eighty-eight members of the Japanese Gynecologic Oncology Group (JGOG) were asked to respond to an anonymous questionnaire on the JGOG website. The survey asked whether or not HRT was to be administered when surgery was performed (including a hysterectomy and bilateral oophorectomy) to treat EC before or after menopause. If HRT was not to be administered, respondents were asked the reason why. Respondents were presented with the same hypothetical patients that were featured in a previous survey in Germany, and differences in the mindsets of Japanese and German physicians were compared. Results: Responses from 363 individuals (response rate 40.9 %) were analyzed. Seventy-eight percent of physicians considered HRT for patients undergoing surgery before menopause. The most prevalent reason of refusal to prescribe HRT was the risk of EC recurrence. Forty-eight percent of physicians considered HRT for patients undergoing surgery after menopause. The most prevalent reasons of refusal of HRT were its limited benefit and the availability of alternative therapies. Sixty-five percent of Japanese physicians responded that they would administer HRT to patients with low risk of recurrence vs. 46 % of physicians in Germany ( P < 0.0002). Forty-nine percent of Japanese physicians approved of prescribing HRT for patients with high risk of recurrence vs. 25 % of physicians in Germany ( P < 0.0001). Conclusion: Many Japanese gynecologists have a favorable attitude toward prescribing HRT after treatment of EC. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
13419625
Volume :
20
Issue :
5
Database :
Complementary Index
Journal :
International Journal of Clinical Oncology
Publication Type :
Academic Journal
Accession number :
110069677
Full Text :
https://doi.org/10.1007/s10147-015-0808-5