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Lookup NU author(s): Dr Dina Mansour
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© The Author(s) 2022. Objective: Inequity of access and choice to different hormone replacement therapy (HRT) products across the UK has been suggested (Hillman, 2020). While, the cause is not entirely understood, potential contributors include conflicting national guidance, economic deprivation and a local formulary approach. With a diverse and growing population of women reaching and living well beyond the menopause, the impact of this inequity is becoming more pronounced, and challenges the goal of providing personalised care. The study objective is to establish a consensus that supports a greater equity of access and choice of HRT and provision of individualised care. Study Design: Modified Delphi study designed by UK HCPs with expertise in menopause care. This group identified 40 consensus statements over four key topics, related to access and choice of different HRT products. An online 4-point Likert scale questionnaire, sent to UK HCPs, was used to assess agreement, with a consensus threshold set at 75%. Main Outcome Measures: 150 HCP responses between June and September 2021 Results: A total of 137 responses were received. Analysis identified 37/40 statements attaining very high agreement (≥ 90%) and 3/40 statements attaining high agreement (< 90% and ≥75%). Nine recommendations were developed with the intent to inform potential improvements to menopause care in the UK. Conclusions: The high levels of agreement displayed suggest a desire to change the way menopause care is delivered in the UK. Implementation of the suggested recommendations has the potential to improve equity of access to licensed treatment options, compliant with the NICE recommendation for personalisation of care.
Author(s): Briggs P, Barber K, Cooke K, Hillard T, Mansour D, Panay N, Pearson K, Tanna N, Wokoma T
Publication type: Article
Publication status: Published
Journal: Post Reproductive Health
Print publication date: 01/06/2022
Online publication date: 20/04/2022
Acceptance date: 02/04/2018
ISSN (print): 2053-3691
ISSN (electronic): 2053-3705
Publisher: Sage Publications Ltd
PubMed id: 35443829
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